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90% of Patients Say Loyalty Relies on Their Payment Experience

Sep 17, 2025 | Patient Experience

[This post was originally published on 10th April 2024. It has been updated on 17th September 2025.]

Healthcare payments are rapidly evolving, with patients now expecting payment experiences that feel as seamless and convenient as their everyday retail transactions. Recent studies show these expectations aren’t trivial preferences, they’re becoming deal‐breakers.

A recent study of healthcare payment systems revealed that 76% of patient billings go uncollected. Also, more than half of consumers say they’d switch doctors over a poor billing or payment experience. Clarity, speed, transparency-these now weigh as heavily as clinical care when it comes to loyalty. 

For chiropractic clinics, which often rely on recurring visits and word-of-mouth referrals, these shifts have big implications. When patients face confusing bills, delayed estimates, or no options to spread costs, trust erodes. And trust is what keeps someone coming back. In this evolving landscape, the payment experience isn’t just an administrative detail; it’s a core part of the patient journey and patient loyalty .The way you let patients pay or struggle to pay can earn or lose their trust.

What Patients Really Want in Their Payment Journey

Patients are no longer satisfied with just “I get treatment, I pay the bill.” Now, they have higher expectations and they’re not shy about walking away if those expectations aren’t met. The payment journey has become a true extension of the care experience, and here’s what today’s patients demand:

  • Radical transparency – No one wants a surprise bill after care. Patients expect accurate estimates and straightforward billing statements they can actually understand. Hidden fees or cryptic codes? Those are fast-track ways to lose trust.
  • Pay like they shop – In an age where you can buy groceries with a thumbprint, patients want the same convenience from their providers. Mobile wallets, online portals, text-to-pay, card-on-file, even tap-to-pay-if it’s easy and secure, they’ll use it.
  • Flexible ways to afford care – With medical costs rising, few patients can cover large balances upfront. Installment plans and flexible payment options aren’t just nice to have anymore; they’re expected. For practices, offering them not only builds goodwill but also reduces bad debt and keeps accounts receivable in check.

The payment process has become a loyalty touchpoint. Clinics that embrace clarity, convenience, and flexibility don’t just collect payments faster-they build lasting relationships that keep patients coming back.

How Chiropractic Clinics Can Elevate the Payment Process

For chiropractic clinics, the payment experience isn’t just about collecting revenue, it’s a major driver of repeat patient visits. By making payments simple, clear, and stress-free, you can turn what was once a point of friction into a competitive advantage. Here’s how:

  • Go digital with payments
    Patients expect to pay their chiropractor the same way they pay for groceries or streaming subscriptions, instantly and securely. Patient payment solutions for chiropractors, such as Text-to-Pay, emailed payment links, and integrated online portals, let patients settle balances anytime, anywhere, right from their phones.
  • Make care affordable with flexible plans
    Larger treatment packages or ongoing therapy can feel overwhelming if payment is due all at once. Offering installment options or financing not only helps patients commit to their care but also improves acceptance rates while reducing overdue balances.
  • Personalize every bill
    A simple invoice feels transactional. Instead, make it personal-add your clinic’s logo, address patients by name, list services clearly, and use plain language (not just billing codes). When patients understand their bill, they’re more likely to pay it without hesitation.
  • Set expectations before and after care
    Nothing builds confidence like upfront clarity. Share estimates before treatment begins, then follow up with easy-to-read invoices and automated reminders. When patients know what to expect and when to pay, it eliminates confusion and builds trust.

By treating the payment journey as an extension of care, chiropractic clinics can reduce stress for patients, speed up collections, and build loyalty that lasts far beyond the adjustment table.

What Chiropractic Software Must Offer to Power an Exceptional Payment Experience

In a survey, 56 percent of patients expressed a preference for digital payment options, including online payment through a mobile app, an in-office device, or via phone.

Text-to-Pay solutions integrated with chiropractic software enables patients to pay for chiropractic services using their preferred method, enhancing convenience and flexibility.

How it Improves Patient Satisfaction: 

  • Convenience: Patients can make payments anytime, anywhere.
  • Accessibility: By offering multiple payment channels, including mobile apps and phone payments, patients have greater flexibility in how they settle their bills.
  • Speed: Text-to-Pay streamlines the payment process, allowing patients to quickly and easily complete transactions, leading to faster collection of outstanding balances.
  • Satisfaction: By meeting patients’ preferences for digital payment options, chiropractic providers can enhance overall satisfaction levels and strengthen patient-provider relationships.

2. Offer multiple payment options

Patients have different preferences when it comes to making payments. By offering a variety of payment methods such as credit/debit cards, online payments, mobile payment apps, and installment plans, you can cater to their diverse preferences.

