For practices that accept insurance, getting paid doesn’t end when claims are submitted. A significant portion of revenue depends on collecting patient responsibility — the out-of-pocket costs clients owe, like copays, deductibles, and coinsurance.

Manually chasing down payments, calculating coinsurance, or tracking deductible status can be frustrating, error-prone, and time-consuming. It slows down cash flow and creates unnecessary friction with clients.

That’s why Healthie now makes it easier than ever to automate patient responsibility billing, ensuring you get paid on time and clients have a smoother payment experience.

What Is Patient Responsibility?

Patient responsibility refers to the portion of a healthcare bill that clients pay directly, even with insurance coverage. It typically includes:

• Copay: A flat fee (e.g., $30 per visit).
• Deductible: The total amount a client must pay before insurance coverage begins.
• Coinsurance: A percentage of the service cost a client pays once the deductible is met.

These costs are common — but they can be tricky for providers to manage without the right tools.

The Challenge with Manual Billing

Even when the amounts seem straightforward, billing for patient responsibility is rarely simple.

• Copays and deductibles often change each year
• Deductible status may not be clear until claims are processed
• Coinsurance requires accurate CPT-level configuration
• Manual invoicing leads to missed payments and client confusion

The result? Lost revenue, increased admin burden, and billing processes that don’t scale.

A Smarter Way: Automating Patient Responsibility with Healthie

With Healthie’s new automation tools, practices can now auto-charge or auto-invoice clients for their portion of the bill — no manual steps required.

Here’s how it works:

1. Configure Patient Responsibility
   • Select how responsibility should be billed in a client’s insurance profile: copay, deductible, or coinsurance.
2. Set Your Billing Logic
   • Auto-Charge: Healthie charges the client’s card 2 days after an appointment is marked Occurred.
   • Auto-Invoice: Healthie generates and sends an invoice immediately after the appointment.
3. Let Healthie Do the Math
   • The platform automatically calculates what the client owes based on appointment type, pricing rules, and insurance data.

Example Scenarios

• Client has a $25 copay and card on file → Healthie charges $25 automatically.
• Client owes 30% coinsurance on a $100 contracted rate → Healthie bills $30.
• Deductible unmet → Healthie bills the full contracted amount.
• No card on file, auto-invoice enabled → Client receives invoice via email.

Why It Matters for Your Practice

• No more manual invoicing after every visit
• Fewer billing errors and missed copays
• Faster payments and improved cash flow
• Better client experience with timely, transparent billing
• Smarter workflows for providers, admins, and billing teams

Whether you handle billing yourself or work with a billing partner, automating patient responsibility saves time and reduces risk.

Getting Started

If your practice accepts insurance, this feature can help you streamline collections and prevent missed payments.

👉 Learn how to set up automated patient responsibility billing

Wrapping Up

Billing for patient responsibility doesn’t have to be a headache. With Healthie, you can intelligently automate copays, deductibles, and coinsurance to improve revenue cycle management and ensure your clients have a clear, seamless payment experience.

‍