Banking for physical therapy practices

Lemma takes unlimited free ACH, matches denials the day they land, and attributes collections to each therapist.

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

How physical therapy practices get paid, and how Lemma handles each one

Payer EFTs at volume

Hundreds of small payer deposits a week, each matched to its remit automatically.

Workers' comp and auto checks

Mailed comp and auto carrier checks go through the lockbox and stay tied to the case.

Cash-pay wellness plans

Tagged apart from payer revenue as they land, so each shows up separately.

Per-therapist collections

Every visit's payment is attributed back to the treating therapist and clinic.

Four things that change the day you move

Deposits arrive reconciled

Hundreds of small payer deposits a week, each matched to its remit. Comp and auto carrier checks go through the lockbox and stay tied to the case.

Deposit

Aetna$1,860.00
TRN5629104
Claims14
StatusMatched

An account for every entity, one login

A virtual account per clinic or therapist without changing how payers pay you.

Motion Group MSO

$498,220.60

Motion PT Clinic PC•• 2214

$156,440.20

Eastside Rehab PC•• 3087

$118,610.75

Riverside PT PC•• 4402

$74,330.10

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

Fairmont Clinical Supply$960.00
Northbend Equipment Co.$1,420.00
Harborview Linen Services$340.00
Patient refund$84.20

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 physical therapy cash flow actually breaks

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

Authorization limits get hit before anyone notices

Visits past the authorized cap get denied, but the denial doesn't surface until the remit arrives weeks later.

Lemma matches every denial to its claim the day it lands, so a cap gets caught before it compounds.

Incoming deposit

Weekly deposit$6,240.00
Paid claims$4,980.00
Denied, past auth$860.00
Pending review$400.00

Comp and auto claims pay slowly and on paper

Workers' comp and auto carrier checks arrive by mail on their own schedule, and tracking which case each belongs to usually means opening envelopes by hand.

Lemma routes every comp and auto check through the lockbox and keeps it tied to the case.

Comp check received

State Fund$680.00

Cash-pay wellness plans blend into payer revenue

Cash-pay wellness plan payments hit the same account as payer EFTs every day, and separating the two usually falls on a spreadsheet.

Lemma tags every cash-pay payment apart from payer revenue as it lands.

Collected by therapist

J. Alvarez, PT$8,240.00
R. Okafor, PT$6,910.00
M. Chen, DPT$5,380.00

Works with what you already run

Stedi
Waystar
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

Physical therapy 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.

Is there a volume limit on ACH deposits?

No. ACH is unlimited and free, which matters for a practice taking hundreds of small payer deposits a week.

Can we see collections per therapist?

Yes. Every visit's payment is attributed to the treating therapist and clinic, so you can report collections per provider.

We have three clinics under separate entities. How does that work?

Each clinic gets its own account under the MSO, so payers keep paying the same way while you see every entity from one login.

Your bank doesn’t know healthcare.
Lemma does.

Built for 400 visits a week.

Two stacked Lemma Mastercard cards issued to a professional corporation