Patient Billing Services

Insurance pays its share. The patient balance is what sits open for months. Fast Pay Health now collects it for you: a weekly call in your practice's name, a secure payment link, every payment posted. You pay only on what we collect.

Lakeside Family Medicine
Hi Maria, this is Fast Pay Health calling on behalf of Lakeside Family Medicine about your visit on Aug 14. Your insurance has paid its portion and there is a remaining balance of $86.20.
Thanks, paying now
Lakeside Family Medicine · Balance due$86.20Pay securely

Patient balances are where practices lose money.

Insurance pays its share. Then the patient's portion goes on a statement, the statement goes in a drawer, and the front desk means to follow up between check-ins.

Most practices we work with have tens of thousands of dollars sitting in patient balances older than 30 days. Not because patients refuse to pay, but because nobody has the time to call them.

Patient Billing Services is that call. Every week, in your office's name, with a secure link to pay.

Claims this weekSummit Orthopedics
99214 · Aetna$184.00
73630 · BCBS$96.50
99213 · Medicare$112.30Submitted
20610 · Cigna$71.00Resubmitted
97110 · UHC$43.00

Revenue cycle management

Our billing team works your insurance side every day. Fewer stuck claims, faster reimbursements, and a dedicated account manager whose whole job is your A/R. Works with the EHR and practice management system you already have.

  • Claims submission, monitoring and follow-up
  • Medical coding
  • Patient eligibility verification
  • Denial management
  • Accounts receivable cleanup
  • Provider credentialing and enrollment
  • Daily transaction posting, with reporting you can actually read
See all RCM services
Hi Maria, this is Fast Pay Health for Lakeside Family Medicine. After insurance there is a balance of $86.20 from your August visit.
Pay securelypay.fastpayhealth.com/k3v9m
Paid, thank you!

Patient Billing Services

We take over the patient balances your office never gets to. You pay a percentage of what we collect, and nothing on what gets written off.

  • Weekly pull of aging patient balances
  • A call to each patient explaining the balance
  • Secure payment link by text or email
  • Every payment posted and reconciled daily
  • Weekly work-list summary and a monthly collections report
  • One dispute flag that stops all contact
Request a free practice analysis

How our patient billing service works

It runs on a weekly cycle. You see everything we do, and you can stop any account with one flag.

We start with a free practice analysis

Before anything is signed, we pull your patient balances that are 30 or more days past the statement date with a final EOB on file, leave out anything disputed, and show you the total. If it is under $10,000, we tell you it is not worth it.

Practice analysis: patient balances
Accounts 30+ days past statement, final EOB received · prepared Nov 3
AgingAccountsBalance
31 to 60 days42$6,118.40
61 to 90 days37$5,702.10
91 to 120 days29$4,390.75
Over 120 days51$7,884.00
Eligible balances159$24,095.25

3 accounts excluded: flagged as disputed in PMS

Every week we call, in your office's name

Short calls, HIPAA verification first, no balance left on voicemail. We explain what the patient owes and why, then text or email a secure payment link. We never take card numbers over the phone. If a patient wants to pay in person, we send them to your front desk.

Northgate Dermatology
Hi James, this is Fast Pay Health for Northgate Dermatology. After insurance there is a balance of $142.00 from your Sept 9 visit. Questions? Call us at the number on your statement.

Payments are posted the same day, and you get a summary every week

Every payment through the link is posted to the right account and reconciled daily. Any difference is fixed within 24 hours. Each week you get the work-list summary, and each month a collections report with payments, write-offs, referrals and what is still open.

Weekly work list summary: Summit OrthopedicsFrom Fast Pay Health · Monday 8:02 AM
Hi Dana, here is where last week landed.
Patients contacted63
Payments posted$4,310
New disputes1
One account was flagged disputed in your PMS on Thursday, so contact stopped and it is back with your office. 12 accounts hit the 90-day threshold and were written off per your settings. Full list attached.

You decide what happens to what is left

Whatever is still unpaid at your aging threshold, 90 days by default, is written off. If you chose collections in your agreement, it is referred instead. Settlements, discounts and payment plans are always your call, not ours.

Your settings
Set at onboarding, changed any time by your billing contact
Aging threshold90 days
After thresholdWrite off
Payment systemYour existing processor
Card details by phoneOff
Dispute controlDISPUTED flag in PMS

Four commitments in every patient billing agreement

These are the same four things our sales team says on every call, and they are written into the agreement.

  1. We do not take card or bank details. Patients pay through the secure link or at your office. If you want us to take cards by phone, that is a separate signed authorization, and the details go to your office through a secure channel so you run the charge.
  2. You pay on what is collected. A percentage of the patient payments we actually bring in, or the monthly minimum, whichever is greater.
  3. Write-offs cost nothing. If a balance is written off, you are not billed for it.
  4. You control disputes. Flag an account as disputed in your system and all contact stops. It is back with you within one business day.

