Banking for chiropractic practices

Lemma takes every ACH at no fee and tags prepaid plans, insurance, and PI settlements separately.

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

How chiropractic practices get paid, and how Lemma handles each one

Prepaid care plans

Tagged as deferred revenue and swept into an interest-bearing reserve until it's used.

Small-dollar insurance EFTs

Matched automatically against remittance, at no per-deposit fee.

Personal injury and LOP checks

Digitized through the lockbox and matched to the case they settle.

Retail and supplements

Tagged apart from care revenue the moment the deposit lands.

Four things that change the day you move

Deposits arrive reconciled

Two hundred small deposits a month, each matched, at no per-deposit fee. Attorney and carrier checks go through the lockbox.

Deposit

Blue Cross$340.00
TRN5512087
Claims6
StatusMatched

An account for every entity, one login

A second office under a second entity in five minutes, in the same login.

Align Chiropractic Group

$184,620.30

Align Chiropractic PC•• 2210

$62,480.15

Align Wellness PC•• 3365

$54,310.40

Align North Chiropractic PC•• 4190

$67,829.75

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

Crestview Chiropractic Supply$420.00
Meridian Equipment Co.$310.00
Ashford Office Services$185.00
Patient refund$64.00

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 chiropractic cash flow actually breaks

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

Prepaid care plan balances sit in checking and earn nothing while they wait

Prepaid care plans collect cash upfront for visits that haven't happened yet, and that balance can sit idle in checking for months.

Lemma sweeps the balance into an interest-bearing reserve once it crosses a threshold you set.

Sweep rule

Prepaid care plans •• 2210 → Reserve •• 9042 when balance exceeds $8,000

Prepaid care plans•• 2210

$11,420.00

$3,420
Reserve•• 9042

$42,680.00

PI and letter of protection checks settle months after the visit, by mail

PI and letter of protection cases can take months to settle, and the mailed check that finally arrives means digging through old charts to match it back.

Lemma's lockbox digitizes the check the day it lands and matches it to the case it settles.

Settlement received

PI settlement check$1,860.00

Retail and supplement sales blend into the same deposit as care revenue

Retail and supplement sales ring through the same card reader and daily deposit as care plan revenue, blending together in the bank feed.

Lemma tags retail and supplement sales apart from care revenue the moment the deposit lands.

Incoming deposit

Daily deposit$1,480.00
Retail and supplements$220.00
Prepaid care plans$640.00
Insurance and patient care$620.00

Works with what you already run

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

Chiropractic 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.

Most of our revenue is cash-pay. Is Lemma still useful?

Yes. Lemma reconciles cash-pay, card, and insurance revenue into one ledger and tags prepaid plans apart from recognized revenue.

How are PI settlement checks handled?

Attorney and carrier checks go to your lockbox, where they're digitized and matched to the original case the same day.

We are a two-person office. How long does setup take?

About five minutes. A single entity is free, and you can add a second office under a second entity without opening a new bank relationship.

Your bank doesn’t know healthcare.
Lemma does.

Small team, high volume, no per-transaction fees.

Two stacked Lemma Mastercard cards issued to a professional corporation