Banking for urgent care centers

Lemma groups deposits by payer and keeps every location in one view, even when volume swings by season.

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

How urgent care practices get paid, and how Lemma handles each one

Commercial payer EFTs

Grouped by payer as they land, so a slow remitter is visible within days.

Front-desk patient cards

Settle into the same account as insurance EFTs, tagged by location.

Occupational health direct bills

Tagged apart from payer and patient revenue as its own stream.

Medicare and Medicaid

Matched on arrival to the remittance that explains them.

Four things that change the day you move

Deposits arrive reconciled

Deposits grouped by payer so a slow remitter shows up in days, not at month end.

Deposit

Blue Cross$6,340.00
TRN8832190
Claims14
StatusMatched

An account for every entity, one login

One account per location or PC, consolidated at the MSO, with a sweep rule that funds each site.

QuickCare MSO

$742,580.60

QuickCare Main St PC•• 6214

$216,340.90

QuickCare Westfield PC•• 7382

$178,920.15

QuickCare Harbor Point PC•• 5109

$124,660.40

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

Fastline Medical Supply$2,640.00
Brightpath Urgent Care Staffing$3,980.00
Carewave Diagnostics$1,120.00
Patient refund$94.20

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 urgent care cash flow actually breaks

Three places an urgent care center's cash flow usually catches, each one quiet enough that it looks fine until it doesn't.

Commercial payer concentration can stall a week of cash

A handful of commercial plans often make up most of the revenue, so when one slows down, the gap is immediate.

Lemma groups deposits by payer so a slow remitter is visible within days, not buried until month end.

Incoming deposit

Weekly deposit$18,420.00
Blue Cross$9,120.00
Aetna$5,640.00
Medicaid$3,660.00

Deductible season shifts revenue from EFTs to patient cards

Early in the year, payer EFTs drop while front-desk card volume rises, and the swing can look like a revenue problem when it's really a mix problem.

Lemma tags patient card revenue apart from payer EFTs, so the seasonal mix shows up clearly instead of looking like a shortfall.

Sweep rule

Patient card reserve •• 9042 → Operating •• 6214 when balance exceeds $4,000

Patient card reserve•• 9042

$6,480.00

$2,480
Operating•• 6214

$216,340.90

Occupational health contracts need their own tag

Employer occupational health work is direct-billed outside the usual payer mix, and left untagged it blends into general revenue.

Lemma tags every occupational health payment apart from payer and patient revenue as it arrives.

Direct bill received

Harborline Logistics$2,960.00

Works with what you already run

eClinicalWorks
AdvancedMD
Practice Fusion
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

Urgent care 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.

Do front-desk card payments settle into the same account?

Yes. Patient card payments settle into the same location account as payer EFTs, tagged separately so each stream is still reportable on its own.

Does high daily volume cost more?

No. Pricing is per entity, not per transaction, so a high-volume location costs the same as a quiet one.

How do sweeps work across locations?

Set a threshold once per location, and Lemma sweeps cash into the MSO account automatically when it is exceeded.

Your bank doesn’t know healthcare.
Lemma does.

Every location, every payer, one view.

Two stacked Lemma Mastercard cards issued to a professional corporation