> [llms.txt](https://getlemma.com/llms.txt)

# Personal injury chiropractic cash flow: the 6-month gap

PI chiropractors live with 6-month AR. LOP, medpay, workers comp, attorney-direct payments. Per-payer virtual accounts plus yield on the float make the wait less expensive.

Most guides to [banking for chiropractic practices](/provider-guides/best-banking-for-chiropractic-practices) cover the cash-and-membership mix, but a personal injury chiropractor faces a cash flow shape no one in school prepared them for. Patients come in after auto accidents, work injuries, or slip-and-falls. Treatment is paid through letters of protection, attorney settlements, auto insurance medpay, or workers comp carriers. None of that lands in 30 days. Average AR for PI chiros typically sits at six months. Sometimes longer.

## The six-month AR reality

PI chiropractors typically face:

- Letters of protection (LOP): paid at case settlement, usually 6 to 18 months out.
- Auto insurance medpay: typically 30 to 90 days, depends on the carrier.
- Workers comp: often 60 to 180 days.
- Attorney-direct payments: variable, often 6 or more months.

Layered together, AR sits at $100K to $500K for a busy solo PI chiro. That money is real, but it is locked in case timing you do not control, which is exactly the gap [chiropractic-specific banking](/chiropractic) is built to smooth.

## Banking that maps to how PI cases pay

[Per-payer virtual accounts, not a pile of separate bank accounts](/provider-guides/virtual-accounts-vs-separate-accounts), give you a clean view of what you have collected and what you are still waiting on:

- Virtual account: LOP-paid case settlements.
- Virtual account: auto insurance medpay.
- Virtual account: workers comp.
- Virtual account: attorney direct.
- Virtual account: cash-pay (non-PI patients, supplements).
- Virtual account: tax reserve.

Each settlement deposit lands in the right virtual account, so your monthly close shows what came in by source. Over time, you learn which attorneys close fast and which carriers are reliable. The data drives which referral relationships are worth deepening.

## Yield and sweep while cases settle

The structural advantage is yield on the float. While cases are in process, your collected reserve earns up to 1.75% APY across the structure. FDIC coverage runs up to $10M per entity through the IntraFi sweep network, so a settlement check does not sit uninsured between deposit and use.

ACH between virtual accounts is $0. Wires are a flat $15. Account opening is 5 minutes. [The healthcare lockbox](/lockbox) at $2.50 per envelope covers paper settlement checks, which are still common in PI work.

## Your bank doesn't know healthcare. Lemma does.

Lemma is business banking for healthcare practices, MSOs, DSOs, and multi-entity groups: free ACH, up to 1.75% APY, $10M FDIC protection, entity management, cash sweeps, and an AI-powered lockbox that digitizes checks and EOBs on arrival.

Free for a single entity, $50/month per entity for groups. Open in 5 minutes. It's the last bank switch you'll make.

[Sign up](https://app.getlemma.com/sign-up)
[Book a demo](https://calendly.com/d/ct72-djp-r7w)
[Pricing](https://getlemma.com/pricing)