Health & wellness
Flat-Rate US-Claims Rehab Therapy OS
One flat price per clinic, unlimited practitioners, with native US claims and paper-EOB reconciliation, for small PT, OT and speech practices.
Founder thesis
The bet is that small US rehab clinics will pay one flat fee per clinic to escape per-provider billing and get claims plus paper-EOB reconciliation in one place. WebPT prices per provider and hides its base prices behind a quote, while the cheap transparent tools (Cliniko, Zanda, Jane) do not run US claims. Now is the moment because clinics are openly asking for alternatives and workers' comp and liability money still never reaches 835 rails.
What others got wrong
WebPT prices per provider per month or per visit, its own FAQ says so, and it quote-gates base prices. A user puts it at about $100/user/mo for a roughly 40-user clinic, so cost climbs with every hire.
The cheap, transparent tools do not do US claims. Jane's insurance add-on covers only Canadian payers, and Cliniko and Zanda publish no US CMS-1500/837/835 workflow.
Incumbents sell billing as a service or a module rather than fix the payments that never reach 835 rails. WebPT runs an RCM service and SPRY charges 4.5% of collections.
Nobody built for the paper EOB. Workers' comp, auto/liability, TPA and virtual-card remits sit outside 837/835 tooling, and PM exports are non-standard across WebPT, Raintree, AdvancedMD, Tebra and NowMD.
What should work
Bill the clinic, not the seat or the visit, and include claims processing instead of selling it as a module.
Import the PM and payment exports plus paper EOBs to reconcile workers' comp and liability money that never reaches 835 rails.
Publish comparison and alternative pages to catch high-intent switchers, the way Zanda does with about 28 rival pages and a WebPT page.
Offer a free trial with no card and a private practitioner community, the way Cliniko does.
What kills it
- Flat all-inclusive pricing is not new. Cliniko includes every feature at $45-$395/mo by clinic size and Zanda folds claiming into Growth, so incumbents can re-price.
- The cheap tools already satisfy cash-pay and non-US clinics, so the only wedge is US-claims-native processing plus paper-EOB reconciliation, and nothing shows buyers will pay a new vendor for it.
- The per-provider baseline rests on one user's report, not a published WebPT price.
- Whether claims processing is profitable at a flat small-clinic price is unproven, and heavy clinics are where incumbent RCM margin lives.
What users want
5A bill that does not rise with every therapist I hire.
A roughly 40-user clinic wrote on r/physicaltherapy that it pays "about $100 a month PER user" and saw a second price increase in one year.
Support that answers and actually fixes billing problems.
A clinic posted that its "billing issue tasks open since June" went unaddressed, a phone contact ignored it, and the contact's email had gone invalid by follow-up.
Notes that stay saved.
One user wrote "The number of times I completed a full note and it deleted everything I did after completing it was far too high."
An easy way out of the system they are stuck on.
A clinic wrote "We all really need to get away from it... I just haven't committed to learning a new software system", with another naming retraining as the barrier.
A way to track workers' comp and liability money that never arrives as an 835.
A GitHub issue notes "workers' comp alone can be a third of the book" for a hand-therapy clinic and that PM exports differ across WebPT, Raintree, AdvancedMD, Tebra and NowMD.
- Sources
- 11
- Checked
- 11
- Competitors
- 4
- Gaps
- 6
- Page checked
- 11 · 100%
- Snippet only
- 0 · 0%
- Documented
- 7 · 64%
- Interpreted
- 4 · 36%
- pricing4
- complaint4
- market2
- playbook1
Competitors
4Parsed from public pricing blurbs (entry paid tier when available). Max in set: $45/mo.
| Competitor | From | Free tier | Source |
|---|---|---|---|
| Cliniko | $45/mo | — | cliniko.com✓ |
| Zanda (formerly Power Diary) | $19/mo | Yes | powerdiary.com✓ |
| Jane App | $20/mo | — | jane.app✓ |
| WebPT | Unverified | — | webpt.com✓ |
What customers complain about
6| Gap | Src |
|---|---|
Multi-provider clinics pay per user and still hit outages and lost notes. A roughly 40-employee clinic reports paying "about $100 a month PER user" while "notes not saving" and the site being down, and the same thread lists a second price increase in one year. | |
Billing tasks sit for months and support goes dark. One clinic had "billing issue tasks open since June that have not been addressed", a phone contact ignored them, and that contact's email was invalid by follow-up. | |
Notes can vanish after completion. "The number of times I completed a full note and it deleted everything I did after completing it was far too high." | |
Clinics want out but blame migration and retraining, not satisfaction. "We all really need to get away from it... I just haven't committed to learning a new software system." Another writes the barrier is "that much more immediate uphill battle to change systems and retrain everyone." | |
Money that never arrives as electronic remits (workers' comp, auto/liability, some TPAs, virtual-card PDF remits) is invisible to 837/835 tooling and lives only as keyed-in paper EOBs. For a hand-therapy clinic "workers' comp alone can be a third of the book", and "PM exports are not standardized - every vendor (NowMD, AdvancedMD, Tebra, WebPT, Raintree...) invents its own columns". | |
The cheap transparent tools are not US-claims-native, so a US clinic on them still bolts on separate billing. Jane's insurance add-on lists only Canadian payers (TELUS eClaims, Teleplan, Pacific Blue Cross), and Cliniko and Zanda publish no US CMS-1500/837/835 workflow. Only their own pricing and product pages back this, since none list the capability. |
Documented Interpreted
How competitors find customers
3| Tactic | Src |
|---|---|
| Zanda publishes a comparison or alternative page for every rival (about 28, including a WebPT page) and gates a free New Clinic Launch Checklist plus podcast and webinars to catch switchers, marketing itself as "44,000+ Zanda users (and counting!)". | zandahealth.com✓ |
| Cliniko runs a free 30-day trial with no credit card and no contract, a "Refer a friend" program, and a private Discord community open to non-customers ("It's not just for Cliniko customers"). | cliniko.com✓ |
| Jane App trades a free trial for a free community and service: free data import, complimentary onboarding, and a "community of over 10,000 allied health professionals" offered as the way to evaluate the product. | jane.app✓ |
Your angle & pricing wedge
| Piece | Claim | Src |
|---|---|---|
| Angle | A rehab-therapy practice OS billed flat per clinic with unlimited practitioners that natively files US claims (CMS-1500/837P, 835 ERA posting, Medicare 8-minute rule and KX-modifier tracking, MIPS/QCDR) and reconciles money that never arrives electronically by importing PM and payment exports and paper EOBs for workers' comp and liability payers. No source shows US rehab clinics will switch to this over an incumbent's RCM service. | |
| Wedge | The move: bill the clinic, not the seat or the visit, and include claims processing instead of selling it as a module. A 5-provider clinic runs roughly $500/mo on WebPT's reported $100/user/mo, while Cliniko charges $95/mo for 2-5 and $195/mo for 9-12 practitioners but has no US claims, and Jane adds CAD $20 plus per-practitioner fees for Canada-only billing. A flat $149-199/mo per clinic that includes US claims would sit about 60-70% below the per-provider setup and drop the add-on, but the per-provider baseline is one user's report, Cliniko already undercuts small clinics, and flat-price claims profitability is unproven. |
How others got traction
3| Move | Why | Src |
|---|---|---|
| Cliniko has kept the same published price list since June 2011 and prices on practitioner count with every feature included. | Cliniko's own page says prices have stayed the same since June 2011 and low prices are possible because of its scale. Price stability plus no per-feature fees likely builds trust with clinics burned by module-based EMRs, though nothing ties price stability alone to growth. | cliniko.com✓ |
| Zanda runs about 28 competitor-alternative comparison pages, including a WebPT page, plus a free New Clinic Launch Checklist and podcast and webinars. | Those pages catch high-intent switchers, the same people posting annoyed-with-WebPT threads, but no conversion number is published so the link to growth is unproven. | zandahealth.com✓ |
| Cliniko grew to more than 65,000 healthcare professionals while refusing to publish self-serving competitor comparisons, pushing a no-contract free trial and a private practitioner community instead. | The free 30-day trial with no card plus a moderated Discord community act as distribution and retention rather than paid search, but the company does not credit any single channel for growth. | cliniko.com✓ |
Market heat
WebPT says it supports over 20,000 clinics on its own pricing page.
Cliniko says it is "loved by more than 65,000 healthcare professionals around the world".
Zanda claims "44,000+ Zanda users (and counting!)".
Clinics in r/physicaltherapy threads describe leaving WebPT and Clinicient and ask for alternatives.
A privately owned clinic posted it was evaluating a switch away from WebPT.
Revenue signals
3| Signal | Src |
|---|---|
Category scale is large but all self-reported: WebPT 20,000+ clinics, Cliniko 65,000+ professionals, Zanda 44,000+ users, Jane's community 10,000+ professionals. None are independently audited. | webpt.com✓ |
Published self-serve pricing runs US$19/mo (Zanda Starter) to $395/mo (Cliniko, 26-200 practitioners), plus per-provider pricing at WebPT estimated around $100/user/mo by one user and a 4.5%-of-collections billing service quoted by another user for SPRY. | cliniko.com✓ |
Software is only part of the model. Incumbents also sell billing and RCM (WebPT RCM, SPRY at 4.5% of collections) and add-on modules, which is why a flat fee that includes claims may squeeze margin on heavy clinics. Whether a self-serve flat entrant can win is unproven. | web.archive.org✓ |
Should you build this?
The category pays and the pain is documented, but the wedge is only partly new and this is not a sure thing. Start by recruiting US rehab clinics with 1-5 providers that run WebPT or Clinicient, get their last three months of invoices plus the share of collections that arrives as paper EOBs and the hours a biller spends keying them, then ask for a paid pre-order at $179/mo per clinic with US claims and paper-EOB import included. Kill it if fewer than 6 of 15 pre-pay, if fewer than 8 show a per-provider bill well above $179/mo, or if fewer than 8 report paper and workers'-comp EOB handling as a recurring, measurable cost.
More ▾
All sources
11| Source | Kind | Status | Accessed |
|---|---|---|---|
| pricing | page checked | 2026-09-18 | |
| pricing | page checked | 2026-09-18 | |
| pricing | page checked | 2026-09-18 | |
| pricing | page checked | 2026-09-18 | |
| complaint | page checked | 2026-09-18 | |
| complaint | page checked | 2026-09-18 | |
| complaint | page checked | 2026-09-18 | |
| complaint | page checked | 2026-09-18 | |
| market | page checked | 2026-09-18 | |
| market | page checked | 2026-09-18 | |
| playbook | page checked | 2026-09-18 |