Multiple payment options reduce barriers to payment, making it easier for patients to settle their outstanding balances promptly and without any hassle. Ultimately, this enhances patient satisfaction by demonstrating your commitment to accommodating their preferences and providing a positive overall experience with your chiropractic services.

3. Personalize invoices and statements

Think about the last invoice or statement you sent to your patients. Was it personalized or fairly generic? A generic statement with much information on chiropractic services used, their pricing, and dates could be confusing for the patients.

Customizing statements and bills with your chiropractic practice’s details, such as name, logo, and contact information, can provide clarity to patients regarding their bills. It’s essential to include all details regarding the services provided. While an overload of information can overwhelm patients, too little might lead to confusion about the costs associated with their chiropractic care.

4. Nurture relationship with clear communication

By maintaining open and transparent communication channels, we can ensure that patients are well-informed about their financial responsibilities and understand the billing process.

Proactive communication through text and emails regarding payment options, billing statements, and payment due dates helps to minimize confusion and build trust with patients. By fostering a culture of clarity and transparency in patient communication, you can promote a positive payment experience.

zHealth Pay: Effortless Transactions for Enhanced Patient Satisfaction

To streamline your practice’s payments and elevate patient experiences, consider implementing chiropractic software with payment solutions. zHealth Pay, a payment processing solution for chiropractors, offers a range of reliable features designed to expedite payments and improve overall satisfaction: 

  • Payment terminals equipped for quick and seamless one-tap transactions
  • Convenient save card on file functionality for hassle-free future payments
  • Online payment capabilities with virtual statements and in-app payment options
  • Recurring payment options for membership plans, making services more accessible and ensuring timely payments
  • Automated payment processing for effortless, hands-off transaction management

 With zHealth Pay, you can optimize your payment processes, reduce friction for patients, and enhance their overall experience with your practice.

How zHealth Pay Helps

When it comes to chiropractic patient payments, convenience and clarity matter just as much as care. That’s why zHealth Pay is designed to make the payment process in chiropractic practices seamless for both patients and providers. Here’s how it works:

  • Instant digital payments – With Text-to-Pay and Online Bill Pay, patients can pay securely on mobile or web, just like they shop online. No delays, no friction.
  • Card-on-file & contactless options – Streamline repeat visits with secure card storage and tap-to-pay functionality, so checkouts are faster and stress-free.
  • Flexible payment plans & memberships – Whether it’s multi-visit care plans or ongoing therapies, zHealth Pay chiro payment software supports recurring billing and installment options that improve affordability and treatment adherence.
  • Automated virtual statements & reminders – Eliminate endless phone calls and reduce confusion with clear, automated billing communications. Patients get reminders before balances become overdue.
  • Fully integrated with your EHR – Unlike standalone tools, zHealth Pay connects payments directly with your chiropractic software, so clinical care, billing, and collections all flow through one unified platform.

With zHealth Pay, chiropractic patient payments aren’t just easier, they’re smarter. By giving patients the flexibility and transparency they expect, your practice collects faster, reduces bad debt, and builds the kind of loyalty that keeps patients coming back.

The Return on a Better Payment Experience

Improving the way patients pay isn’t just about convenience, it’s about growth. When you invest in patient payment solutions for chiropractors, you unlock one of the most powerful levers for loyalty and profitability.

Satisfied patients don’t just settle their bills more easily, they:

  • Come back more often for ongoing care
  • Refer friends and family, fueling steady new patient flow
  • Pay on time and more reliably, reducing AR headaches
  • Leave positive reviews, strengthening your clinic’s reputation online

And the numbers back it up: acquiring a new patient costs five times more than keeping an existing one. That means streamlining the payment process in chiropractic practices is one of the fastest and most cost-effective ways to boost retention and protect your bottom line.

Conclusion

If your clinic is still relying heavily on in-person payments, paper statements, or slow billing, now is a good time to modernize. Start by auditing your current payment workflow, identifying friction points, and then selecting software that supports modern payment expectations.

With zHealth Pay, you get a fully integrated, secure, and online payment systems designed specifically for chiropractic clinics. Make payments seamless, improve collections, and build loyalty with every transaction.

Ready to simplify your payment process? Discover how zHealth Pay can help your clinic grow.

Book a Free Consultation

Read more articles:

Choosing the Best Payment Processing Solution for Your Chiropractic Practice

How to Improve Patient Experience with Easier Payments: Tips for Chiropractors

Patient Engagement vs. Patient Experience: How To Improve Both at Your Practice

Complete Guide to Enhancing Patient Experience in 2025

Summary
How to Elevate the Patient Payment Experience - zHealth
Article Name
How to Elevate the Patient Payment Experience - zHealth
Description
Improving patient payments is vital for chiropractic practices. Explore zHealth's transformative features in our latest blog to elevate your practice. Read more!
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zHealth