Healthcare Payment Processing — by Specialty

Every healthcare vertical has its own MCC, its own billing pattern, and its own underwriting story. We build merchant accounts to match — signed BAA on day one, interchange-plus pricing, HSA/FSA IIAS routing, and native integration with the EHR or PMS your specialty actually runs.

🛡 HIPAA · BAA Day One🔒 PCI DSS Level 1⚡ 24-Hour Approval💳 HSA / FSA IIAS🔌 40+ EHR / PMS📈 Interchange-Plus

Medical Practice Payment Processing

Multi-provider groups need NPI-level reporting and HSA/FSA routing on every front-desk swipe.…

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Dental Payment Processing

Dental DSOs need a parent MID with location-level descriptors; HSA/FSA volume runs 18–24% of receipts.…

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Veterinary Payment Processing

Vet practices accept Care Credit and Scratchpay alongside the merchant account — we route both on one statement.…

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Behavioral Health Payment Processing

Behavioral health MIDs require specialty underwriting — most generic processors freeze the account on the third recurring transact…

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Mental Health Payment Processing

Solo therapists and group practices both benefit from text-to-pay and HSA/FSA acceptance for self-pay clients.…

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Chiropractic Payment Processing

Chiropractic practices average 8–14 visits per patient/year — card-on-file recurring is the right billing model.…

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Physical Therapy Payment Processing

PT clinics need eligibility-driven copay prompts and 30-day balance retries — manual collection takes 45+ days.…

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Optometry Payment Processing

Optical retail revenue funnels through the same MID — we configure split tender so vision plans, FSA, and self-pay land on one bat…

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Dermatology Payment Processing

Dermatology practices need two configurations: medical MID for insured visits, retail MID for cosmetic/Botox/laser.…

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Podiatry Payment Processing

Podiatry sees 38% Medicare patients — eligibility runs and same-day patient-responsibility quotes are required.…

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OB/GYN Payment Processing

OB/GYN practices need installment billing for global packages plus IVF self-pay processing with high-dollar approvals.…

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Pediatric Payment Processing

Parents pay for siblings on a single card — link patient IDs to one card-on-file token for family billing.…

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Urgent Care Payment Processing

Urgent care has < 2 minutes for checkout — terminals must accept HSA/FSA, contactless, and PIN debit in one flow.…

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Med Spa Payment Processing

Med-spas are high-risk MCC 7298 — generic processors decline; we underwrite to cosmetic-medical interchange.…

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Plastic Surgery Payment Processing

Plastic surgery needs high single-transaction limits (often $25K+) and integration with Alphaeon, CareCredit, and PatientFi.…

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Orthopedic Payment Processing

Orthopedic groups bill 18% DME alongside professional services — DME requires separate MID with MCC 5047.…

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Cardiology Payment Processing

Cardiology sees $400–$2K patient balances post-deductible — payment plans with auto-retry are required.…

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Oncology Payment Processing

Oncology practices need foundation-grant reconciliation, large balance financing, and weekly billing cycles aligned to infusion sc…

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Home Health Payment Processing

Home health requires per-visit batch settlement and integration with EVV systems for Medicaid claims.…

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Hospice Payment Processing

Hospice families need compassionate billing — payment plans with no late fees and one-call balance management.…

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DME Payment Processing

DME is MCC 5047 high-risk — most processors won't underwrite. Specialty MIDs handle recurring resupply billing and rental conversi…

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Pharmacy Payment Processing

Pharmacy is the highest-volume HSA/FSA category — IIAS auto-substantiation is required, not optional.…

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Telehealth Payment Processing

Telehealth is 100% CNP — most generic MIDs flag it as suspicious. Specialty underwriting prevents account freezes.…

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Concierge Medicine Payment Processing

Concierge needs subscription billing (annual upfront or monthly) with dunning, proration, and dependent management.…

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Direct Primary Care Payment Processing

DPC operates on monthly subscriptions — $75/adult, $25/child is typical. Auto-retry on card decline keeps churn under 2%.…

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Fertility & IVF Payment Processing

Fertility needs high single-transaction approval ($50K+), patient financing integrations (Future Family, CapexMD), and refund-prog…

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Audiology Payment Processing

Audiology sells durable medical goods with multi-year warranties — payment plans and HSA/FSA acceptance both required.…

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Ambulatory Surgery Center Payment Processing

ASCs need patient-responsibility estimation, pre-payment collection, and split billing between facility MID and physician MIDs.…

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Pain Management Payment Processing

Pain management runs 50%+ Medicare and recurring injections — automated balance billing post-EOB is critical.…

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Naturopathic Medicine Payment Processing

Naturopathic ND practices are 80%+ self-pay — HSA/FSA acceptance and package billing drive 30% revenue lift.…

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Acupuncture Payment Processing

Acupuncture clinics bill packages upfront — recurring storage of card-on-file plus split tender for retail herbs.…

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Functional Medicine Payment Processing

Functional medicine runs six-month programs at $5K+ — installment billing with HSA/FSA acceptance lifts close rate 22%.…

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Weight Loss Clinic Payment Processing

GLP-1 clinics need recurring subscription billing ($300–$600/mo), refill cadence enforcement, and HSA/FSA acceptance for qualifyin…

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Hospital Payment Processing

Hospitals need facility-wide MID structure with department-level reporting, plus integration with Epic/Cerner patient access workf…

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Laboratory & Diagnostic Payment Processing

Labs bill thousands of small balances post-EOB — text-to-pay and ACH auto-pay drop collection cost from $14 to $2.10 per balance.…

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Radiology & Imaging Payment Processing

Imaging centers need pre-service estimates (Good Faith Estimate compliance), pre-payment collection, and split TC/PC billing.…

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Nursing Home Payment Processing

Skilled nursing facilities need monthly recurring billing, resident trust fund management, and family-portal payment access.…

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Assisted Living Payment Processing

Assisted living communities need ACH-first billing (avoid 3% card fees on $5K monthly bills) plus level-of-care adjustments mid-cy…

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Occupational Therapy Payment Processing

OT clinics split between pediatric (parent-billed) and adult — copay defaults and HSA/FSA both required.…

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Speech Therapy Payment Processing

SLP recurring sessions billed weekly via card-on-file — parents prefer monthly statements with itemized session history.…

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Don't see your specialty?

We underwrite every healthcare MCC. Talk to a specialist about your practice and we will scope a custom MID.

Talk to a Specialist