Prosper AI

Prosper AI is the AI platform that runs the entire patient journey. While most voice AI vendors stop at scheduling, Prosper AI is built to run the full front office: intelligently scheduling patients, verifying insurance benefits in real time, and automating patient billing, all inside NextGen. Prosper is generative-first, not a phone tree with AI bolted on, and it's the only platform that automates both patient-facing and payor-facing calls.

By the Numbers

• Live across 60+ outpatient groups, covering 150,000+ providers
• 50% of all patient calls resolved end-to-end – not just scheduling
• +12% increase in appointment volume without adding staff

Patient and Payor Calls, One Platform

Most voice AI platforms handle the patient side of a call — booking an appointment or answering a scheduling question — and stop there. Prosper AI also handles benefits verification and places outbound calls to payors, to book financially cleared appointments.

Workflows Prosper Runs Inside NextGen

• Appointment scheduling and rescheduling, written directly into the NextGen EHR
• Real-time insurance eligibility and benefits verification, backed by outbound payor calls
• Patient billing
• Switchboard: answering inbound calls, handling questions, and routing to the right place
• Prior authorization initiation and follow-up
• Claims follow-up
• Waitlist management

Results

Across Prosper AI's outpatient customers, front-desk and call-center staff have freed capacity to focus on higher-value work. Appointments arrive financially cleared, with coverage and patient responsibility confirmed before the visit rather than reconciled after it. Patient balances get collected faster because billing follow-up runs automatically instead of waiting on a callback. Practices grow appointment volume and revenue without increasing their front-desk or call-center headcount.

Implementation

Each customer is assigned a dedicated AI Product Manager, who manages a caseload of five accounts within the same specialty and EHR. Onboarding ingests the practice's NextGen scheduling rules, payer protocols, and call flows to configure workflows specific to that organization, with go-live typically within three weeks. Ongoing tuning happens on a biweekly cadence, with quarterly steering committee reviews to track performance and adjust scope.