Specialty Groups
Your staff spends countless hours scheduling patients and calling insurance payors for Benefits, Priori Auth and Claims. Prosper AI Agents take on overthose calls, managing scheduling, waiting on hold with payors and speaking directly with representatives. You reduce staff workload, cut patient wait times, and avoid lost appointments while improving satisfaction for both patients and providers.
Schedules and reschedules appointments
Responds to patients billing questions
Coutesy calls to remind of balance and collect payment
Schedule annual check-ups
Schedules and reschedules appointments
Use AI to Schedule new or existing patients, reschedule and cancel. In the same call, collect insurance information and have that notes in the PMS.
Responds to patients billing questions
Answers Billing questions about statements received. "I thought insurance paid for this?" or "Why do I see two charges in my statement" are questions Prosper AI's agents can answer. The AI is connected to your PMS/EHR and is able to check the billing statements, answer questions and take payments. If necessary, it can always transfer to a live representative.
Coutesy calls to remind of balance and collect payment
Outstanding balances of patients are sometimes difficult to collect. Use Prospers AI Balance reminder agents to perform courtesy calls to patients, provide information on why insurance has paid only 80% and collect payment. Combine SMS, Email and Phone on outbound callls.
Schedule annual check-ups
Trigger AI Phone Calls for re-engagement campaigns for annual or quarterly check-ups if no appointment has been scheduled for the patient. Complement the phone calls with a text and email to ensure you maximize revenue.
Calls patients for existing appointments or new ones
Picks-up the phone, answers questions and redirects
Verifies patient benefits and plan details
Initiate Prior Authorizations and follow-up on issues
Calls patients for existing appointments or new ones
Avoid No-shows by contacting users on email, text and converastional Phone Calls.
Picks-up the phone, answers questions and redirects
No-one likes the press 1, press 2 recordings. It's just annoying. Change it to a conversational switchboard that can be intelligent to redirect to the right department, or answer the initial questions patients have.
Verifies patient benefits and plan details
When electronic or portal information is insufficient, Prosper AI Agents get on the phone, navigate phone trees, wait on hold and speak to representatives to extract benefit information. The specifics on what to ask for, and follow-up questions can be customized from our Battle-Tested existing Blueprints or totally customized to you.
Initiate Prior Authorizations and follow-up on issues
AI Agents pick-up the phone and call payors to check if Auth is requited, initiate it and check the status of an existing one. AI Agents navigate decision trees, speak to representattives, gather information and put it back into the EHR/your system of record
Check Status and follow-up questions, ask for EOB and extract from Fax
Call payors to gather denial info and request resubmission
Check Status and follow-up questions, ask for EOB and extract from Fax
Claims that have not received adjudication after 30 days require a portal check or a phone Call. Prosper AI Agents perform those phone calls, already integrated into your EHR or system of record so that the information is provided directly into your existing workflow
Call payors to gather denial info and request resubmission
Electronically you don't get enough information for an appeal. Prosper AI Agents perform phone calls to Payors, speak to a representatives and gather all details about the denial to file an appeal, including requested the EOB with a Fax. Additionally, AI Agents can have a conversation on the phone to request resubmission or pushback on errors.
We offer scalable solutions, real-time analytics, and 99.99% uptime to help you deliver exceptional customer experiences.
Programmatic exchange of secure files for batch processing and scheduled data transfers. Ideal for large datasets and compliance requirements.
Directly in the platform upload or download files with drag-and-drop simplicity. Perfect for one-time imports, quick data updates, and ad-hoc file transfers.
Programmatic exchange of secure files for batch processing and scheduled data transfers. Ideal for large datasets and compliance requirements.
Directly in the platform upload or download files with drag-and-drop simplicity. Perfect for one-time imports, quick data updates, and ad-hoc file transfers.
Faster calls. Lower costs. Higher accuracy. All with less effort from your team.
Healthcare organizations reduce cost by automating phone-based workflows with AI, reducing manual effort without sacrificing performance.
Using AI Agents in Patient Access increases revenue through more appointments, better scheduling, and improved provider utilization. RCM benefits include fewer denials due to accurate benefit checks, prior authorizations, and timely claim follow-ups.
Every call is reviewed by AI-powered Quality Assurance agents. Deliver consistent, near-perfect quality that outperforms human agents.
Use our AI platform with the tools you already run — whether it's Kareo, AdvancedMD, AthenaCollector, or a custom RCM stack.
Provide your guidelines
Internal
Testing/Iteration
Launch Calls and iterate
Provide feedback and train the AI
Ask why you didn’t launch AI Agents before.
Prosper has built Agent Blueprints, which are battle-tested instruction for AI Agents that are ready to use.
President
COO at Northeast OBGYN