"Partnering with Fast Pay Health is one of the better decisions we have made in managing our practice. Their team is a welcome extension of our practice."

Julie Honda, OD

Why practices stay with Fast Pay Health

You get a dedicated account manager who knows your practice, not a ticket queue. Transactions are posted daily so your receivables are never stale. You can take the full suite or just the pieces you need. And on the insurance side, clients have seen net collections rise by more than 90% in their first few months.

Request a free practice analysis

What patient billing could return for your practice

Estimates only, using the same math our sales team uses to set your tier: 40% of your monthly patient payments is the balance we expect to work, the tier sets the rate, and you keep the rest. Real numbers come from your free practice analysis.

$88,000
$10k$300k
Balances we would work each month$35,200
Your tier6.75% · $2,000 min
Estimated monthly fee$2,376
Estimated kept by your practice$32,824

Fee is the tier rate on what is collected or the monthly minimum, whichever is greater. Write-offs are not billed.

Three practices from our ROI sheet
PracticeMonthly patient paymentsBalances workedMonthly fee
Small$27,691$11,077$1,000 minimum
Medium$88,489$35,395$2,389
Large$235,614$94,245$6,362

The large practice above pays about 6.75 cents on each dollar we bring in. Everything else goes back to the practice, and anything that ends up written off costs nothing.

Request a free practice analysis

Patient Billing Services pricing

The rate depends on how much your practice collects in patient payments each month. It is the same list for every practice and it drops as your collections grow.

Estimated monthly collected patient paymentsRateMonthly minimum
Under $10,00012.00%$750
$10,000 to $35,0008.00%$1,000
$35,001 to $100,0006.75%$2,000
$100,001 to $250,0006.00%$4,500
Over $250,0005.25%$7,500

How your tier is set: we take your average monthly patient payments over the last three months and use 40% of that as the estimate. It is re-checked every quarter against actual collections. Setup: existing Fast Pay Health RCM clients pay no setup fee; stand-alone practices pay $500 once. One month's minimum is due at signing. Term: 12 months. Out-of-scope work is $40 an hour, and you pay your payment processor directly. Co-pays, day-of-service payments, refunds and agency recoveries are never billed.

Onboarding: live in ten business days

Nothing starts without a signed agreement and BAA. From there, this is the schedule.

What we do
What you do
Days 1 and 2
Confirm the agreement and BAA, send you a short checklist, assign your call and posting team.
Name a billing contact. Confirm your payment system and aging threshold.
Days 3 to 5
Get access to your practice management system, build the weekly work list, set up payment links and posting codes, load the call script with your office name.
Grant access. Set up the DISPUTED alert. Confirm patients have consented to billing calls and texts.
Days 6 to 8
Pull the first work list and run one test payment from link to posted balance.
Review the list. Flag disputes, payment plans and hardship accounts.
Days 9 and 10
Go live. Outbound calls start and the inbound line opens.
Send scanned in-office receipts within 48 business hours from here on.
Day 30 and 60
Review collections, calls, reconciliation and the fee with you. Tier re-checked at day 90.
Join the review call.

Patient billing FAQ

Our front desk already follows up on balances.

They do it between check-ins, phone calls and everything else, so balances age. We call every week, post everything, and send you the summary. You keep control through the dispute flag.

Will patients complain about the calls?

The calls are short, use your office's name, and go through HIPAA verification before any balance is mentioned. Voicemails never include a balance. If a patient disputes anything, contact stops and it comes back to you within one business day.

What about card security?

We do not take card or bank details. Patients pay through the secure link or at your office. If you specifically want us to take cards by phone, you sign a separate authorization and we pass the details to your office through a secure channel so you charge the card.

Why is there a monthly minimum?

It covers the weekly calling and posting work whether or not patients pay that month. Above it, you pay only on money we collect, and write-offs are free.

Can the rate be negotiated?

No. The price list is the same for every practice. The rate drops on its own as your collections move into a higher tier.

Does this work with our EHR?

Yes. We work inside the EHR or practice management system you already use, across more than twenty platforms.

Is provider credentialing included?

Yes. Credentialing and payer enrollment are part of the RCM service.

Is this HIPAA compliant?

Yes. Our billing services meet HIPAA and PCI standards, and nothing starts without a signed BAA.

Get a free practice analysis

Tell us a little about your practice and we will pull your 30+ day patient balances and show you the total within two business days. No commitment. If it is not worth it, we will say so.

Already a Fast Pay Health RCM client? Your account manager can start this for you.

Free practice analysisTwo business days, no commitment

We pull balances 30+ days past statement with a final EOB and send you the total.