Telehealth Payment Processing

Traditional payment processors reject telehealth businesses primarily due to HIPAA compliance concerns. Most processors aren't willing to sign Business Associate Agreements or implement the technical and administrative safeguards required to handle PHI. They view the regulatory risk as too high—potential for massive HIPAA violation fines, legal liability if patient data is compromised, and complex audit requirements that don't fit their standard operational procedures.

Beyond HIPAA, processors worry about medical malpractice liability, patient disputes over care quality, and the potential for fraud in online prescription services. The industry's rapid growth has attracted bad actors—pill mills, unlicensed practitioners, and fraudulent telehealth platforms—creating a compliance headache for processors. Rather than invest in proper due diligence and monitoring systems, most traditional processors simply reject all telehealth applications, regardless of the merchant's legitimacy and compliance measures.

Paysuki provides fully HIPAA-compliant payment processing for telehealth businesses, with signed BAAs, encrypted data transmission, and comprehensive audit logging. Our platform is architected specifically for healthcare payments—transaction data is tokenized immediately, PHI is never stored in clear text, and all system access is logged for compliance audits. We undergo annual HIPAA compliance audits and maintain detailed documentation of our security controls, giving telehealth businesses confidence that their payment processing meets all regulatory requirements.

Our platform handles the complex payment scenarios common in telehealth. We support insurance copay collection alongside patient responsibility amounts, subscription billing for membership programs, per-visit charges for specialty consultations, and payment splitting between multiple providers or organizations. Our payment orchestration engine can route funds to different accounts based on rules you define—splitting fees between doctor, platform, and practice group while maintaining clear audit trails for each stakeholder.

We integrate with major EHR/EMR systems including Epic, Cerner, and Athenahealth, as well as telehealth-specific platforms like Doxy.me and SimplePractice. This means patient payment information can flow securely between systems without manual data entry, reducing errors and improving patient experience. Our API supports healthcare-specific workflows including payment plan management, financial assistance programs, and patient balance tracking across multiple encounters.

Security extends beyond HIPAA compliance to comprehensive fraud prevention tuned for telehealth patterns. We flag suspicious activity like patients attempting to obtain multiple prescriptions from different providers, stolen card testing, and synthetic identity fraud. Our chargeback protection is designed for healthcare disputes, with documentation templates specific to medical services and experience dealing with patient disputes over care quality versus fraudulent charge claims.