The New York-based company has built an AI platform that handles patient scheduling, insurance verification and billing in a single workflow. It operates across more than 150,000 healthcare providers spanning more than 25-plus medical specialties, with integrations into athenahealth, ModMed, Veradigm, ECW and ImagineSoftware, among other EHR platforms.
The funding round, which included participation from Base10 and continued support from Emergence Capital, Y Combinator and Company Ventures, comes after a period of rapid growth. Since its last funding announcement six months ago, Prosper AI said, its revenue grew fivefold and the company added more than 40 healthcare organizations as customers. The platform now powers more than $1.3 billion in patient care and wins 80% of competitive evaluations, according to the company.
Prosper AI positions itself as a response to the fragmentation that has historically defined healthcare administration. Scheduling, insurance verification and patient billing have typically been handled by disconnected teams using separate tools — a structure the company said generates more than $450 billion in annual administrative waste. The platform answers patient calls, schedules appointments directly in the EHR, verifies insurance benefits, automates patient billing and contacts insurers when additional information is needed. Providers using the platform have reduced administrative costs by more than 40%.
The opportunity Prosper AI is targeting remains largely untapped. PYMNTS Intelligence data show that only 5% of healthcare firms currently use AI for customer journey orchestration, even as 60% have adopted AI for customer service chatbots. That gap between narrow automation and end-to-end workflow management is where Prosper AI is competing.
Customers include private equity-backed outpatient groups such as Preferred Dermatology, health systems such as Jackson Memorial Hospital — the second-largest hospital in Florida — and athenahealth, which selected Prosper AI for internal voice AI workflows after evaluating multiple competing platforms. ImagineSoftware, which serves more than 100,000 physicians and processes more than $65 billion in claims annually, also selected Prosper AI following a competitive evaluation.
Jay Rughani, partner at Andreessen Horowitz, said the firm was drawn to the breadth of Prosper AI’s ambition. “They want to eliminate every administrative friction point between a patient and the care they need,” Rughani said.
Prosper AI said it will use the new funding to expand its engineering and customer-facing teams, deepen integrations across major EHR platforms and accelerate adoption across provider groups and health systems. The company was founded in 2023 by Xavier de Gracia and Josep Mingot.
