PT · OT · Speech therapy
Guarantee the plan of care. Not just visit one.
Therapy denials don't happen at intake — they happen at visit nine, when the auth quietly expired, the visit cap was reached, or the plan changed under you mid-episode. Undersign clears the plan of care and keeps it cleared, visit by visit. If a cleared visit is denied anyway, we pay contracted value in 30 days.
The first visit is verified. It's visit nine that doesn't get paid.
outpatient therapy clinics in the US, averaging $871K in annual receipts
denial rework cost per claim in staff time
days to guaranteed payment on cleared-then-denied visits
In your workflow
Where the guarantee plugs in.
Clear the episode
Payer, member, CPT set (97110, 97112, 92507…), planned visit count. The engine prices the whole plan of care.
Re-clearance, continuously
Each visit re-checks the live snapshot — auth still valid, visits remaining, plan still active. A step_up warns you before the visit happens, not on the EOB after.
Paid, not fought
Eligibility, coverage, or auth denial: paid at contracted value within 30 days. The appeal is our labor, not your front desk's.
PT / OT / Speech, visualized
Visit nine is where denials live.
A 12-visit plan of care: the mid-plan auth lapse gets caught and re-cleared before the visit, not after the EOB.
What changes
Three lines on your P&L, rewritten.
No more mid-plan surprises
The engine watches auth windows and visit caps continuously — the failure mode that causes most therapy denials is the first thing we underwrite.
Predictable episode economics
A cleared plan of care is a revenue number you can book, not a range you hope for.
Front desk does front desk
Denial rework costs $57–$118 a claim in staff time. On cleared visits that line item is ours.
Fair questions
Asked by every pt / ot / speech operator we talk to.
“Our billing company handles denials.”
They handle them after they happen — and more than half of appealed denials ultimately pay, which means the denial was friction, not fact. We remove the friction instead of billing you to fight it.
“Payers keep changing visit-cap rules.”
Yes — that's why this is priced as underwriting, not sold as software. Rule churn is a risk to price, and pricing risk is the whole company.
“We're a 3-clinic group, not a hospital.”
Perfect. The API plugs into the clearinghouse and EMR flows you already use, and basis-points pricing means you pay proportionally to what's guaranteed — no enterprise seat minimums.
The API is in development
Be first on the ledger.
Therapy is a launch market — high denial rates, clean workflows, fast wins. Get pilot updates.