HEALTHCARE PAYMENT SOLUTIONS
An end-to-end healthcare payment platform
Manage all your healthcare payment processing needs—and accept all P2PE credit and debit card payments—with our PCI-validated solution.
Streamline and standardize payments so you can focus on your patients
Healthcare payment processing is complex. Phreesia’s merchant services make it easier. Our purpose-built healthcare payment solutions let you accept all major credit, debit and HSA cards in one place, giving patients an easier, more convenient payment experience.
We support organizations of all sizes, including:
Hospitals and health systems
Primary care clinics
Multispecialty medical practices
FQHCs and community health centers
Payment solutions for healthcare organizations of all sizes
As a payment facilitator and full-service merchant services provider, Phreesia provides the technology you need to process transactions and maintains your merchant account with your bank.
When you use Phreesia’s healthcare payment solutions, all your medical payment processing needs get handled from one place. You’ll always work directly with us, and we’ll never forward you to a third-party company.
Our team covers in-house support, account management and risk management. We also:
Handle all your healthcare payment processing needs from a single, central location
Manage funding, chargebacks and fraud monitoring
Assume responsibility for merchant account underwriting
Optimize the healthcare payment experience
Give your staff and patients the convenience they expect with our robust healthcare payment solutions. With Phreesia, patients can pay their copays and balances from anywhere—at home, on the go or in your office—and you can keep tabs on all payments with PM system integrations that automate end-of-day reconciliation.
For health systems, hospitals and other large medical practices, Phreesia also offers end-to-end enterprise support. We can streamline all patient payments and generate a universal patient balance that consolidates financial responsibility across your entire organization in a single invoice, saving you time and money.
Automate E&B verification
Healthcare payment services involve more than just swiping a credit card at the point of service. For effective revenue cycle management, you need to verify patients’ insurance coverage before they receive care. That’s where automated healthcare payment solutions with E&B verification really shine.
Our industry-leading E&B tool helps clinics, medical practices, hospitals and health systems check patients’ insurance coverage at scale. We offer:
- 1,000+ supported payers, including Medicare and every state’s Medicaid
- AI-driven copay selection
- Automated verification schedule and real-time checks to ensure accuracy
- Payer and eligibility alerts, like Primary Payer, MCOs and Medicare annual wellness visit
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Increase collections and get paid faster
Phreesia offers a wide range of healthcare payment options. Our digital healthcare payment solutions make it easy for patients to pay at the point of service, using whichever modality works best for them.
We support:
- Credit card processing for healthcare
- Debit card and FHA/HSA transactions
- Mobile wallets, such as Apple Pay® and Google Pay™
- Cash and check tracking
- Payment plans, card on file and online payments
Improve the patient experience
How do patients really want to pay their bills? We asked them.
Digital payments are increasingly common in healthcare—and they’re exactly how patients prefer to pay. Phreesia’s healthcare billing solutions are built to align with patients’ payment preferences, helping you promote patient satisfaction and get paid more consistently.
But our healthcare payments platform is more than just a value-add for patients. It also helps you:
- Collect payments faster
- Reduce your cost to collect
- Optimize your revenue cycle
Promote secure transactions
Payment security is our responsibility. That’s why Phreesia’s healthcare payment solutions leverage Bluefin’s P2PE gateway—the gold standard of payment encryption—to protect sensitive information.
Our healthcare payment processing tools help you:
- Keep patients’ data secure
- Reduce your PCI scope
- Protect your reputation
Get dedicated support
No matter what you need, we’re here for you. Phreesia’s healthcare payment solutions come with robust customer support, so you can rest assured that we’ll keep your revenue cycle running smoothly.
Encounter any issues? No need to worry. Phreesia has dedicated teams that work 24/7 to monitor our payment workflows—so if you ever need rapid assistance, we have experts available to help.
Seamless EHR and PM system integrations
Phreesia collaborates closely with PM and EHR vendors to build robust, responsive interfaces that help medical practices save time and operate efficiently.
Multiple PM systems? No problem. We can automatically post payments to each of them, saving valuable time for your staff.
In addition, Phreesia provides external APIs that allow your organization to integrate and embed our medical payment processing functionality into your existing products and solutions.
Optimize your revenue cycle
From verifying patients’ insurance coverage and calculating copays to posting payments and charging cards on file, Phreesia’s healthcare payment solutions help automate key steps in the payment process—before, during and after the patient visit—saving everyone time and helping you collect more, faster.
The power of Phreesia’s healthcare payment solutions
Phreesia’s revenue cycle tools support everything you need—insurance verification, credit card processing for healthcare and a wide variety of healthcare payment options for patients.
But don’t just take our word for it. Instead, see the incredible results our clients achieve with Phreesia’s healthcare payment processing and patient payment solutions.
Increase point-of-service collections by up to 50% when payments are collected through Phreesia
With Phreesia, more than 80% of patients pay their copays at the point of service
85% of scheduled payments result in a successful collection with Phreesia
Success stories
No matter your size, location or patient demographic, Phreesia can help your organization drive outcomes that matter.
Independently certified for security and compliance
Frequently asked questions about healthcare payment solutions
What is a healthcare payment system?
A healthcare payments system refers to the processes and software that help healthcare organizations collect patients’ financial responsibility. Healthcare payment systems typically contain several features, including:
- Multiple payment options, including online payments, payment plans and card on file
- Automated post-visit collections after insurance claims have adjudicated
- Healthcare payment processing services, including credit card processing for healthcare
- Digital statements with itemized transaction details
- End-of-day reconciliation and batch reporting capabilities
What are the steps that healthcare payment processing involves?
Healthcare payment processing involves more than just swiping a credit card. With every swipe, many moving parts work together to process a patient payment and ultimately deposit funds into a healthcare organization’s account. These may include, but are not limited to:
- E&B verification: Checking the patient’s insurance coverage to determine their eligibility and benefits, and to calculate their copay and deductible
- Claim submission: Submitting a claim to the patient’s health plan (or health plans, if the patient has both primary and secondary insurance) for the services they received.
- Adjudication: Waiting for the health plan to review the claim, verify the information and determine the amount they will reimburse the provider.
- Payment collection: Collecting payment(s) from the insurer, patient and/or other responsible parties.
- Reconciliation and reporting: Reconciling the payments received with the claims submitted, identifying any discrepancies and generating reports for financial analysis and tracking.
- Denial management: Investigating denied claims to determine the reason(s) for denial, making necessary corrections and resubmitting the claim for reconsideration.
- Post-visit collections: Following up with the insurance company or patient to ensure timely payment for outstanding or past-due balances.
Do healthcare payment processing vendors have to be HIPAA-compliant?
Yes, a healthcare payment processing provider is generally required to be HIPAA-compliant if they handle or process protected health information (PHI) on behalf of covered entities, such as healthcare providers, health plans, or healthcare clearinghouses. This is because the healthcare payment processing provider would be considered a business associate under HIPAA.
A business associate is any individual or organization that performs certain functions or activities on behalf of a covered entity that involve the use or disclosure of PHI. Healthcare payment processing providers often handle PHI in the form of patient billing information, insurance claims and/or other financial data related to healthcare services.
How do I choose the right healthcare payment solutions?
To choose the right healthcare payment solutions, it’s important to vet a variety of potential vendors. Factors for consideration may include, but are not limited to:
- Available features and scope
- Security and compliance
- Integration capabilities
- Cost and pricing structure
- Customer support and service
- Scalability for future needs
It’s important to remember that not all healthcare payment solutions are the same. To find the right healthcare payment solutions, you should carefully consider your organization’s needs and objectives—and ensure that the vendor(s) you select can support them over the long term.