Physical Therapy

Physical Therapy Billing Cash Flow

You bill low-dollar, 15-minute timed codes like 97110 and 97140 in high volume, but commercial payers take 60 to 90 days while salaries, leases, and rent are due now.

The physical therapy billing problem, solved.

Physical therapy payers, days to pay

UnitedHealthcare20-visit cap88 days
AnthemAuth renewal74 days
AetnaNecessity review66 days

The squeeze

Many units

per visit

High-volume 15-minute timed codes pile up across visit caps and prior-auth renewals, while payers take 60 to 90 days to pay.

See how claim purchasing works

The codes Copay purchases.

Each timed physical therapy code, from the 97161 evaluation through every treatment unit, is priced individually at the service line and funded the next business day.

97110

Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility

Copay purchases this
97140

Manual therapy techniques (eg, mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes

Copay purchases this
97530

Therapeutic activities, direct (one-on-one) patient contact, each 15 minutes (use of dynamic activities to improve functional performance)

Copay purchases this
97112

Therapeutic procedure, one or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities

Copay purchases this
How it works

How Copay works for physical therapy.

Your existing EHR

No change

Claim 97110

UnitedHealthcare · $38.50

Drafting

Submit claims as you always have

Your billing team submits claims exactly as they do today. Nothing changes except when you get paid.

UHC

UnitedHealthcare

Eligibility and auth check

Copay
Verifying payer

We verify in the background

Copay confirms payer and claim data automatically, with no calls from your team.

See the full process

Built for the physical therapy visit cycle.

Therapist payroll

Cover therapist payroll without waiting on the visit cycle.

Copay funds your eligible claims the next business day, so the cash for payroll is there every cycle.

Copay

Funded by Copay

Every payroll
W1
W2
W3
W4
W5
W6

Therapist payroll covered every cycle, even while the commercial claims behind it are still adjudicating.

Explore care-setting cash flow

Non-recourse

Denied

Non-recourse means a denied eligible claim is Copay's loss, not yours.

No personal guarantee

Your home and personal credit are never on the line.

Common questions

Physical therapy billing, answered.

No. Copay is not a loan, not factoring, and not a merchant cash advance. Copay purchases your eligible physical therapy claims outright and deposits funds the next business day, with no debt and no repayment schedule.

Copay purchases eligible physical therapy claims billed to the major commercial payers, including UnitedHealthcare, Anthem, Aetna, Cigna, Humana, and BlueCross plans.

Physical therapy bills low-dollar, 15-minute timed procedure codes like 97110 and 97140 in high volume, many units per visit and many visits per patient, while commercial payers stretch payment to 60 or 90 days. Copay purchases those eligible claims and funds them the next business day, so therapist payroll, equipment leases, and clinic rent are covered without waiting on the visit cycle.

Copay purchases your eligible physical therapy claims at the service-line level after you submit them as you do today. Your billing team continues to manage visit caps, periodic prior-authorization renewals, and medical-necessity documentation, and Copay handles the timing of when the cash arrives.

Non-recourse means a denied eligible claim is Copay's loss, not yours. If an eligible purchased physical therapy claim is denied or underpaid, Copay absorbs the loss with no clawbacks against your practice.

How Copay works for physical therapy practices

From submitted claim to funded account.

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

Step 01 · Submit

You submit your claims as normal

Nothing changes about how your billing team works.

Claim #18473

DOS 02/04/24

CPT code97110

Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility

PayerUnitedHealthcare
Billed$38.50

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

$2,800

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

$0

Available balance

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

Get paid on your physical therapy claims the next business day.

Copay purchases your eligible physical therapy claims. No loans, no personal guarantee, no workflow change.