Waiting on reimbursement isn't free

It just doesn't show up as a cost until you need cash you don't have. Every day a claim, invoice, or grant sits unpaid is a day that money isn't in your account — here's how Stream changes that, and what you'd actually be agreeing to.

Take the Cash Flow Health Check — two minutes, no sales call required to see your number.

What you're actually agreeing to

You sell the claim. We wait, not you.

Stream isn't a lender. You sell a contracted receivable to our fund as a true sale, at a flat discount you agree to before you accept. We call it instant reimbursement.

No debt on your balance sheet — no interest, and no personal guarantee.
Nothing changes about how you bill — keep your system, your clearinghouse, your workflow.
Sell one claim or many — no minimum commitment, and no cost for what you don't sell.

Instant Reimbursement

Aetna · Claim #4521

Claim Amount

$100,000

Discount

You receive

$97,000

Collection

Auto when payor pays

Funded

Built for healthcare practices, businesses, and non-profits with reimbursable claims, invoices, or grants of at least $50k per month.

Not available for patient receivables, workers comp, accident, or personal injury claims.

How it works

Four steps, and you only repeat the middle two

Setup happens once. After that, selling a receivable is a decision you make whenever you want cash sooner.

Step 1

Get set up

A quick onboarding to verify your practice — we'll even let you know what documents to have ready in advance. Once verification clears, you're ready to post your first receivable for sale, often the same day.

Step 2

Choose what to sell

Pick the claims, invoices, or grants you want to turn into cash today. No minimum commitment, no need to sell everything, and keep billing exactly the way you already do.

Step 3

Get a price, same day

Stream reviews the receivable and gives you an instant reimbursement offer: a flat discount rate upfront, so you know exactly what you'll receive. Accept it, e-sign, and the receivable transfers to Stream.

Step 4

Funding lands next business day

Once you accept, cash hits your account by the next business day. Stream then collects directly from the payer when it pays — that part's on us.

Once you're set up, there's no need to start over. Come back and sell another receivable whenever you need to — and the more you use Stream, the better your discount rate can get.

Providers we serve

We use "provider" broadly, and deliberately

Health is happening in the exam room, on the street, and in the lab. Stream purchases receivables across healthcare — wherever you're delivering care, however you're waiting to get paid, there's likely a path that fits.

Care delivery & specialty groups

For practices and provider groups waiting on payer reimbursement — claims submitted, care delivered, cash still months out.

Primary care and family medicine · Behavioral & mental health · Dental · Physical therapy, rehab & ABA · Maternal health

Healthcare nonprofits & social drivers of health

For nonprofits and community partners waiting on invoices or grant reimbursements — funding committed, work already done, disbursement still pending.

Clinical research sites

For trial sites waiting on sponsor payments — visits completed, milestones hit, payment cycles that don't match your cash needs.

Don't see your specialty here? Not to worry — if you bill insurance or employers, there is likely a fit.

What we buy

Payer mix and eligibility

Most contracted receivables are purchased directly. Government fee-for-service is the one that works differently, and it's worth knowing which bucket yours falls into before you start.

Receivable type

How it works with Stream

Commercial insurance

Purchased directly as a true sale

Medicare & Medicaid

(fee-for-service, value-based arrangements)

Purchased through a dedicated account structure rather than a direct purchase

Documented grants

(scheduled or invoiced)

Purchased directly as a true sale

Clinical trial sponsor milestones

Purchased directly as a true sale

Not currently eligible

Patient receivables (self-pay balances)
Workers' compensation claims
Accident claims
Personal injury claims

Questions

The things people ask before they get started

Is this a loan? Is it debt?

No. Stream isn't a lender. When you work with Stream, you're selling your contracted receivables — insurance claims, invoices, or grants — to our fund (Stream Partners, LLC) as a true sale. We call it instant reimbursement.

There's no debt on your balance sheet, no interest, and no personal guarantee. Stream is repaid when the payer pays the receivable it purchased, not by you.

How does pricing work?

A flat discount on the receivable you sell, as low as 3%, agreed before you accept. If you sell $100,000 worth of claims at a 3% discount, you receive a $97,000 instant reimbursement up front. You only pay when you activate — there's no cost for receivables you don't sell to Stream.

What happens to the rest of my reimbursement?

There isn't a "rest" waiting on you. When Stream purchases a receivable, you receive the full offered instant reimbursement amount upfront — that's the complete transaction. Stream then owns that receivable and collects when the payer pays.

Whatever the difference is between what we paid you and what we collect is ours — it's the return for taking on the timing risk and cost of capital, not a fee we collect from you later. You get your money now; we take the float.

Do we have to change how we bill or submit claims?

No. Stream is purpose-built for healthcare, and healthcare doesn't run on one system — care gets billed and delivered across every kind of tech stack, portal, and platform imaginable. Whatever's working for you, keep using it. We build around your workflow, not the other way around.

What claims, invoices, or grants are eligible?

Stream purchases contracted receivables across commercial and government payer mixes. Traditional Medicare is not a disqualifier — Medicare and Medicaid fee-for-service receivables are purchased through a dedicated account structure rather than a direct purchase, while commercial payer receivables, documented grants, and clinical trial sponsor milestones are purchased directly as a true sale.

Do we have to run all our receivables through Stream?

No. Pay as you go — sell the receivables you want, when you want. There's no minimum commitment or all-or-nothing requirement, though Stream is built for healthcare practices, businesses, and nonprofits with reimbursable receivables of at least $50K per month.

Are there any fees besides the discount rate?

A monthly account fee applies, structured differently depending on your setup — dedicated account customers pay a flat fee to cover that account, while others pay a fee that's waived based on activity. Full details are in your agreement, but none of the fees apply until you accept an instant reimbursement offer.

How fast is funding?

Instant reimbursements land in your account as soon as the next business day after a receivable is purchased.