Question 1

Is healthcare claims financing a loan?

Accepted Answer

No. Copay is not a loan, not factoring, and not a merchant cash advance. Copay purchases your eligible insurance claims outright at the service line level and pays you the next business day. There is no principal balance, no interest rate, and no repayment schedule, because nothing is borrowed and nothing is owed back. Because the claim is sold rather than pledged, nothing is added to your balance sheet and you carry no debt. When the payor eventually pays, Copay reconciles automatically. You get the capital you have already earned, sooner, without taking on an obligation that has to be paid down over time.

Question 2

What does non-recourse mean for my practice?

Accepted Answer

Non-recourse means a denied eligible claim is Copay's loss, not yours. When Copay purchases an eligible claim, the risk that the payor denies or underpays it transfers to Copay. Your advance is never clawed back, and you are never asked to buy the claim back or repay the capital. This is the structural difference between a true purchase and a recourse arrangement, where a denied claim becomes your obligation again. You keep the capital you were paid, and Copay absorbs the loss on eligible claims that do not pay. That protection is built into the purchase, not offered as an add on.

Question 3

Do I have to change how my billing team works?

Accepted Answer

No. Your billing team submits claims exactly as they do today. Nothing changes except when you get paid. Connect your billing software once, then submit claims as you always have. Copay integrates at the clearinghouse or EHR layer, so your team keeps the same software, the same submission steps, and the same payor relationships. There is no new portal to learn, no separate claim queue, and no collections handoff. The only thing that changes is timing: instead of waiting on the payor for 30 to 90 days, you receive capital on eligible claims the next business day, every billing cycle.

Question 4

How fast do I get paid, and how is each claim priced?

Accepted Answer

Eligible claims are funded the next business day via ACH, automatically, every billing cycle, with no draw request required. Each claim is priced individually at the service line level using actual reimbursement performance data for your payor, procedure, and specialty. There are no blended rates and no portfolio averages, so a claim that historically pays well is priced on its own merits. You submit as usual, Copay verifies and prices the claim, and the capital lands in your account the next business day. When the payor pays, Copay reconciles automatically, so there is nothing for your team to track or true up afterward.

Question 5

Which payors and claims are eligible?

Accepted Answer

Copay purchases eligible claims across all major commercial payors, including UnitedHealthcare, Anthem, Aetna, Cigna, Humana, Blue Cross Blue Shield, Centene, and Molina. Medicare and Medicaid eligibility varies by state. Eligibility is determined claim by claim using your payor history and reimbursement performance, which is why the approval rate for applying practices is 96 percent. Because pricing happens at the service line level, eligibility reflects how a specific claim actually performs rather than a single rate applied across your book. If a claim is eligible and later denied, that is Copay's loss, not yours, since the purchase is non-recourse on eligible claims.

Healthcare Claims Financing, Reimagined

Not a loan. Not factoring. Not an MCA.

What actually happens to your claims.

Your balance sheet stays clean.

A denied claim doesn't come back to you.

The structure, in writing.

Agreement Summary

From submitted claim to funded account.

You submit your claims as normal

You submit your claims as normal

We verify and price in real time

Advance approved

Capital in your account

Claims purchased outright, paid the next business day.