Prosper AI

AI Voice Agents for Patient Access and RCM

Prosper AI provides AI Voice Agents tailor-made to handle patient, provider, and payor calls, allowing healthcare teams to focus on care. Built on battle-tested Blueprints™, Prosper's voice agents are trained and ready to deploy for critical healthcare communications, such as scheduling, benefits verification, and claim status inquiries.

Key Features

• AI-powered quality assurance: Every call is automatically reviewed by AI for accuracy, compliance, and quality. This provides real-time analytics and insights without manual audits.
• Native Integrations: Prosper AI offers dozens of out-of-the-box, API-first integrations with your PMS and EHR systems to leverage AI for your operations.
• Launch in Weeks: An AI Agent Manager works with your team to configure workflows and train the agent. You get full dashboard access for updates and can go live in just three weeks.

Use Cases

• Appointment Scheduling: Books, reschedules, and cancels appointments. It also collects insurance details from patients on the same call and logs the information directly in your PMS.
• Benefit Verification: When portals are insufficient, Prosper’s agents call payers directly, navigating phone trees, waiting on hold, and speaking to representatives to verify benefits.
• Prior Authorization Initiation and Follow-up: Agents call payers to check if prior authorization is required, initiate requests, and track the status of existing ones, entering all details back into your EHR.
• Inbound Billing Questions: Handles patient questions about billing statements by checking the PMS/EHR, explaining charges, collecting payments, and transferring to staff when needed.
• Claim Follow-up: For claims not adjudicated after 30 days, agents call payers directly and log the results straight into your workflow through EHR integration.
• Denial Follow-up: Calls payers to gather detailed denial information needed for appeals, requests EOBs, and can request resubmission when appropriate.
• Patient Re-Engagement: AI agents automatically call patients due for annual or quarterly check-ups if no appointment is on file, and follow up with text and email reminders.
• Switchboard: Replaces robotic phone trees with a conversational switchboard that answers basic patient questions and intelligently redirects calls.

Getting Started

Website: https://www.getprosper.ai/

You can call to try Prosper's AI agent live at +1 (856) 348-5830.