Out-of-network physical therapy billing, without the superbill.

HealthSpark verifies out-of-network benefits, collects payment, and submits claims so your cash-pay patients can get reimbursed.

Learn more
Benefits checked
Patient paid
Patient payment · Jun 12

$160.00

Initial evaluation · Card ··4242

Claim filed for patient
Aetna PPO
Claim submitted
Patient reimbursed $80.00

Submit out-of-network claims to hundreds of plans

Blue Shield of CaliforniaAnthem Blue CrossCignaUnitedHealthcareHumanaAetna+ more
Why HealthSpark

Say goodbye to superbills

$160.00
Patient paymentDeposited
Claim submitted
Out-of-network
Reimbursement
Patient gets back $80.00

With HealthSpark

  • Out-of-network benefits checked before the visit
  • Patient payment collected automatically
  • Out-of-network claim submitted after the visit
  • Denials and resubmissions handled
  • One workflow for visits, payments, and claims
Learn more

With superbills

  • Patient asks about coverage
  • PT creates a superbill
  • Patient submits it themselves
  • Patient follows up with insurance
  • Errors and denials are easy to miss
  • Reimbursement delays can interrupt care
How It Works

You treat the patient. We handle the claim.

1.

Check benefits

The patient enters their insurance information and HealthSpark checks their out-of-network coverage.

Insurance verified

Aetna
Out-of-network coverageActive
Deductible remaining$250
Coinsurance40%
2.

Collect payment

The patient pays your full self-pay rate through HealthSpark.

Patient payment

$160.00

Card ··4242

Paid
3.

Submit the claim

After the visit is completed, HealthSpark submits the out-of-network claim on your behalf and handles follow-up.

You

Submit your visit

SOAP note

S
O
A
P

Codes

97112NMR2 units
97110Therex2 units

HealthSpark

Submits the claim

  • Create the claim
  • Submit to the payer
  • Patient reimbursed
  • No superbills
Pricing

Simple pricing per claim

5%

per claim submitted · paid by the patient

Learn more
One Platform

The tools to run your practice, all in one place

🔒joinhealthspark.com/sarah-chen

Sarah Chen, DPT

Offers mobile and virtual visits

Benefits checked

Deductible remaining: $250

Coinsurance: 40%

Aetna

Intake & consent

Forms signed

Card on file

Your self-pay rate

Late-cancellation fees

•••• 4242

Visit confirmed

9:00 AM – 9:45 AM

Self-booking and intake

A professional page where patients learn about you, verify insurance, and request a visit.

Here's your exercise plan

Thanks!

$160.00

visit paid

Deductible left

$275

Patient portal

Patients view deductibles, receipts, and message you securely.

HealthSpark EHR

Clinic, on the road, or virtual. One system that works everywhere.

9 AM

Maya Patel

9:00 AM – 9:45 AM

In-clinic
Added to calendar
10 AM

Daniel Kim

10:00 AM – 10:45 AM

Virtual visit
Join video visit
11 AM

Olivia Carter

11:00 AM – 11:45 AM

Mobile visit
Reminder · 24h
12 PM

Marcus Reed

12:00 PM – 12:45 PM

Virtual visit
Intake incomplete

Scheduling

Appointments stay organized with calendar invites, reminders, and visit updates.

Searching for Dr. Mitchell at UCSF

Physician found

POC sent for signature

POC signed

Plans of care

Electronic faxing sends plans of care to the right physician and tracks recert and progress note deadlines—so you stay compliant while delivering care.

Questions? We're here to help.

Out-of-network physical therapy billing, without the superbill.

You treat the patient. We handle the claim.

Learn more