Prosper AI raises $30M to unify healthcare scheduling and billing

Key Takeaways

• Prosper AI raised $30 million in Series A funding led by Andreessen Horowitz to scale its healthcare automation platform
• The platform now operates across 150,000+ healthcare providers and powers $1.3 billion in patient care
• Only 5% of healthcare firms use AI for patient journey orchestration, leaving significant room for growth

Prosper AI has raised $30 million in Series A funding led by Andreessen Horowitz to expand its healthcare automation platform. The New York-based company combines patient scheduling, insurance verification, and billing into a single AI-powered workflow, a consolidation play aimed at the estimated $450 billion in annual administrative waste across U.S. healthcare.

The round included Base10 and returning investors Emergence Capital, Y Combinator, and Company Ventures. Since its last funding six months ago, Prosper AI says revenue grew fivefold and the company added more than 40 healthcare organizations as customers.

What does Prosper AI actually do?

The platform answers patient calls, schedules appointments directly in electronic health record systems, verifies insurance benefits, automates billing, and contacts insurers when claims need additional documentation. It integrates with athenahealth, ModMed, Veradigm, ECW, and ImagineSoftware, covering more than 25 medical specialties across 150,000 providers.

Providers using the platform have reduced administrative costs by more than 40%, according to the company. Prosper AI claims it wins 80% of competitive evaluations and now powers over $1.3 billion in patient care.

Why healthcare administration is ripe for automation

Scheduling, insurance verification, and billing have traditionally lived in separate systems managed by disconnected teams. A single patient visit can require staff to toggle between four or five platforms, re-entering data at each step. The friction generates errors, delays reimbursement, and burns through labor budgets.

PYMNTS Intelligence data shows only 5% of healthcare firms currently use AI for customer journey orchestration, even though 60% have adopted AI chatbots for basic customer service. That gap between point solutions and end-to-end workflow automation is where Prosper AI is positioning itself.

Who is using the platform?

Prosper AI's customer list spans private equity-backed outpatient groups like Preferred Dermatology, health systems including Jackson Memorial Hospital (Florida's second-largest hospital), and athenahealth itself, which selected Prosper AI for internal voice AI workflows after evaluating multiple vendors.

ImagineSoftware, a practice management company serving more than 100,000 physicians and processing over $65 billion in claims annually, also chose Prosper AI following a competitive evaluation. These enterprise wins suggest the platform can handle scale beyond small practices.

What will Prosper AI do with the funding?

The company plans to expand engineering and customer-facing teams, deepen EHR integrations, and accelerate adoption across provider groups and health systems. Prosper AI was founded in 2023 by Xavier de Gracia and Josep Mingot.

“They want to eliminate every administrative friction point between a patient and the care they need.”

— Jay Rughani, Partner at Andreessen Horowitz

The bigger picture for healthcare AI

Healthcare AI investment has shifted from diagnostic tools and drug discovery toward operational infrastructure. Revenue cycle management, prior authorization, and patient communication are now top targets. The logic is straightforward: administrative work consumes roughly 30% of healthcare spending. Software that trims even a fraction of that waste can deliver immediate ROI without touching clinical workflows or regulatory risk.

Prosper AI's approach, consolidating multiple administrative functions under one AI layer, mirrors trends in fintech and enterprise software. Vertical SaaS companies that own the full workflow tend to retain customers longer and expand revenue faster than point solutions.

Frequently Asked Questions

What is Prosper AI used for?

Prosper AI automates patient scheduling, insurance verification, and billing for healthcare providers. The platform answers patient calls, books appointments directly in EHR systems, checks insurance benefits, and handles billing workflows.

How much funding has Prosper AI raised?

Prosper AI raised $30 million in Series A funding led by Andreessen Horowitz, with participation from Base10, Emergence Capital, Y Combinator, and Company Ventures.

Which EHR systems does Prosper AI integrate with?

The platform integrates with athenahealth, ModMed, Veradigm, ECW, and ImagineSoftware, among other electronic health record platforms.

How much can Prosper AI reduce administrative costs?

According to the company, providers using the platform have reduced administrative costs by more than 40%.

Who are Prosper AI's major customers?

Customers include Preferred Dermatology, Jackson Memorial Hospital (Florida's second-largest hospital), athenahealth, and ImagineSoftware.

Source: PYMNTS | / PYMNTS