A startup building voice and agentic AI for healthcare operations has raised $30 million in a Series A round led by Andreessen Horowitz, a signal that automation is moving steadily upstream into the patient billing and insurance workflows that shape whether medical balances ever reach collections.
New York-based Prosper AI said the round included Base10, Emergence Capital, Y Combinator and Company Ventures, with a16z partner Jay Rughani joining its board. Founded in 2023 and narrowed to healthcare operations the following year, the company deploys coordinated AI agents to handle administrative tasks across the patient journey, including scheduling, benefits verification, prior authorization, claims status, billing and refill reminders.
For the accounts receivable management industry, the more relevant detail sits in how the platform handles money before care is delivered. Prosper AI says its agents check eligibility in real time, place outbound calls to insurers to retrieve deductible and benefit information, generate a cost estimate for the visit, and then inform patients of their financial responsibility and collect copays up front. That upfront financial clearance, if it scales, could reshape the volume and character of unpaid medical balances that eventually flow to agencies and debt buyers.
The company reported that providers using the platform have reduced administrative costs by more than 40%, with revenue lifts of up to 12% driven largely by clearing patients financially before appointments. It also cited automation rates of 60% to 70% on some scheduling workflows.
Prosper AI framed the broader opportunity around fragmentation, noting that disconnected scheduling, verification and billing teams contribute to more than $450 billion in annual administrative waste. It pointed to industry data showing that only about 5% of healthcare firms use AI to orchestrate the full customer journey, even as roughly 60% have adopted AI chatbots for service, positioning end-to-end automation as the gap it is chasing.
Growth has been quick. Since a $5 million seed round in September, the company said revenue has grown fivefold, customer count has surpassed 40 organizations, and the platform now spans more than 150,000 providers and manages roughly $1.3 billion in patient care. Prosper AI also claims it wins about 80% of competitive evaluations.
Customers include private equity-backed outpatient groups such as Preferred Dermatology, health systems including Jackson Memorial Hospital, and software firms athenahealth and ImagineSoftware, the latter serving more than 100,000 physicians. Integrations span athenahealth, ModMed, Veradigm, ECW and ImagineSoftware.
