Banking for Chiropractic practices

Chiropractic revenue is mostly collected directly from patients in small amounts, with a slow personal injury tail that settles months or years later. One or two people run the entire back office, so the banking has to reconcile itself.

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Cash-pay care plans, small teams, and personal injury cases

Thirty patients a day at a modest fee each is thousands of transactions a month. There is no billing department to absorb manual matching.

Care plan drafts tagged separately

Multi-visit plans are paid up front or drafted monthly. Lemma tags plan revenue so prepaid funds stay visible against the visits you have actually delivered.

Lockbox for attorney and carrier checks

Personal injury settlements arrive by mail, often long after treatment ended. Checks are scanned, deposited same day, and keep the case reference. $2.50 per check.

Free ACH on small-dollar collections

When the average transaction is a single adjustment fee, a per-item charge is real money. ACH in and out is free at any volume, with no plan upgrade.

1.75% APY on prepaid balances

Money collected up front for care not yet delivered earns 1.75% APY while it sits, automatically, on your whole operating balance.

A small practice with a high transaction count

A chiropractic office may see thirty patients in a day at a modest fee each, with most of the money collected at the desk on a card or drafted from a prepaid care plan. Insurance is a minority of collections and narrow where it applies, since Medicare covers spinal manipulation and very little of what surrounds it. The result is thousands of small transactions a month handled by a front desk of one or two people.

There is no billing department to absorb the reconciliation work, so anything that requires manual matching simply does not get done. That is the real cost of a bank that treats every deposit as an undifferentiated credit.

Prepaid care plans

A patient who buys 24 visits has paid for care you owe them. Tagging plan drafts apart from visit revenue is what keeps unearned funds from looking like profit.

Personal injury and letters of protection

PI cases settle months or years after treatment, usually by attorney check. Those arrive at your lockbox, deposit the same day, and stay traceable to a case file that is long closed clinically.

Retail and supplement sales

Orthotics, supports, and supplements are cash revenue with a cost of goods behind them. Card settlements are tagged apart from clinical collections so margin is measurable.

Chiropractic banking questions

Yes. Patient card and ACH collections, care plan drafts, and the insurance you do bill all land in the same account and post against the patient ledger, so a cash-pay practice gets the same reconciliation as an insurance-heavy one.

They go to your lockbox address. We scan and deposit them the same day and retain the remittance, so a check arriving eighteen months after discharge is still matched to the right case.

No. There is no per-entity fee, so a second office under its own entity for licensure reasons stays genuinely separate instead of running through one checking account until tax time. Each carries its own account, routing number, lockbox address, and FDIC coverage, with a cash sweep into whichever entity pays rent and payroll, and collections per office and per DC in one dashboard.

About five minutes with standard business documentation, and there is nothing to install. Adding a second entity later takes about the same.

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