Collecting Payment
When you document an encounter using a workflow in our app, you have the option to bill the customer’s credit card (whether for a cashpay service, or their responsibility for a medical claim) right in our app. For many services you can also generate and submit a medical claim to get reimbursed for the encounter.
Here is an example of the billing options at the end of an encounter:
If you are not billing insurance, you have the option to charge the credit card that your patient has on file, or hit the ‘Patient Paid Cash’ button and collect payment through your POS. Note: Some pharmacies choose to run credit cards through their own POS - if you do that, simply press that ‘Patient Paid Cash’ button to continue with the workflow.
If you do want to bill through medical insurance, simply choose yes, and hit continue. You will see the medical claim information for the current encounter on this screen, so you can review it before you continue.
Getting Paid
Many pharmacies love the ease and time saving of documenting and charging for a service all in one spot, but a common question we’ve heard from pharmacies considering billing through our app is, “how will I get the money that is charged through the app?” Payments look a little different for credit card charges and medical claims. Let’s break those down:
How do you get paid when billing the customer’s credit card through the app?
Anytime you hit the ‘Charge Patient Credit Card’ button or when a medical claim comes back with the need to collect a payment for the patient responsibility where we have a credit card on file - this will get charged through our platform and we will send you the payment.
For either of these cases where we would charge the patient’s credit card on your behalf and the revenue will be reflected on a monthly basis on your invoice from us. You will see the total applied as a credit toward the fees you owe us, or, if the revenue you’re owed is more than your fees for that month you will receive a payment from us. We will send any money owed to you via check or ACH (direct deposit) depending on your account setup.
For a cash pay service you will see this payment right away on your next monthly invoice. For a patient’s portion of a service that has been submitted to medical insurance, there is a bit of a lag as the claim is processed through the medical insurance company.
How do you get paid when billing medical insurance?
When your claim results in a reimbursement, payors will send you their portion of the payment directly either via paper check or ACH depending on your setup with them.
Our platform will track your claims and can show you the reimbursement amounts that are headed your way, but the money is never in our hands. It goes directly from the payer to your pharmacy.