FAQ

Frequently asked questions.

Everything about how Copay purchases your insurance claims, how funding works, and how partners earn. Search a question or browse by topic.

Getting Started

Copay purchases your eligible insurance claims and advances you capital the next business day. You connect your billing software once, submit claims exactly as you do today, and get paid the next business day on eligible claims. Nothing changes except when you get paid.

Most applications are reviewed within two business days. Copay looks at how your claims perform with payers rather than your personal credit score, so approval depends on your claim history. Once you are approved and your billing software is connected, funding begins on your next eligible claims.

No. Your billing team submits claims exactly as they do today, in your existing software. Copay connects to your billing system once and works in the background, so the only thing that changes is when you get paid.

Copay does not require a fixed minimum claim volume to apply. Your advance scales with the volume of eligible claims you submit, so practices of different sizes can qualify. The more consistent your claims are with payers, the more capital is available to you.

Is This a Loan?

No. Copay is not a loan, not a line of credit, and not factoring. It is a purchase of your insurance receivables: Copay buys your eligible claims and pays you the next business day, so there is no repayment schedule and no interest.

No. Factoring is general receivables purchasing, often with recourse, personal guarantees, and notification to the businesses that owe you. Copay purchases healthcare insurance claims specifically, is non-recourse, requires no personal guarantee, and never contacts your payers or your patients.

No. A merchant cash advance takes a fixed daily or weekly payment out of your future revenue regardless of how you perform. Copay purchases specific eligible claims and advances capital against them, with no daily debit, no fixed repayment, and no claim on your future sales.

Because Copay purchases your claims rather than lending to you, the capital does not add debt to your balance sheet. It is recorded as the sale of a receivable, not a liability, so it does not reduce your borrowing capacity the way a loan or line of credit would.

No. Copay never requires a personal guarantee. Pricing is based on how your claims perform with payers, not on your personal credit or personal assets, so your home and savings are never on the line.

Claims & Eligibility

Copay purchases commercial and government insurance claims that you have already submitted and that have been accepted by the payer. Workers compensation, auto, and no-fault claims are not eligible. If you are unsure whether a specific payer or claim type qualifies, the Copay team confirms it during onboarding.

Non-recourse means a denied eligible claim is Copay's loss, not yours. When Copay purchases a claim, the risk of denial transfers to Copay, so you keep the capital you were advanced and owe nothing back. You are never asked to repay or buy back a denied eligible claim.

Copay works with claims from the major commercial payers, including UnitedHealthcare, Anthem, Aetna, Cigna, Humana, and Blue Cross Blue Shield, as well as Medicare and Medicaid. Funding arrives the next business day regardless of how slowly a given payer adjudicates the claim.

Copay supports more than 40 specialties across behavioral health, clinical specialties, and care settings, from mental health and primary care to urgent care, home health, and ambulatory surgery centers. Underwriting is tuned to each specialty's payers and billing codes. You can see the full list on the specialties page.

Funding & Payments

Copay funds eligible claims the next business day. Once your billing software is connected and a claim is submitted and accepted, the capital is sent by ACH to your account, so you are not waiting the usual 30 to 90 days for the payer to reimburse.

Your advance rate is based on how your claims actually perform with payers, not on your credit score. The stronger and more consistent your reimbursement history, the higher your rate, which typically falls in the range of 80 to 85 percent of the claim's expected value.

Copay advances most of the claim's value upfront and reconciles the rest when the payer pays. Once the payer reimburses the claim, the remaining balance is settled with you, less Copay's discount fee. You can see each advance and reconciliation in your dashboard.

Because Copay purchased the claim, a lower-than-expected payment is Copay's risk to absorb, not a bill back to you. You keep the capital you were advanced. This is what non-recourse means: once Copay buys an eligible claim, the outcome of that claim is Copay's responsibility.

Partners

Apply through the become a partner page and choose the Network Partner Program. Network partners are medical billing companies and clearinghouses that route claims to Copay and earn revenue share on every funded claim from the provider clients they refer. There is no cost to join and no change to how you process claims.

Referral partners earn a transparent referral fee for every provider client who qualifies and gets funded by Copay. The amount is set in your partner agreement, there is no cap on what you can earn, and the client relationship stays yours. Fees are paid on a regular monthly cycle once your referred client is funded.

No. The Network, Referral, and Affiliate partner programs are all free to join. There is no fee to apply, no cost to participate, and no minimum commitment, so you only ever earn from the program.

Get paid on your claims the next business day.

Connect your billing software once. No loans, non-recourse, no changes to how your team works.