Prosper AI Raises $30M to Automate Healthcare Administration

Prosper AI secures Series A to tackle healthcare's $450B admin problem

Prosper AI has closed a $30 million Series A funding round led by Andreessen Horowitz to expand its platform that automates patient scheduling, insurance verification, and billing in a unified workflow. The New York-based company announced the raise after achieving fivefold revenue growth and adding more than 40 healthcare organizations in the six months since its previous funding announcement, according to a company press release.

The platform now operates across more than 150,000 healthcare providers spanning over 25 medical specialties, with integrations into major electronic health record systems including athenahealth, ModMed, Veradigm, ECW, and ImagineSoftware. The company reports its platform now powers more than $1.3 billion in patient care and wins 80% of competitive evaluations.

Why it matters

Healthcare administration remains one of the most fragmented and costly aspects of the U.S. medical system, generating more than $450 billion in annual waste according to Prosper AI. While 60% of healthcare firms have adopted AI for customer service chatbots, only 5% currently use AI for customer journey orchestration, according to PYMNTS Intelligence data. That gap represents a substantial market opportunity for platforms that can automate complete workflows rather than isolated tasks. Providers using Prosper AI have reduced administrative costs by more than 40%, demonstrating measurable ROI in an industry where margins are increasingly compressed.

Platform capabilities and customer base

The Prosper AI platform answers patient calls, schedules appointments directly in EHR systems, verifies insurance benefits, automates patient billing, and contacts insurers when additional information is needed. The company positions this integrated approach as a solution to the traditional model where disconnected teams use separate tools for each administrative function.

Customers include private equity-backed outpatient groups such as Preferred Dermatology, health systems including Jackson Memorial Hospital — Florida's second-largest hospital — 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 chose Prosper AI following a competitive evaluation.

Investment and expansion plans

The Series A round included participation from Base10 and continued support from Emergence Capital, Y Combinator, and Company Ventures. 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."

Prosper AI plans to use the 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.

Details of the funding were first reported by PYMNTS.