The only therapy RCM platform that writes verifications & authorizations back into your EMR.
Direct payer data and workflow automation built for rehab therapy. Automate eligibility checks, track prior authorizations and visit limits, post payments, and write results straight back to your EMR — with configurable human oversight.
Verification & authorizations are broken in therapy.
Manual eligibility checks delay the plan of care, missed authorizations and exhausted visit limits trigger denials, and your front desk drowns in payer portals. For multi-clinic therapy groups running thousands of verifications a week, every inefficiency scales — and so do the write-offs.
Slow eligibility
Patients wait on benefits checks while front-desk staff toggle between dozens of payer portals before the first visit.
Auth denials
Missed prior authorizations, expired auths, and silently exhausted visit limits turn delivered care into uncollectible claims.
Visit-cap leakage
Therapy thresholds, KX modifier limits, and units-remaining tracking get missed across locations — revenue walks out the door.
Rekeying chaos
Verified data lives in PDFs and screenshots, then gets manually re-typed into the EMR with errors and zero audit trail.
Front-desk burnout
High-turnover staff spend hours on repetitive payer work instead of patients, and every new hire needs retraining.
Multi-site sprawl
Each clinic verifies differently. No standardization, no central oversight, no single source of truth across the group.
Automation-powered verification & auth tracking that just works.
ptbilling automates the rehab-therapy revenue cycle end to end. We read, extract, and validate eligibility and full benefit breakdowns, track every authorization and visit limit, and write it back directly into your therapy EMR. No managing. No errors. Just reliable, consistent, predictable outcomes.
Real payer data. Not predictions.
Eligibility and benefits come from actual payer portals, EDI, and live calls — the same sources your team uses today — not from a model guessing. When a claim's revenue is on the line, you get verifiable evidence with the printout attached.
Built for rehab therapy RCM.
AI-Powered Workflow Engine
Turn SOPs or screen recordings into live, customized AI workflows in minutes. Built for multi-location PT, OT, and SLP groups, the engine automates your entire revenue cycle — starting with verification and scaling across authorizations, claims, billing, and follow-ups — with precision, speed, and control.
Revenue Cycle Automations
AI agents extracting eligibility and benefit data at scale across 300+ payer portals, AI handling payer phone calls, advanced EOB extraction, payment posting, and logic-driven input flows. Built and delivered by experts in rehab-therapy RCM — unmatched payer IQ.
Insurance Verification API
Therapy groups and software platforms can access ptbilling's comprehensive verification data via a customizable API. Full benefit breakdowns, authorization status, and visit histories in 100% customized API environments tailored to your operation.
AI voice agents that call payers so your team never sits on hold.
ptbilling deploys AI voice agents to make outbound payer calls end-to-end — verification of benefits, prior authorizations, claim follow-up, and credentialing — with every result logged straight back into your EMR. Ten calls or ten thousand.
Each agent is fully scripted to your workflow, handles hold queues and IVR menus, and captures structured results — deductible, copay, visit limits, auth status, denial reasons — without anyone on your team picking up the phone.
Verification of Benefits
Confirm deductible, copay, coinsurance, visit limits, and coverage details — without anyone picking up the phone.
Prior Authorization
Retrieve auth requirements and real-time status updates from any payer, with units-remaining captured automatically.
Claim Follow-Up
Chase denied, delayed, or unpaid claims and surface the exact reason — so your AR team works resolutions, not hold queues.
Credentialing & Enrollment
Inquire about provider enrollment and credentialing status for new clinicians and locations.
Provider Data Attestation
Confirm clinician status, credentials, and new-patient acceptance directly from provider offices.
Any Payer or Provider Call
Use customizable scripting to automate virtually any outbound payer or provider call your team makes today.
Zero learning curve. Zero friction.
We designed ptbilling to plug directly into your therapy group's operating model — no disruption, no retraining, no change management. Fully adaptable to how your clinics already run. Here's how it works:
Connect your EMR & schedule
Link your therapy EMR and daily schedule. ptbilling reads upcoming visits and queues every verification automatically.
We verify & check auths with AI
Our AI pulls full benefit breakdowns, confirms authorization status, and tracks units and visit limits across every payer.
We write results back automatically
Verified data, auth status, and alerts flow straight back into your EMR — with the printout attached and a full audit trail.
Maximize operational output.
Train once and forget. Orchestrate interoperability across all your existing software — starting with therapy insurance verification and authorization tracking.
Average revenue lift from automation and recaptured visit caps.
Payers reachable across 300+ portals.
Fewer manual payer-portal logins.
No retraining required — the system fits your existing workflow.
Average 400% return on investment across therapy groups.
Of repetitive RCM tasks automated.
Built for healthcare data.
ptbilling is built to healthcare data standards from the ground up. We sign Business Associate Agreements, encrypt data in transit and at rest, and give every action a full audit trail — security & compliance you can hand to your compliance team.
HIPAA-compliant
All workflows handle PHI under HIPAA, with signed BAAs for every customer.
Encrypted end to end
Data is encrypted in transit and at rest; access is role-based and logged.
Full audit trail
Every verification, write-back, and payer call is timestamped and traceable.
Human oversight
Configurable approval gates keep a person in the loop wherever you want one.
Powering verification and authorizations for multi-clinic groups.
Powering verification and authorizations for multi-clinic PT, OT, and SLP groups.
"A 14-location PT group cut payer-portal logins by 99% in the first month after going live."
Operations lead, multi-state PT group · 14 locations
"Verifications and auth status now land in our EMR before the patient walks in. Our front desk got their day back."
Director of RCM, regional OT/PT group · 9 locations
"The printout is attached to every check. Audits are no longer a fire drill."
Compliance manager, SLP & pediatric therapy network · 22 locations
Questions, answered.
What makes ptbilling different from other verification tools? +
Our approach is built specifically for rehab therapy. We offer tiered plans with 60+ features. Start with the Lite Plan — comparable to what competitors offer — and upgrade to higher-value plans any time. The Lite Plan starts at $150/month per location.
Do you track prior authorizations and visit limits? +
Yes. We track authorization status, units used, and units/visits remaining for every patient, and flag therapy thresholds and KX modifier limits before they cause denials — written back directly into your EMR.
Do you integrate with my therapy EMR? +
We read and write back to the major therapy EMRs — including WebPT, Prompt, Raintree, Net Health, TheraOffice, and more — whether hosted on servers or in the cloud.
Do you provide full benefit breakdowns for new patients? +
Yes. We pull the exact benefit data available on carrier portals, via API/EDI, and through voice calls — the same way your team does it today, for the highest possible data quality. We even attach the printout and upload it into your EMR.
What about other automations? +
After implementing Verification & Authorization AI, the natural next steps are Payment Posting, EOB extraction, and Front-Desk / Call-Center AI.
How fast can this be installed? +
Installation under the Lite Plan typically takes 1–2 business days. For the Custom Plan, timelines range from 1 to 12 weeks depending on the extent of customization required.
Are there long-term contracts? +
No. All contracts are month-to-month with 60-day termination. Our goal is for you to experience the best in therapy automation — and stay because it works.
Ready to transform your therapy practice?
Join the therapy groups automating verification, authorizations, and revenue cycle end to end. Book a free demo and see your numbers.