Orva vs. Limber: Choosing an RTM Platform After the Net Health Acquisition

If you are evaluating Limber Health for RTM, there is important context worth understanding before you commit. Limber was acquired by Net Health in 2025. Net Health subsequently acquired Keet Health from WebPT in early 2026. Both platforms are now part of a private equity-backed enterprise software company managed by The Carlyle Group. This page covers what that means for clinics evaluating Limber today, and how Orva compares as an independently owned alternative built specifically for outpatient PT and orthopedic clinics.


What Limber Is

Limber Health was built as a digital care platform for physical therapy, with a focus on patient engagement and remote monitoring. Before its acquisition, Limber raised significant venture funding and positioned itself as a modern alternative to legacy PT software.

Post-acquisition, Limber sits inside Net Health's broader portfolio alongside Keet Health and other products. Net Health serves a range of healthcare organizations, with particular strength in enterprise and hospital-affiliated settings.

For clinics evaluating Limber today, the right questions to ask are about the product roadmap, pricing at renewal, support structure, and how Keet clients are being handled during migration. Those are questions only Net Health can answer directly, and they are worth getting in writing before signing a contract.

What Changes When a Platform Gets Acquired

Enterprise acquisitions do not always change a product immediately. But they reliably change the priorities behind it. Roadmaps consolidate around the acquiring company's strategic goals. Support structures reorganize. Pricing gets renegotiated at renewal. And products built for one segment of the market get repositioned toward the acquirer's core customer.

Net Health's core customer is the enterprise health system. If your clinic is an independent outpatient practice or a regional orthopedic group, it is worth asking whether a platform now owned by an enterprise software company will continue to prioritize your use case the way an independent, focused vendor would.

What Orva Is

Orva is a full patient engagement platform built specifically for outpatient PT and orthopedic clinics. That means HEP, patient-reported outcome surveys, secure messaging, and the most capable RTM billing engine available — all in one place, designed around how these clinics actually operate.

The RTM billing side is where Orva is most differentiated. The entire platform is architected around how RTM billing actually works: 30-day device periods, calendar month management cycles, code eligibility thresholds, and the documentation requirements that determine whether a claim gets paid or denied. Orva tracks all of this automatically. Clinicians and billers see in real time which patients qualify, which codes are billable, and what needs to happen before each billing window closes.

The six codes Orva tracks automatically: 98975, 98985, 98977, 98979, 98980, and 98981.

Beyond the platform, Orva actively manages RTM billing for its clinic partners at no additional cost — handling documentation, generating billing reports, and submitting claims on your behalf. This is not something most platforms offer at all, let alone as a standard part of the engagement.

In active Orva clinics, patient engagement runs above 90%. Setup takes under two minutes per patient. Clinics are typically live within an hour. Pricing is per patient, and you only pay for patients who qualify. And because Orva is independently owned, none of that changes as a result of an acquisition.


Platform Comparison

A Straightforward Comparison

OrvaRTM-Native
Limber (Net Health)
Platform focus
Full patient engagement platform — HEP, PROMs, secure messaging, and the best RTM billing engine for PT and orthopedic clinics
Digital care platform, now part of Net Health enterprise suite
Ownership
Independent
PE-backed (Net Health / Carlyle Group)
Codes tracked automatically
98975, 98985, 98977,
98979, 98980, 98981
Contact Limber
Real-time eligibility visibility
Yes, across all six codes
Contact Limber
Patient engagement
90%+ in active clinics
Contact Limber
Setup time
Under 2 min per patient, live within an hour
Contact Limber
Pricing structure
Per patient, only pay for patients who qualify
Contact Limber
Billing management
Actively managed at no extra cost — documentation, reports, and submission handled for you
Contact Limber
Keet Health clients
Clean onboarding path available
Being migrated to Limber platform
Ideal for
Independent PT and orthopedic clinics that want a complete patient engagement platform with the best RTM billing engine — and want billing actively managed for them
Enterprise health systems aligned with Net Health ecosystem
Platform Focus
OrvaFull patient engagement platform — HEP, PROMs, secure messaging, and the best RTM billing engine for PT and orthopedic clinics
LimberDigital care platform, now part of Net Health enterprise suite
Ownership
OrvaIndependent
LimberPE-backed (Net Health / Carlyle Group)
Codes Tracked Automatically
Orva98975, 98985, 98977, 98979, 98980, 98981
LimberContact Limber
Real-Time Eligibility Visibility
OrvaYes, across all six codes
LimberContact Limber
Patient Engagement
Orva90%+ in active clinics
LimberContact Limber
Setup Time
OrvaUnder 2 min per patient, live within an hour
LimberContact Limber
Pricing Structure
OrvaPer patient, only pay for patients who qualify
LimberContact Limber
Billing Management
OrvaActively managed at no extra cost — documentation, reports, and submission handled for you
LimberContact Limber
Keet Health Clients
OrvaClean onboarding path available
LimberBeing migrated to Limber platform
Ideal For
OrvaIndependent PT and orthopedic clinics that want a complete patient engagement platform with the best RTM billing engine, and want billing actively managed for them
LimberEnterprise health systems aligned with Net Health ecosystem

Who Should Consider Limber

Limber may be worth evaluating if your organization is already aligned with Net Health's broader product ecosystem, or if you are part of a larger health system that prioritizes enterprise vendor consolidation. Clinics with significant IT infrastructure and the resources to manage a more complex implementation may find the Net Health suite a fit for their needs.

Who Should Choose Orva

Orva is the stronger fit for independent outpatient PT practices and orthopedic groups that want a complete patient engagement platform — HEP, outcomes surveys, secure messaging, and RTM — without the complexity of an enterprise suite or the uncertainty of a platform mid-acquisition.

Orva also actively manages RTM billing for its clinic partners at no additional cost. That means documentation, report generation, and claim submission handled on your behalf, so your staff does not have to close the billing cycle manually. If you are a current Limber or Keet client with questions about what the Net Health consolidation means for your practice, we are happy to walk you through how a transition to Orva works.

The Question Worth Asking Any Vendor

Before signing with any RTM platform, ask two things. First, ask to see a live billing report showing patient eligibility status, qualifying days, and billable codes for a real month. Second, if the platform has been recently acquired, ask what your contract terms look like at renewal and get it in writing.

Those two questions will tell you more than any demo.


Ready to See Orva?

We are happy to show you how Orva works in practice, including a live billing report so you can evaluate the output before you commit. If you are coming from Limber or Keet, we can walk you through what a transition looks like.

Schedule a Demo Back to RTM Software Comparison