HEALTHCARE
The financial foundation for modern healthcare
Healthcare runs on complex financial workflows. Strengthen them—without replacing your
existing systems.
Reduce fraud and improper payments
Don’t wait for audits or clawbacks to expose weak controls. Strengthen them where risk enters.
Move money with certainty
Keep collections and payouts running smoothly. No manual fixes. No reconciliation headaches.
Make confident eligibility decisions
Remain consistent and auditable over time, thanks to stronger financial signals.
Healthcare is an ecosystem.
We’re built for all of it.
for PAYORS
Stop preventable risk at the source
Fraud and improper payments often begin during enrollment and eligibility—not at payment. Strengthen controls across health coverage programs before funds move.
Spot risk before benefits take effect
Prevent ineligible members and fraudulent providers from enrolling.
Replace self-reported income with verified data
Check income with real financial data before approving benefits.
Protect HSA/FSA onboarding
Verify payment accounts and authenticate members before HSA/FSA funds are used.
Prevent audits and clawbacks
Get the insights you need to make auditable, more defensible decisions.
Up to 20%
Increase digital enrollment completion rates up to 20%
10 seconds
Verify identities in as little as 10 seconds
40% savings
Pay by bank reduces payment costs by an average of 40%
for providers
Stabilize cash flow and
reduce friction
Revenue depends on getting payments right the first time. Strengthen onboarding and payment setup so patient bills and provider payouts move on time—less time fixing errors.
Secure provider onboarding
Authenticate accounts and validate payment details from day one—without slowing clinicians or staff.
Deliver payouts providers can rely on
Limit returned payments and manual reconciliation that disrupt cash flow and add administrative burden.
Improve the patient payment experience
Let patients pay directly from their bank account to expand payment options and reduce credit card fees.
Keep revenue predictable
Strengthen payment reliability without replacing your EHR or RCM systems.
Jamie Karraker
Co-founder and cto, alto50%
saved per high-value transaction with Plaid
for platforms
Build on financial
infrastructure that scales
Digital health platforms need payments and identity checks to work together. Plaid delivers both through modular infrastructure that integrates seamlessly with existing systems.
Embed identity and account verification
Integrate authentication and money movement directly into EHR, RCM, and benefits platforms.
Reduce failed payments at scale
Limit payment errors that create manual rework and delays across member and patient workflows.
Lower payment costs with ACH
Shift from expensive card rails to ACH and reduce payment costs by an average of 40%.
Grow without rebuilding core systems
Adopt modular capabilities that grow with your platform and evolving compliance needs.
Your questions, answered
Reach out if we didn’t answer yours.
How can healthcare organizations prevent fraud, waste, and abuse?
Healthcare organizations can prevent fraud, waste, and abuse by using verified financial data instead of paper documents and self-attested information. Plaid helps authenticate identities and validate accounts during enrollment and eligibility so customers can address risk before funds move.
How can ACH payments reduce healthcare payment costs and failures?
ACH payments reduce healthcare payment costs and failures by offering lower fees than credit and debit cards. At scale, enabling pay by bank helps organizations cut processing costs, reduce payment returns, and minimize reconciliation work across patient, provider, and member transactions.
How can financial data improve Medicaid, Medicare, and exchange eligibility decisions?
Financial data improves Medicaid, Medicare, and exchange eligibility decisions by supporting more accurate income and account verification. Plaid brings verified financial data into eligibility workflows, helping organizations make consistent, explainable, and defensible determinations across government programs.
How does Plaid help reduce fraud in healthcare payments and enrollment?
Plaid helps reduce fraud in healthcare payments and enrollment by strengthening identity verification and account validation. With Plaid IDV and Protect, customers can verify identities and assess fraud risk before approving accounts or moving funds.
How does Plaid improve payment reliability alongside core healthcare systems?
Plaid improves payment reliability alongside core healthcare systems by integrating with existing EHR, RCM, and benefits platforms. Plaid strengthens account authentication and pay-by-bank flows to reduce payment errors and rework without requiring organizations to replace core systems.
