Pre-encounter card capture, recurring subscription telehealth billing, and integration with Doxy, Updox, Zoom for Healthcare, and platform-native virtual visit tools — payments authorize before the visit starts so the encounter never converts to A/R.
Why does telehealth need its own processing setup?
Telehealth visits are 100% card-not-present, often involve subscription telehealth plans, and have higher dispute rates than in-person care. Underwriting for telehealth MIDs accounts for the CNP profile up front so the MID does not get frozen during volume ramps.
How does pre-encounter card capture work?
The intake flow collects card on file before the visit link is sent. At visit start, the visit fee authorizes; at visit end, the auth captures. Subscription telehealth uses the same token for recurring monthly billing under a clear renewal disclosure.
What about chargebacks from telehealth visits?
Telehealth dispute reasons cluster around "service not received" — typically a missed visit the patient forgot they scheduled. Pre-visit SMS reminders, recorded visit-start timestamps, and signed informed-consent records all serve as representment evidence and run win rates above 60%.
How does this pair with subscription telehealth?
Subscription telehealth (DTC weight-loss, ED, dermatology, hormone, mental health) is fundamentally recurring billing on a healthcare MID. Pair with recurring payment plans infrastructure plus clear pre-renewal notifications and the dispute profile stays clean.
Frequently asked questions
How fast can you get approved?
Most healthcare practices are approved within 24 hours of complete application submission. Specialty MIDs (dental DSO, behavioral health groups, DME) may take 48–72 hours while underwriting reviews trailing statements and licensure.
What does it cost?
Interchange-plus pricing — typically 2.4% + $0.10 per card transaction with no setup fee and no monthly minimum. ACH is 0.5–1.0%. You see interchange cost, assessments, and our markup on a single itemized statement.
Is the platform HIPAA-compliant?
Yes. We sign a BAA, tokenize all card and bank data before it touches your systems, and segregate PHI from payment metadata. EHR / PMS integrations move only the minimum necessary data for posting.