A claim leaves your practice, a payer decides what it's worth, and the money has to find its way back to your bank account. Here's the whole path, how a deposit is matched to the remittance that explains it, and how direct deposit with Stedi Treasury works if you set it up with us.
Crebral never holds, touches or moves your money.
The flow
Nothing here is automatic magic. Each step is a real document moving between real parties, and Crebral sits in the middle of the paperwork, never the money.
Crebral drafts the note and the codes from it, and you sign both.
It's submitted as an 837P through our clearinghouse partner, Stedi.
They decide what each line is worth, what adjusts, and what the patient owes.
The 835 lays out what paid, what was adjusted, and why, line by line.
By electronic funds transfer (EFT) or a paper check, straight to your practice.
Each 835 is posted against the visit, denials go to your biller's worklist, and the patient's balance updates.
One payer deposit usually pays many claims at once. The 835 and the deposit carry the same trace number, the EFT trace or the check number, and that shared number is how a deposit gets tied back to the claims it paid. Without it, a biller is lining up bank statements against remittances by hand.
How a payer pays
Most payers offer both. Which one you get depends on the payer and on whether you've enrolled for electronic payments with them.
An electronic funds transfer lands directly in your bank account, carrying a trace number that ties it to its remittance. It's the faster route and the one that supports automatic matching, which is why we set practices up for it during onboarding.
A check in the mail, identified by its check number once it's deposited. Payers you haven't enrolled for EFT with, or that don't offer it, keep paying this way. Lockbox, in preview, will deposit and reconcile these for you.
Direct deposit
We set this up with you during onboarding. It isn't something that starts running on its own; a practice goes through verification and bank linking first. Once it's live, here's what happens to a payment.
Each practice gets its own FDIC-insured account at Grasshopper Bank, N.A., Member FDIC, opened in the practice's own legal name and tied to the same tax ID it bills under. The practice holds legal title to the funds in it, not Crebral and not Stedi.
Payer EFTs land in that account, and Stedi matches each one to its 835 by trace number before sending it on. You're not the one lining up a deposit against a remittance.
The money moves on to your practice's own bank account automatically. Funds that settle before 4:45 PM ET on a business day reach your bank that same day; otherwise it's the next business day.
A payment moves through two sets of statuses you can track: Pending and Received on the way in from the payer, then Pending, In transit and Paid on the way out to your bank, with a monthly statement behind it. Stedi also handles the EFT enrollment paperwork with each payer: the voided checks, the bank letters, the micro-deposits.
Stedi is a financial technology company, not a bank. Banking services are provided by Grasshopper Bank, N.A., Member FDIC.
Paper checks
In preview. A mailing address dedicated to payer mail, so checks stop arriving at the front desk mixed in with everything else.
Checks sent to the Lockbox address get deposited into the same account and reconciled the same way an EFT is, by matching the deposit to its remittance. The paper remittance that comes with the check becomes a searchable PDF instead of a page someone has to scan and file by hand.
Setting it up
Three things happen once, and then one thing happens per payer.
In your practice's own Stedi account: a signed W-9, the person who runs the practice, and anyone who owns 25% or more of it. You do this directly with Stedi, so those details never pass through Crebral.
Where the money ultimately lands.
Stedi handles the paperwork; the payer controls the timeline.
Verification and bank linking usually take minutes. Payer enrollment takes longer, and how much longer is up to the payer, not us. Payments keep arriving the old way from a given payer until that payer finishes switching you over to EFT.
Where Crebral stands
Every 835 is posted against the visit, denials go to your biller, and the patient's balance is kept current. The money itself never passes through us.
A deposit lands in an account in your practice's own name, not ours. We never hold, touch or move it.
We set up direct deposit and EFT enrollment with you. After that it runs on your bank relationship, not ours.
Patient payments are a separate story: they run through your practice's own Stripe account, not through this flow at all.
Questions
You don't go to a bank for it. Your practice gets its own Stedi account, and with it a dedicated account at Grasshopper Bank in the practice's legal name for payer EFTs to land in. The money moves on to your existing bank account automatically, and you don't bank from it day to day.
Checks keep arriving the old way until that payer switches you to EFT, or once Lockbox, in preview, can deposit and reconcile them for you.
No. Payers pay your practice directly. We post each remittance against the visit, and Stedi matches each deposit to its remittance. We never hold, touch or move the funds. Stedi's own fee is billed separately, never taken out of a payout, so what the payer sent is what reaches your bank.
No. Patient payments run through your practice's own Stripe account, separate from payer remittances and direct deposit.
We'll walk through your specialty, your payers, and what setup actually looks like for your practice.