Prosper

What do they actually do

Prosper builds voice AI agents that make and take phone calls for healthcare organizations. The agents are configured for administrative tasks like appointment scheduling and routing, patient billing conversations, eligibility and benefits checks, prior authorization follow‑ups, claims status calls and other payer interactions. They run 24/7 alongside human staff and slot into existing phone flows and systems getprosper.ai how it works.

Deployments typically start by mapping a client’s phone workflows into a prebuilt “Blueprint,” then launching a fast pilot via spreadsheet/SFTP (live in 1–2 days) or a deeper API/EHR integration that can take weeks. Early calls are supervised with edge cases routed to staff; once tuned, agents handle routine inbound/outbound calls and hand off complex cases to humans how it works Forbes 2025.

Prosper sells to provider groups, hospitals, and revenue‑cycle organizations. Press coverage cites early enterprise customers (e.g., a Providence‑affiliated network, Synergy Health Associates, and large billing/RCM partners) and reports roughly 15 customers and a seed round to scale distribution SiliconAngle 2025 Forbes 2025. Reported pilot outcomes include 50–70% automation on inbound patient calls and high accuracy navigating payer IVRs and extracting data (e.g., 99%), with pilots live in days and full integrations in weeks; these are vendor‑reported metrics rather than independently audited benchmarks HitConsultant 2025 HealthcareITToday 2025 how it works.

Who are their target customer(s)

• Front‑desk managers at small and medium physician practices: They handle repetitive scheduling, cancellations and after‑hours calls that cause overtime, missed appointments and patient dissatisfaction; they need call containment without disrupting current workflows how it works.
• Hospital and multi‑site health system contact‑center leaders: They must standardize access and intake across locations amid high staffing costs and turnover, and require solutions that fit EHRs and telephony already in place Forbes 2025.
• Revenue‑cycle managers at provider organizations: Teams spend significant time on payer calls (eligibility checks, prior auth follow‑ups, claims status), slowing cash collections and tying up skilled staff; they want reliable automation for payer interactions getprosper.ai HealthcareITToday 2025.
• Outsourced RCM/billing vendors and large billing partners: They manage many clients under cost pressure and variable call volumes; scaling headcount for peaks is expensive, so they look for automation that can be replicated across portfolios SiliconAngle 2025.
• Patient‑billing and collections teams: High volumes of sensitive, repetitive balance inquiries and payment calls are time‑consuming and error‑prone, lowering recovery rates; they need agents to handle routine conversations so staff focus on exceptions getprosper.ai.

How would they acquire their first 10, 50, and 100 customers

• First 10: Direct outreach and founder‑led sales to a small set of mid‑size practices, hospital contact centers and RCM partners, converting with supervised, low‑lift pilots via the spreadsheet/SFTP path to go live in days how it works Forbes 2025.
• First 50: Package early wins into repeatable “Blueprint” playbooks and use references to run targeted outbound to access/RCM leaders, offering quick pilots and success‑based pricing to reduce procurement friction getprosper.ai YC profile.
• First 100: Scale via RCM vendors, EHR/telephony integrators and billing platforms to bundle into existing stacks, while building sales engineering and onboarding teams and standard integrations that turn pilots into enterprise rollouts SiliconAngle 2025 how it works.

What is the rough total addressable market

Top-down context:

U.S. healthcare administrative spending is widely cited in the hundreds of billions to roughly $1T annually, with analyses suggesting large savings potential (e.g., ~$450B) from streamlining admin work Oliver Wyman PMC review. Prosper targets the phone‑driven slice of this spend (patient access, billing, payer calls).

Bottom-up calculation:

Using U.S. RCM/billing (software + services) at roughly $40–80B as an anchor and assuming 10–30% is phone/voice interactions yields $4–24B; adding front‑desk scheduling and collections expands a realistic U.S. serviceable market to about $10–30B per year MarketsandMarkets Fortune Business Insights.

Assumptions:

• Phone‑based interactions account for 10–30% of relevant RCM/billing and access workloads.
• North America is a large share of global RCM, supporting a U.S. anchor of $40–80B for RCM/billing spend.
• Enterprises will shift a portion of access/RCM budgets to automation vendors where reliability and integrations are proven.

Who are some of their notable competitors

• Luma Health: Patient‑engagement platform with voice AI for scheduling, reminders and outreach, with deep EHR integrations; overlaps on patient‑access automation more than payer‑call workflows Luma Health.
• Hyro: Conversational AI agents for healthcare contact centers with telephony and EHR integrations; competes on automating inbound/outbound call volume and triage for hospitals Hyro healthcare.
• Phreesia (VoiceAI): RCM and patient‑intake vendor offering voice automation for patient calls, balance inquiries and billing workflows; relevant when buyers prefer intake + billing from one vendor Phreesia VoiceAI.
• Relatient (Dash): Patient‑communication vendor with a voice AI product for scheduling and call‑center automation; competes for health systems seeking to reduce front‑office call volume Relatient Dash.
• Synthflow: No‑code/white‑label voice‑AI platform to build custom agents for scheduling and phone tasks; overlaps on automation but emphasizes DIY platform vs. Prosper’s managed healthcare Blueprints Synthflow.