Banking for behavioral health practices

Lemma matches every payment to its session and tracks collected revenue per clinician.

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Screenshot of the Lemma dashboard showing available balance, balance history, issued cards, deposit interest, accounts, and latest transactions

How behavioral health practices get paid, and how Lemma handles each one

Client self-pay and superbills

Card and ACH charges settle alongside payer EFTs, tagged to the session.

In-network EFTs

Matched to remittance the same day they land.

Medicaid, including multi-state

Remits from every state route to the right PC automatically.

Per-clinician splits

Every payment is tagged to the clinician who delivered the session.

Four things that change the day you move

Deposits arrive reconciled

Client card and ACH charges settle alongside payer EFTs, tagged to the session. Medicaid remits from multiple states route to the right PC.

Deposit

Optum$3,740.00
TRN6629104
Claims7
StatusMatched

An account for every entity, one login

One account per PC, each with its own routing number. Add a second location in five minutes.

Calm Mind MSO

$548,920.30

Calm Mind Therapy PC•• 4190

$168,440.60

ABA Partners PC•• 3382

$141,720.15

Riverbend Counseling PC•• 5604

$88,310.90

Money out, without the checkbook

Pay vendors by free ACH, send patient refunds as mailed checks from the dashboard, charge patient cards on file, and issue debit cards with per-card limits.

Bill pay

Northbridge Billing Services$1,860.00
Fieldstone Clinical Supply$620.00
Harborview EHR Hosting$410.00
Patient refund$95.20

Mailed check, no post office

Cash that earns while claims age

Up to 1.75% APY on every balance, FDIC coverage of $100M+ per entity through the sweep network, and Lemma Capital advances on claims you have already submitted.

Operating account

$212,480.00

Accrued this month$306.52

Up to 1.75% APY

Where behavioral health cash flow actually breaks

Three places a behavioral health practice's cash flow usually catches, each one quiet enough that it looks fine until it doesn't.

Most revenue is not a claim

Sliding scale fees, no-show charges, and single case agreements don't move through a clearinghouse, so they land as one-off charges easy to miscount against clinical revenue.

Lemma tags every sliding scale, no-show, and single case payment apart from standard claim revenue as it lands.

Incoming deposit

Daily deposit$4,260.00
Sliding scale and no-shows$780.00
Single case agreements$1,420.00
In-network EFTs$2,060.00

Authorization-limited levels of care get denied silently

IOP, PHP, and ABA hours are authorized in limited blocks, and a denial past that block often arrives as a line buried in a mailed remit.

Lemma digitizes every mailed remit and matches the denial to its session the same day.

Remit received

Anthem$1,980.00

Clinician pay from collected, not billed, needs cleared-deposit data

Paying a clinician a percentage of collections only works off money that has actually cleared, not billed totals that still include pending or denied claims.

Lemma tracks collected revenue per clinician as deposits clear, so pay runs off what actually settled.

Collected by clinician

Dr. Chen$6,420.00
Dr. Alvarez$5,180.00
Dr. Okafor$4,340.00

Works with what you already run

Healthie
Candid Health
Waystar
Stedi
QuickBooks

Deposits match against claims from your PM and clearinghouse. Custom integrations available. See all integrations.

5 min

to open

Up to 1.75%

APY

$100M+

FDIC

94%

auto-match

Behavioral health practice banking questions

What does Lemma cost?

Free for a single entity. Groups pay $50 per entity per month. ACH is free, wires are $15, lockbox envelopes are $2.50.

How is FDIC coverage above $250,000 handled?

Deposits are spread across our partner bank network, extending coverage to $100M+ per entity.

Does Lemma replace our PM, EHR, or billing company?

No. Lemma is the bank. We read from those systems and send the matched data back.

We are mostly out of network. Does Lemma still help?

Yes. Client self-pay charges and superbill reimbursements settle into the same ledger as any in-network EFTs you do have, tagged to the session either way.

Can we pay clinicians from collected revenue?

Yes. Lemma tracks collections per clinician as deposits clear, so a percentage-of-collections pay run is based on what actually settled, not what was billed.

We run an ABA center with a separate management company. Does Lemma support that?

Yes. Each clinical PC and the management company each get their own account under one MSO login, with revenue routed to the right entity automatically.

Your bank doesn’t know healthcare.
Lemma does.

Every session paid, every clinician paid right.

Two stacked Lemma Mastercard cards issued to a professional corporation