Banking for dermatology practices

Lemma keeps medical, cosmetic, and retail revenue in its own ledger, by location and by PC.

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

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

Medical claims

EFTs match line by line against each claim, with write-offs visible as they land.

Cosmetic cash-pay and memberships

Card revenue and recurring membership drafts settle apart from medical claims.

Pathology components

Pathology charges and their reimbursements are tracked as their own billing stream.

Product retail

Retail sales settle into their own virtual account, separate from clinical revenue.

Four things that change the day you move

Deposits arrive reconciled

Medical EFTs match line by line. Cosmetic card revenue and retail settle into their own virtual accounts.

Deposit

UnitedHealthcare$3,680.00
TRN6629104
Claims7
StatusMatched

An account for every entity, one login

An account per location and per PC, with cosmetic and medical entities kept separate.

Clear Skin MSO

$704,610.80

Clear Skin Dermatology PC•• 4410

$218,340.20

Clear Skin Aesthetics PC•• 3287

$156,720.45

Clear Skin Riverdale PC•• 5692

$101,580.90

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

Vantor Aesthetic Supply$3,420.00
Dermalux Device Partners$2,180.00
Northfield Surgical Co.$940.00
Patient refund$96.00

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 dermatology cash flow actually breaks

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

Cosmetic prepayments and memberships are deferred revenue

A laser package or membership is paid upfront but delivered over weeks, so counting the full payment as revenue on day one overstates what's actually earned.

Lemma tags cosmetic prepayments and membership drafts apart from fee-for-service revenue as they land.

Incoming deposit

Daily deposit$6,240.00
Cosmetic prepayments$2,860.00
Medical claims$2,480.00
Retail$900.00

Injectable and device payables are large and recurring

Injectable and device vendor invoices are some of the largest recurring bills a practice carries, drawing on the same operating cash as payroll.

Set a threshold once, and Lemma sweeps payables cash into its own account automatically.

Sweep rule

Payables •• 8820 → Payroll reserve •• 4410 when balance exceeds $6,000

Payables•• 8820

$9,860.00

$4,120
Payroll reserve•• 4410

$74,200.00

Pathology bills separately and reconciles separately

A biopsy generates a professional, facility, and pathology component, each billed on its own schedule, and matching all three back to one case is easy to get wrong.

Lemma tracks pathology collections as their own stream, matched back to the originating case.

Collected by revenue stream

Medical claims$18,420.00
Cosmetic cash-pay$14,960.00
Pathology$9,180.00

Works with what you already run

eClinicalWorks
AdvancedMD
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

Dermatology 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.

Can cosmetic and medical revenue be tracked separately?

Yes. Cosmetic card revenue and retail settle into their own virtual accounts, tagged apart from medical claims.

How do prepaid laser packages reconcile?

Lemma tags prepaid packages and memberships apart from fee-for-service revenue as they land, so deferred revenue stays visible.

How do we pay injectable and device vendors?

Pay by free ACH from the same account, and set a sweep rule so payables cash moves into its own account automatically.

Your bank doesn’t know healthcare.
Lemma does.

Medical and cosmetic, kept apart, seen together.

Two stacked Lemma Mastercard cards issued to a professional corporation