PromptWrx is an Atlanta-based startup on a mission to become "Stripe for healthcare payments" making it easy to ensure hospitals and medical centers get paid fairly and protecting patients from unjust financial burdens. Our AI-driven platform automatically identifies, appeals, and resolves healthcare claims, cutting appeal costs in half and recovering over 50% more of previously lost revenue( $15-18M annually for an average hospital). PromptWrx seamlessly integrates into existing workflows and transforms revenue cycle headaches into smooth, optimized profitability - so health providers can focus on patient care, not paperwork.
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Vio Balanoiu
founder
John Utz
founder
One of the biggest pain points for healthcare providers is claim denials - $156B each year opportunity: ** 10–15% of hospital claims are routinely denied. ** 60% of these denials go unchallenged due to cost to resolve and resource limitations. ** Appealing a single denied claim manually takes 35+ minutes and costs providers around $44 each. ** Typical annual revenue loss per hospital ranges from $15-20M. They are over 800 payers, each with its own medical policies, guidelines, and claim requirements which makes revenue cycle management a perfect use case for the powerful capabilities of generative AI and AI-driven automation.
Client Engagement: ** One potential client in contracting ($1M+ ARR) ** Two potential customers in pilot program conversations Product Development: ** Completed functional prototype to prove the technology ** Completed 20+ customer / user interviews ** Narrow down the use case based on client feedback ** Iterated on our click through with potential buyers ** Completed two rounds of user driven product refinement ** Infrastructure setup - HIPAA compliant ** Dev partner with Epic, Availity, AMA, Cerner, Change Health.
