en.Wedoany.com Reported - Prosper AI has secured $30 million in Series A funding to expand its agentic AI platform, designed to handle a range of medical administrative tasks from patient appointment scheduling to insurance verification and patient billing. This funding round comes nine months after the company announced its seed round.
Xavier de Gracia, co-founder and co-CEO of Prosper AI, stated that unlike many voice AI companies focused on single tasks like appointment scheduling or billing, the platform aims to manage a broader patient journey. The platform can answer patient calls, schedule appointments directly in electronic health records, verify insurance benefits, automate patient billing, and proactively contact insurance companies when additional information is needed.
De Gracia told Fierce Healthcare that the startup's goal is to build an AI workforce for healthcare operations teams. "We believe that in three to five years, larger patient populations and health systems will have a layer of AI workforce, not just humans, that will complement the work humans are doing. Electronic health records (EHRs) will work with it, and are already working with it, building a layer on top of EHRs. Our vision is fully agentic. Voice is just one channel to coordinate patients, providers, and insurers, but there are other coordination methods, such as APIs, fax, browser-based AI to retrieve information from insurance portals, etc. What we are building is essentially this workforce that will help cover the entire journey from pre-visit to post-visit," he said.
Andreessen Horowitz (a16z) led this funding round, with Base10 participating, and existing investors Emergence Capital, Y Combinator, and Company Ventures continuing to follow. Jay Rughani, partner at Andreessen Horowitz, noted that a16z has made significant investments in AI companies, and Prosper AI stands out due to its "ambition scope." "They want to eliminate every administrative friction point between patients and the care they need. What convinced us was the pattern we kept hearing from customers—providers would first deploy Prosper AI for appointments, then quickly ask them to handle insurance verification, then billing, and so on. This pull effect only happens when your technology can consistently guide patients end-to-end through the care journey," he said.
With the new funds, Prosper AI plans to expand its engineering and customer-facing teams, deepen integrations with the largest EHR platforms, and accelerate adoption among provider groups and health systems.
De Gracia pointed out that healthcare providers do not want separate tools for appointments, insurance verification, and billing. "They want a single platform that can manage the workflows that determine whether care happens and whether providers ultimately get paid. That's the platform we built, and that's why providers, health systems, and healthcare technology companies choose Prosper AI."
Founded in 2023, Prosper AI initially focused on a broader scope before narrowing its focus to healthcare operations in 2024. Since announcing its seed round in September 2024, the startup has grown rapidly. The company reports that its revenue has increased fivefold, added over 40 healthcare organizations as customers, expanded to more than 150,000 healthcare providers, and currently manages $1.3 billion in patient care.
The startup currently partners with 60 healthcare organizations, including large and medium-sized outpatient groups such as private equity-backed outpatient group Preferred Dermatology, health systems like Jackson Memorial Hospital, and healthcare technology companies athenahealth and ImagineSoftware.
Executives say the platform is tailored to handle communication between patients, providers, and payers. By automating the end-to-end patient journey, Prosper AI helps providers reduce administrative costs by over 40%, while informing patients about their insurance coverage and financial responsibility before care is delivered. The end result is a single platform that manages patient and payer workflows from appointment requests to reimbursement.
Prosper AI executives say the goal is to use agentic AI to help eliminate waste, save costs, and increase revenue, while supporting a better patient experience.
De Gracia described the platform's specific operations: "We have essentially built an AI platform that can create multiple agents that coordinate with each other. We start with patient appointments. When someone calls, we answer the call, connect to the HR system, check appointment availability, screen the patient, and understand the type of appointment they need. We check eligibility in real-time via API. But if we find that for a certain appointment type we don't have enough deductible information, we make outbound calls to insurance companies, retrieve data through phone trees, put it back into the system, and generate a cost estimate for that visit. Ultimately, based on this information, we inform the patient of the cost and their responsibility before the visit, and enable them to prepay their copay." He added, "What we build is this capability, not overfitting the platform to appointment functions, but being able to handle inbound and outbound calls, and being multi-channel."
Providers using the Prosper AI platform report that they can manage high call volumes and provide faster, more reliable patient access. They also report reduced operational costs and increased revenue.
De Gracia said, "For our customers, we see automation rates as high as 60% to 70% for certain workflows, like appointment workflows. We also see revenue increases of up to 12%, because it's not just about answering calls and eliminating wait times, but also ensuring these patients are financially cleared before their visits. We see these revenue gains driven by workforce availability, as well as improved accuracy in getting patients financially cleared before visits."
Prosper AI currently has three core AI agents for appointments, insurance benefit verification, and billing. The company is building more use cases. Josep Mingot, co-founder and co-CEO, noted, "We are expanding more in this area, calling it the long tail of patient administrative communication, which also applies to insurance aspects, such as prescription refills and insurance renewals."
Prosper AI executives say the company wins 80% of competitive evaluations as providers and healthcare technology companies seek end-to-end solutions. Jonathan Banta, CEO of The 44 Group and co-founder of The Executive Roundtable, said, "We evaluated seven different vendors through extensive RFPs and live demonstrations, and concluded that Prosper AI has the most comprehensive platform. The difference is not just appointments. Prosper AI is the only platform that can handle insurance verification, patient financial responsibility, and the broader workflows needed to support the entire patient journey."
Noah England, COO of Piedmont Dermatology, said in a statement, "From the start, Prosper AI has handled over 50% of our patient conversations end-to-end, including complex cases involving real-time benefit verification. Many organizations using other AI solutions are still stuck at 20% to 30% automation levels because those systems stop at appointments."
EHR and healthcare technology companies are also adopting AI solutions. Prosper AI says it has integrated with athenahealth, ModMed, Veradigm, ECW, ImagineSoftware, and other leading EHR systems. athenahealth, a large outpatient EHR platform, chose Prosper AI after evaluating multiple solutions for internal voice AI workflows. Imagine Software, which serves over 100,000 physicians, also selected Prosper AI after a competitive evaluation.
Sam Khashman, CEO of ImagineSoftware, said in a statement, "We reviewed multiple AI platforms, and Prosper AI consistently demonstrated the strongest performance, currently processing thousands of conversations daily for multiple clients on our platform. In repeated parallel evaluations, Prosper AI achieved the highest accuracy and completion rates."
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