The San Diego company began with the least glamorous problem in diagnostics - low-dollar claims at punishing volume. Now it is turning decades of billing rules, denials and payor behavior into an AI operating layer for labs, pharmacies and radiology groups.
For 25 years, the Charlotte company has been teaching software the fussy rules of medical billing. Its latest bet is that the next winning revenue-cycle system will not merely organize the work - it will finish most of it.
Michal Miernowski is the co-founder and CEO of Amperos Health, a New York-based startup building an AI-native denial management and revenue recovery platform for healthcare providers. He spent years as a healthcare services investor before starting Amperos in 2023 with Alvin Wu and Wilson Wang. The company launched Amanda, marketed as the first AI biller for healthcare denials and collections, and raised a $16M Series A led by Bessemer Venture Partners in April 2026.
Prodigal is a Mountain View-based AI company building the only intelligence platform purpose-built for consumer finance. Trained on more than a billion real U.S. lending and collections interactions, its AI agents and applications - proAgent, proCollect, proPay, proScore, proNotes, proAssist and the PIE intelligence engine - help banks, lenders, auto-finance firms, collections agencies and healthcare revenue teams collect more payments, cut costs and stay compliant. More than 100 companies run on Prodigal, which has processed over a billion consumer interactions to date.