9:41
9:41
Tuesday, May 12
CP Hawaii Clinic
now
Hi Julie — your balance from your 4/28 visit is $208. Tap to pay: hi.clinicpay.health/4tx
Hawaii Clinic
1234 Kailua Rd, Suite 200
Kailua, HI 96734
Statement
May 12, 2026
Acct #JK-29841
Bill to
Julie K.
123 Mokulele Drive
Honolulu, HI 96815
Office visit — Dr. Tanaka4/28/26 · CPT 99213 $208.00
Total due
Due by June 11, 2026
$208.00
Pay online
Scan with your phone camera
hi.clinicpay.health/4tx
Questions? Call (808) 555-0100
Step 01 · Bill delivery

Three ways to get the bill. Patient's choice.

Text, email, or paper with a QR code. Whichever channel reaches the patient first, all three land on the same payment page.

  • SMS with magic-link — no password, no login form
  • Branded email with one-click pay button
  • Scannable QR on the mailed paper bill — phone camera, one second
Step 02 · The payment page

One page. Every way to pay.

Apple Pay, Google Pay, PayPal, card, ACH, HSA — all on one branded page. Magic-link authentication means no password.

  • Wallet primary — one biometric tap, done
  • PayPal, card, ACH, HSA / FSA — patient picks
  • Saved card shown automatically if patient enrolled at check-in
9:41
H Hawaii Clinic
Hi Julie, your balance is
Total due
$208.00
VisitApril 28, 2026
ProviderDr. Tanaka
Pay with wallet
Card
PayPal
Saved card Visa •••• 4321
H Hawaii Clinic
Check-in
Welcome back, Julie
Skip the bill. Just get receipts.
Save your card and set a comfort limit. Future balances under your limit get charged automatically.
Card on file
Visa •••• 4321 · 12/27
Auto-charge balances up to
$50
$100
$200
$500
$1,000
Send me
Text receipt only — no bill
Text receipt + email summary
Enroll in autopay
Maybe later
9:41
H Hawaii Clinic
After payment
Save card. Skip next bill.
Want us to handle small balances automatically next time?
Visa •••• 4321
$50
$100
$200
$500
Receipts only · no bills
Enroll in autopay
Step 03 · