🥇#1 EHR for PT/OT Rehab
★★★★★4.8/5.0

Verify Insurance in Seconds. Stop Losing Revenue to Coverage Gaps.

SPRY checks every patient automatically at scheduling. Coverage details land in the chart before the visit starts. No hold times. No portal logins. No surprises at billing.

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95%+
Clean claim rate
4–6 min
Saved per check
99%
Files processed in under 1 hour

Trusted by 500+ Rehab Therapy Clinics

WHY ELIGIBILITY NEEDS TO HAPPEN EARLIER

Eligibility Is Only Useful When It’s Actionable

Manual Verification Doesn’t Scale

Teams should not have to call payers or switch portals just to know if a patient can be seen.

Generic Responses Miss the Details That Matter

Active coverage is not enough. Clinics need visit limits, patient responsibility, auth flags, and Medicare threshold context.

Missed Details Create Rework Later

When coverage details are missed early, billing, front desk, and patients all end up solving it downstream.

CASE STUDY

How Lee PT Reduced Claim Rejections by 63% and Grew Collections by 25%

Automated eligibility verification helped Lee Physical Therapy stop coverage gaps before they became billing rework.

Operational and financial outcomes, June to August 2025.

5.4% → 2.0%
Rejections reduced
23.5% → 6.7%
Denials reduced
75% → 92%
Clean claim ratio
$61.9K → $77.5K
Collections grew

“We can pull the verification up right on the screen, print it out, and go over it with the patient. They understand this is their copay, this is their deductible, this is where they stand. We do not want them getting a bill and being upset with us. And in a small town, word gets out fast.”

Patty Ostrander, Office Manager, Lee Physical Therapy and Wellness

|
Cairo, NY | Community-centered outpatient rehab serving Greene County for over 15 years
THE TRANSFORMATION

From Estimating Coverage to Confirming It at Check-In

CAPABILITY
WITHOUT SPRY
WITH SPRY
Verification trigger
Staff remembers to check
Runs automatically at every appointment
Time per patient
8–15 minutes of portals or calls
Under 10 seconds via real-time EDI
Front desk view
Raw payer response
Copay, deductible, visits, auth flag in the chart
Medicare KX
Applied manually
Auto-appended when threshold is exceeded
Plan changes
Found after the fact
Caught through nightly re-verification
Coverage lapses
Discovered during billing or treatment
Flagged before the patient arrives
Patient responsibility
Estimated at check-in
Confirmed before the visit
Billing connection
Front desk and billing work separately
Verified coverage feeds the claim
FEATURES

Everything Needed to Verify Coverage, Built In

Real-Time 270/271 Checks

SPRY queries payers via EDI and returns results in under 10 seconds across 900+ connected payers.

Benefit Parsing

Copay, deductible, coinsurance, visit caps, network status, auth flags, and plan markers appear directly in the chart.

Medicare KX Automation

SPRY tracks Medicare Part B thresholds and auto-appends the KX modifier when benefits are exceeded.

Nightly Re-Verification

SPRY can run nightly checks from the next day’s schedule for plans that may change mid-month.

Proactive Coverage Flags

Inactive plans, missing insurance, approaching visit caps, auth requirements, and coverage lapses surface before patients arrive.

Bulk Schedule Verification

Teams can verify an entire day’s schedule and see which patients are ready or need follow-up.

Patient Responsibility Estimation

Copay, deductible, coinsurance, and out-of-pocket details are surfaced for more accurate collection.

Billing Connection

Verified eligibility data feeds charge capture and claim submission without duplicate entry.

THE CLINIC IMPACT

Less Time Checking Coverage.
Fewer Claims at Risk.

8–15 min → under 10 sec
Verification time per patient
4–6 min
Saved per check
95%+
Clean claim rate

Eligibility is not just a front desk task. It shapes patient responsibility, authorization requirements, claim accuracy, and billing follow-up. SPRY helps teams verify earlier, collect more accurately, and build claims on confirmed coverage.

THE ELIGIBILITY MATH

100 eligibility checks/month × 5 minutes saved/check

= 8+ hours of front desk time saved every month

At 500 checks/month

= 40+ hours saved every month

Time that can go back into patient communication, scheduling, collections, and exception follow-up.

See the impact for your clinic

Book a Demo →

Hear How Therapists Stay Present, Finish Notes Faster, and Document With Confidence

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Does SPRY verify eligibility automatically?
Does eligibility information appear in the patient chart?
Does SPRY support Medicare KX workflows?
What benefit details does SPRY show?
Can SPRY help with changing coverage or Medicaid/MCO plans?
How does eligibility connect to billing?