Back to vendors
P

Prosper AI

Also known as: Prosper Tech

Visit site
Entry priceContact salesFull pricing detail

Healthcare voice agents for patient access and revenue cycle phone work: scheduling, eligibility, prior authorization, claims status, billing and intake, with payer calls, 80+ EHR and PM integrations, campaign APIs and on-prem options.

Prosper AI builds voice agents that take over the phone work around patient access and revenue cycle. Customers pick from Blueprints, conversation templates trained on 190M+ patient interactions, for scheduling and rescheduling, benefits and eligibility checks, prior authorization, claim status and denial follow-up, patient billing and collections, refills, intake and reminder or re-engagement campaigns, and the agents are tailored weekly to the practice's exceptions.

They answer and place calls 24/7 and follow up by SMS and email, read and write the EHR through 80+ integrations with EHRs such as Epic, athenahealth, ModMed, Veradigm and eClinicalWorks, clearinghouses, CRMs and practice management systems, and when electronic eligibility falls short they call the payer, navigate the IVR, wait on hold and bring back the answer.

Every call is reviewed automatically for accuracy, compliance and quality, and ambiguous or failed calls go to the customer's staff with a full transcript and confidence score. A public API runs campaigns, adds targets, waits on webhook or EHR event steps and returns call logs and exports. The vendor states HIPAA compliance, an annual SOC 2 Type II audit, PCI-compliant payment capture and on-prem options, with most practices live in about three weeks. Prosper AI raised a $30 million Series A led by a16z and says it serves 60+ outpatient groups and EHR platforms.

Vendor details

Canonical URL

https://getprosper.ai

Category

Healthcare agent

Subcategory

Patient access and scheduling

Funding status

Independent; raised a $30 million Series A led by a16z, per the homepage. Serves 60+ outpatient groups and EHR platforms; founding and other funding details are not stated on the pages read.

Company status

independent

Use cases & customers

Primary use cases

patient scheduling and accessbenefits and eligibility verificationprior authorization and claims follow uppatient billing and collections

Target customers

healthcare providers

Deployment options

SaaSon-prem option for enterprises

Integrations

80+ integrations with EHRs (Epic, athenahealth, ModMed, Veradigm, eClinicalWorks and others), clearinghouses, CRMs and practice management systems, reading and writing the EHR; payer phone lines are called directly when electronic eligibility falls short. Public API with API keys for campaigns, targets, webhook and EHR event steps, call logs, live calls and data export.

In practice

Your patient access center drowns in scheduling calls and hold times climb. Prosper AI answers, books directly in the EHR, and verifies benefits before the patient hangs up, without staff involvement.

Your RCM team spends hours on payer hold lines for eligibility and prior auth. Prosper AI dials the insurer, navigates the IVR, waits on hold, and returns structured data to the EHR.

Balances go uncollected because nobody follows up. Prosper AI calls patients to explain charges, answers billing questions, and takes payment across phone, SMS, and email automatically.

Agentic Index coverage score

10.0 / 14 capabilities · 71%

Integrations & Tool Calling Full

80+ integrations with EHRs (Epic, athenahealth, ModMed, Veradigm, eClinicalWorks), clearinghouses, CRMs and practice management systems; the agents read and write the EHR, and when electronic eligibility checks fall short they call the payer, navigate the IVR and bring back the answer.

Sourcegetprosper.ai/how-it-worksread 2026-09-28

Workflow Orchestration Full

Campaigns are multistep flows the customer runs through the API, with steps that wait on a webhook or an EHR event, targets added and removed, and calls executed per target. Agents cover scheduling, eligibility, prior authorization, claims, billing, refills and intake.

Sourcedocs.getprosperapp.com/llms.txtread 2026-09-28

Knowledge Grounding & RAG Partial

Blueprints are conversation templates trained on 190M+ patient interactions and tailored weekly to the practice's exceptions, with EHR and payer data read per call. Knowledge lives in trained models and per call lookups, and no maintained retrieval structure over the customer's knowledge is documented.

Sourcegetprosper.ai/how-it-worksread 2026-09-28

Human Oversight & Guardrails Full

Any ambiguous or failed call is flagged and routed to the customer's staff with a full transcript and confidence score, so a person reviews an uncertain outcome before it is completed, and agents transfer to staff when needed; every flagged issue carries a two hour SLA.

Sourcegetprosper.ai/how-it-worksread 2026-09-28

Security, Identity & Governance Partial

HIPAA compliant and audited annually to SOC 2 Type II, with encryption in transit and at rest and PCI-compliant payment capture; no customer access surface (single sign-on, roles or permissions) is documented beyond API keys.

