Cash-pay plans and saved cards
Physical therapy billing software
Physical therapy billing software for cash-pay clinics and the self-pay side of insured ones. Patients save a card at intake and each visit is collected overnight, maintenance patients join a monthly wellness membership online, and a plan of care can be paid in installments.
A short tour of the screens this page describes. It is filmed with our demo pest control company, and every trade runs on the same screens.
- From $19/month
- 14-day free trial
- Same-day US support

“We run every customer conversation through Smarfle. Texts, emails and reminders are in one place, our customers love paying with Apple Pay, and when we are busy or closed the text bot answers new leads for us.”

Visits paid by saved card
The card link goes out with the intake paperwork. Once a visit is invoiced, the stored card pays overnight, so checkout is a goodbye, not a card reader.
PaymentsWellness memberships
Patients finished with rehab can stay on a monthly maintenance membership with two visits. Enrollment happens online, and renewals arrive with a receipt each month.
Recurring plansPlan of care in installments
A 12-visit plan of care priced up front can be split into monthly installment invoices, which suits patients paying out of pocket.
InvoicingInsurance stays elsewhere
Claims and superbills are outside Smarfle. Many searches for PT billing software mean claims, so hybrid clinics keep insured visits in their EMR.
Patient recordsDeclines and balances
A declined card is reported to the clinic by email and retried a day later, and unpaid balances are grouped by age.
ReportsCash-pay PT billing software features
What it does
- Per-visit card chargesCard saved at intake
- Wellness membershipsEnrolled online
- Installments for a plan of careSeparate invoices
- Decline alertsRetried a day later
What it doesn't do
- Insurance claimsThrough your EMR
- Superbills for reimbursementThrough your EMR
- Visit count limits per planTrack on the calendar
- Plan of care documentationThrough your EMR
Physical therapy billing pricing
Saved-card visits, memberships and installments are on every plan; Starter fits a clinic of five therapists.
Starter
Small teams adding tools and growth
$99/mo
- Up to 5 users (1 owner + 4 techs)
- Up to 2,000 clients
Most Popular
Professional
Growing service businesses
$199/mo
- Up to 10 users
- Up to 5,000 clients
SMS, email, AI, and voice are billed pay-as-you-go. See every plan and usage rate →
Questions clinics ask about cash-pay billing
Is this physical therapy billing software for insurance?
Can visits be charged automatically?
Can patients pay a plan of care over time?
Can I sell a maintenance membership?
Does it produce superbills?
Can I cap visits per membership?
What if a patient's card fails?
Can patients see their balance?
More physical therapy software
Billing for related practices
Try physical therapy billing software free
14 days with every feature on your real physical therapy work. No credit card.