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Payment Processing

HIPAA-compliant, WCAG 2.2 AA accessible payment processing built for healthcare practices — with volume-based rates that get more affordable as you grow.

Payment Processing is HIPAA-compliant, WCAG 2.2 AA accessible payment processing built for healthcare practices. Accept credit and debit cards, HSA/FSA, ACH, and Apple Pay through a checkout your patients can actually use — with concierge and membership billing, failed-payment recovery, refunds, and reporting all included.

Volume-based ratesMore affordable as you growHIPAA-compliant · WCAG 2.2 AA accessible · BAA includedGet a rate proposal →

HIPAA-compliant processing

  • Signed Business Associate Agreement (BAA) with the processor — the HIPAA requirement any vendor that touches PHI is supposed to meet.
  • PCI-DSS Level 1 payment handling, so card data never lives on your systems.
  • End-to-end encryption and tokenization for card-on-file and recurring billing.
  • Compliant patient statements and receipts that don't leak clinical detail.
  • Full audit trail of every transaction, refund, and dispute.

WCAG 2.2 AA accessible checkout

  • Every payment screen tested against WCAG 2.2 AA — proper labels, focus order, and error messaging.
  • Full keyboard-only checkout — no mouse-only interactions on any step.
  • Screen-reader friendly form fields with meaningful ARIA and live-region status.
  • Contrast and typography that pass on both light and dark backgrounds.
  • Mobile-optimized layouts that work with system text-size preferences.

Every way your patients want to pay

  • All major credit and debit cards — Visa, Mastercard, Amex, Discover.
  • HSA and FSA cards, coded correctly so eligible visits actually clear.
  • ACH / bank-transfer payments for larger balances.
  • Apple Pay and Google Pay in the checkout for one-tap mobile payment.
  • Patient payment plans with automated installment collection.

Concierge, membership & recurring billing

  • Monthly, quarterly, or annual membership billing with auto-renewal.
  • Automatic renewal reminders on a schedule you choose.
  • Failed-payment recovery — dunning emails and staff-facing flags.
  • Card-on-file for one-tap follow-up visit charges.
  • Prorated cancellations and refunds, tracked and audit-logged.

Refunds, reporting & practice tools

  • One-click refunds, tracked from request to completion.
  • Chargeback and dispute assistance — we help you respond, not just receive the notice.
  • Reconciliation reports keyed to your existing accounting workflow.
  • Recurring-revenue dashboard: MRR, ARR, churn, active members.
  • Exports for your bookkeeper — CSV or your accounting tool of choice.

Common Questions

What is Payment Processing?
Payment Processing is a HIPAA-compliant, WCAG 2.2 AA accessible payment platform built for healthcare practices. It accepts every way patients want to pay — cards, HSA/FSA, ACH, Apple Pay — handles concierge and membership billing, and gives you the reporting, refund, and dispute tools a modern practice needs. Rates are volume-based, so your effective cost gets more affordable as your practice grows.
Is it HIPAA-compliant?
Yes. Every payment we route is handled under a signed Business Associate Agreement (BAA), with PCI-DSS Level 1 processing, end-to-end encryption, tokenization for card-on-file, and audit-logged access. Patient statements and receipts are structured so they don't leak clinical detail.
Is the checkout accessible?
Yes. Every payment screen is built and tested against WCAG 2.2 AA — full keyboard navigation, proper focus order, screen-reader-friendly labels and live-region status, sufficient color contrast, and mobile layouts that respect system text-size preferences. Accessibility is a first-class concern, not a bolt-on widget.
How much does it cost?
Rates are volume-based and typically more affordable than healthcare-specific processors — the more you process, the lower your effective rate. Because rates depend on your monthly volume, payment mix (cards vs ACH vs HSA/FSA), and average transaction size, we quote based on your actual practice numbers rather than publishing a single sticker price. Reach out and we'll put together a rate proposal.
Does it support concierge, DPC, and membership billing?
Yes — recurring billing is a first-class feature. Offer monthly, quarterly, or annual memberships with automatic renewal, staggered renewal reminders, failed-payment recovery (dunning), card-on-file for follow-up charges, and prorated cancellations. Concierge, DPC, and hybrid retainer models are all supported.
Does it work with the Doctor Rebrand Patient Portal?
Yes. Payment Processing plugs directly into the Patient Portal — patients see their membership, receipts, superbills, and payment history in one place, and the practice-side dashboard shows recurring revenue and churn without a separate login.
Do you accept HSA and FSA cards?
Yes. HSA and FSA cards are supported with the correct merchant-category coding so eligible visits clear without patients having to file paperwork after the fact.
Do you sign a Business Associate Agreement (BAA)?
Yes. A signed BAA is standard for every practice on Payment Processing. HIPAA requires it before you share protected health information with a vendor, and it's non-negotiable for us too.
Can I process refunds and handle chargebacks?
Yes. One-click refunds are logged from request to completion, and chargeback disputes come with actual assistance — we help you gather the documentation and respond to the card network, rather than just forwarding you the notice.

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