How does medical accounts receivable financing work with Copay?

Copay purchases your eligible insurance claims and deposits capital into your practice bank account the next business day. Your billing team submits claims through your existing EHR, practice management system, and clearinghouse exactly as they do today. For each eligible claim, Copay calculates an advance based on the expected net reimbursement for that specific payor, procedure, and specialty combination, then transmits the funds by ACH. There is no draw request and no approval email to wait for. When the payor pays on its normal 30 to 90 day timeline, Copay reconciles each purchased claim automatically against the remittance. You are paid before the payor ever releases the money.

What happens if a purchased claim is denied?

Non-recourse means a denied eligible claim is Copay's loss, not yours. The capital advanced on a denied eligible claim is yours to keep, and Copay does not reverse, reduce, or claw back the payment. Your billing team does not need to notify Copay of a denial or take any action, because reconciliation runs automatically every billing cycle. You may still appeal denied claims through your normal process, and any recovery on an appealed claim is handled per your purchase agreement terms. This is the structural difference between a true purchase and a recourse arrangement where a denial means you owe the money back.

What makes a claim eligible for purchase?

Eligibility is determined at the time of purchase based on payor type, procedure type, and your approved facility terms, with a 277CA acknowledgment confirming the claim was accepted by the payor before any advance is calculated. Claims billed to Workers Compensation, auto, or no-fault payors are excluded, and patient responsibility balances are excluded. All other commercial payor claims are evaluated individually at the service-line level and either purchased or flagged as ineligible before any advance is calculated. You are never advanced on a claim Copay does not intend to purchase, so there is no surprise reconciliation later.

Does Copay change how my billing team submits claims?

No. Your billing team submits claims exactly as they do today, through the same EHR, practice management system, billing platform, and clearinghouse they already use. There is no new software, no new logins, and no training required. Copay reads claim data at the clearinghouse layer without interrupting your submission workflow. Your payor pays on its usual timeline and nothing changes on the payor's end either. The only thing that changes is when you get paid, because Copay deposits capital the next business day instead of you waiting 30 to 90 days for the payor to reimburse.

How fast can my practice start, and does the facility grow with us?

Once approved, integration is typically completed within one to two weeks, and Copay's implementation team handles the technical setup with minimal involvement from your staff. After that, the process runs automatically every billing cycle without a draw request, approval step, or manual trigger. As your practice adds providers, sees more patients, or opens a new location, your available facility grows with your claim volume. There is no renegotiation and no new application. Copay is built to scale with you so you can focus on building your practice rather than managing your cash flow.

Accounts Receivable Finance

How Medical Accounts Receivable Financing Works

Copay purchases your eligible insurance claims at the service-line level and deposits capital into your bank account the next business day.

Get Started

Three steps. No surprises.

Copay is not a loan, not factoring, and not a merchant cash advance. Connect your billing software once. Submit claims as you do today. Get paid the next business day, from the moment your billing team submits a claim through final payor reconciliation.

Connect your billing software

Takes minutes. No IT ticket required.

Submit claims as you do today

Nothing changes about your workflow.

Get paid the next business day

Capital lands in your account via ACH.

From claim to cash

From submission to funded, in one motion.

Your billing team submits claims exactly as they do today. Nothing changes except when you get paid. Non-recourse means a denied eligible claim is Copay's loss, not yours.

Submitted

Verified

Priced

Funded

Claim #18473

CPT 99213 · $182.40

Submitted

Claims · This week

Practice billing

Patient · CPTStatus

M. Alvarez

CPT 99213 · $182.40

Sending

J. Okafor

CPT 90834 · $128.00

Paid

R. Nguyen

CPT 99214 · $254.10

Submitted

S. Patel

CPT 90837 · $171.60

Pending

Submit exactly as you do today

No new software. No new login. No retraining your team.

See what changes

Optum Behavioral

Payer eligibility check

Verifying payer

Cigna Behavioral

Eligibility check

Verified

We verify while you keep working

Payer and claim data confirmed automatically in the background.

How verification works

Non-recourse

What happens to a denied claim.

Non-recourse means a denied eligible claim is Copay's loss, not yours. The capital stays in your account and your balance does not move.

Claim #20914

CPT 90837 · $171.60

In review

A denied eligible claim does not come back to you.

No personal guarantee

You never put your home or savings on the line.

No recourse

A denied eligible claim is never clawed back.

No new work

What your billing team doesn't have to do.

Connect once and the rest stays off your team's plate.

No new software to learn

No separate claim submission process

No calls to verify status

Claims feed

Live

Riverside Mental Health

CPT 90837 · $171.60

Submitted

Summit Orthopedics

CPT 99214 · $254.10

Funded

Valley Primary Care

CPT 99213 · $182.40

Funded

Coastal Cardiology

CPT 93000 · $96.20

Verified

Riverside Mental Health

CPT 90834 · $128.00

Submitted

Summit Orthopedics

CPT 73721 · $312.75

Funded

Valley Primary Care

CPT 99396 · $214.30

Funded

It runs in the background, every day.

Once connected, claims move through this process automatically. No daily check-ins required.

See the full claim lifecycle

How Copay works

From submitted claim to funded account.

While insurance takes 30 to 90 days, Copay moves in one.

Submit

You submit your claims as normal

Nothing changes about how your billing team works.

Claim #18473

DOS 02/04/24

CPT code99213

Office or other outpatient visit for the evaluation and management of an established patient, low complexity

PayerUnitedHealthcare

Billed$182.40

Underwriting in progress

Advance Approved

$4,200

Net advance

Funds wired to your account, next business day

Your account

Available balance

Copay reconciles automatically when the payor pays. You do nothing.

Step 01 · Submit

You submit your claims as normal

Nothing changes about how your billing team works.

Claim #18473

DOS 02/04/24

CPT code99213

Office or other outpatient visit for the evaluation and management of an established patient, low complexity

PayerUnitedHealthcare

Billed$182.40

Step 02 · Verify & Price

We verify and price in real time

Copay checks payor history and prices the claim at the CPT level.

Underwriting in progress

Step 03 · Approved

Advance approved

Capital is approved and scheduled for next business day deposit.

Advance Approved

$4,200

Net advance

Funds wired to your account, next business day

Step 04 · Funded

Capital in your account

While the payor takes 30 to 90 days, you already have your capital.

Your account

Available balance

Copay reconciles automatically when the payor pays. You do nothing.

Get paid on your claims the next business day.

Connect your billing software once. No loans. No changes to how your team works.

Get Started