Sourcegetprosper.ai/how-it-worksread 2026-09-28

Observability & Auditability Full

Call logs and live calls are retrievable through the API, post-call data exports per campaign, and flagged calls carry a full transcript and confidence score; every call is reviewed automatically for accuracy and compliance.

Sourcedocs.getprosperapp.com/llms.txtread 2026-09-28

Memory & State Persistence Partial

Agents handle mid-call topic changes within a conversation, and results are written to the EHR, which is the business record; no memory the agent keeps across calls with its own scope and lifetime is documented, so state lasts only for the session.

Sourcegetprosper.airead 2026-09-28

Deployment & Data Residency Full

On premises options are available for enterprises alongside the hosted service; no hosting regions are described.

Sourcegetprosper.ai/how-it-worksread 2026-09-28

Prebuilt Agents, Templates & Packs Full

Customers pick from ready to deploy agent Blueprints, conversation templates for scheduling, eligibility, prior authorization, claims status, billing, refills and intake, each a whole workflow of its own.

Sourcegetprosper.ai/how-it-worksread 2026-09-28

Triggers & Channel Coverage Full

Inbound and outbound calls 24/7 with SMS and email follow-up; campaign steps wake on a received webhook or an EHR event, and reminders and re-engagement campaigns run outbound.

Sourcedocs.getprosperapp.com/llms.txtread 2026-09-28

Model Flexibility & Routing Not documented

Gen 3 voice agents are described without a named model provider, and no customer model choice or routing is documented.

Sourcegetprosper.airead 2026-09-28

APIs, SDKs & MCP Extensibility Full

Public API documentation with API keys: execute calls within campaigns, manage campaign targets, receive webhook and EHR event steps, list and get call logs, get live calls, export campaign data and manage keys.

Sourcedocs.getprosperapp.com/introductionread 2026-09-28

Testing, Debugging & Optimization Partial

Every call is reviewed automatically for accuracy, compliance and quality, and agents are refined weekly as real calls come in; this is the vendor's managed quality review, with no customer test, simulation or evaluation surface documented.

Sourcegetprosper.ai/how-it-worksread 2026-09-28

Browser & Computer Use Not documented

Agents work by phone, SMS and email and through integrations; payer IVR navigation runs over a telephone interface rather than a screen, and no browser or portal control is documented.

Sourcegetprosper.airead 2026-09-28

The Agentic Index coverage score grades every vendor Full, Partial or Not documented against the same 14 buyer facing capabilities, from public evidence only. Each capability links to how all vendors in the index score on it. How this evidence is graded

Pricing

Contact sales

Inference, not stated by the vendor: call volume and workflows deployed.

Trial available

What is public

Workflows, integrations, API documentation and compliance statements are public; no rates or plans are published.

Billing mechanics

Not published; quoted through sales.

Cost watchouts

Inference, not stated by the vendor: expanding from scheduling into payer and billing work, and seasonal call spikes, are the likely cost drivers; confirm how transferred or flagged calls are billed.

Variable cost rationale

Inference, not stated by the vendor: a volume-based quote is the likely shape, so cost would follow phone traffic and the workflows enabled.

Additional watchouts

No published rates; confirm the billing unit and how partially automated calls are counted.

Sales call required

Yes, required for paid access

Free / trial

Not published

Commercial notes

Independent; $30 million Series A led by a16z. Serves 60+ outpatient groups and EHR platforms.

Key ambiguities

No entry rate, per call price or tiering is published.

Agentic Index verified 2026-09-28

Alternatives to Prosper AI

The closest documented capability profiles to Prosper AI among healthcare agents tracked by Agentic Index, ordered by similarity on the same 14 point evidence the rankings use. No vendor pays for placement.

  • Corti9.5 / 14Adds documented Model Flexibility & Routing
  • Heidi9.0 / 14Fuller documented coverage on Security, Identity & Governance
  • Microsoft Dragon Copilot9.0 / 14Fuller documented coverage on Security, Identity & Governance
  • XCaliber Health9.0 / 14Fuller documented coverage on Knowledge Grounding & RAG
  • Basys.ai7.5 / 14A lighter documented profile than Prosper AI
  • Cedar7.5 / 14A lighter documented profile than Prosper AI

Similarity is computed from each vendor's Agentic Index coverage score evidence, axis by axis, not from the totals. How this evidence is graded

Contact us

Found a vendor we missed? Have feedback on the index? We'd love to hear from you.