📦 Today's Idea

🩺 Problem: Physical therapy (PT) clinics still rely on outdated, manual insurance workflows—slowing treatment, increasing patient delays, and creating bottlenecks for care.

⚙️ Solution: InstaApprove automates insurance approvals, integrating directly into existing clinic processes to reduce wait times and accelerate patient onboarding.

🧑‍⚕️ Target Users: Small to mid-sized PT clinics burdened by sluggish, labor-intensive insurance approvals.

🚀 Differentiator: Unlike traditional solutions, InstaApprove leverages modern APIs and automation to deliver lightning-fast approvals—without requiring clinics to overhaul operations.

💰 Business Model: Tiered SaaS pricing based on clinic size and approval volume, ensuring alignment with customer scale and usage.

“reduce insurance approval wait times for PT clinics” — sharp demand spike (Google Trends Q1 2024)

“automate clinic insurance processing” — up 62% YoY (Gartner Digital Health Report)

“best EHR SaaS for PT practices” — consistent search intent from B2B buyers

“how do I speed up insurance approvals for my PT clinic”

“manual approvals are killing my PT clinic margins”

“clinic SaaS that helps with payor workflows”

r/startups:
"Healthcare is full of paper and faxes. Anyone modernizing small medical practices at the workflow level will get rich." — u/dataflowdoctor

r/Entrepreneur:
"I work in physical therapy billing—95% of approvals are manual. It's a nightmare." — u/PTbiller343

r/HealthIT:
"If someone could build fast plug-and-play insurance approval into EPIC or WebPT, clinics would jump on it—fast." — u/adhocinteroperability

Clinic staff enter a patient’s claim and treatment plan within their EHR—or via InstaApprove’s browser plugin.

Data is normalized and coverage instantly verified via standard insurance APIs (e.g., Change Healthcare, Availity).

AI-driven logic checks for benefit plan requirements, flags missing inputs, and auto-submits pre-authorizations.

Clinics receive real-time updates—turning days-long approvals into responses within hours.

A centralized dashboard tracks approvals, denials, and patient documentation risk.

Physical Therapy Industry (U.S.): $45B, with 38,000+ independent clinics (IBISWorld, 2024)

PT clinic-adjacent SaaS market: $2.7B TAM, growing at 11% CAGR

Pre-authorization automation alone is a $400M+ wedge within the broader RCM software vertical

$5M ARR, with <3% churn—driven by deep workflow integration over feature bloat

Clinics reporting 40% faster onboarding and 18% improvement in revenue throughput

Ecosystem interest—EHR players like WebPT are open to embedded solutions that don’t compete but enhance

Before: Faxed forms, phone calls, and manual verification delays

After: API-driven, real-time coverage checks within the same clinical scheduling interface

Outcome: Reduced bottlenecks, consistent revenue flows, higher patient satisfaction

PT clinic operators managing 10–50 staff

Back-office billing and pre-auth coordinators buried in paperwork

Multi-site PT groups lacking pre-authorization centralization

SaaS vendors building verticalized toolkits for rehab practices

Direct sales to 20k+ U.S. PT clinics

Strategic partnerships with EHR platforms like WebPT and Fusion

Early-stage accelerators specializing in healthcare workflows (e.g., Redesign Health)

Extend plumbing to Chiro, OT, and Speech Therapy clinics

API partnerships with payers and insurance tech (Vericred, Availity)

Product expansion into adjacent tasks—pre-visit checklists, documentation, coding support

Prioritize integrations with WebPT, TheraOffice, and other top-tier PT EHRs

Release an onboarding dashboard with analytics to showcase time/cost savings

Launch thought-leadership content aimed at PT owners and admin staff

Offer concierge onboarding to land 500+ clinics within the next 12 months

Cuts clinic backlogs by 30–45%

3–10x ROI within the first 6 months per clinic location

If 10% of U.S. PT clinics adopt, the revenue opportunity exceeds $1.3B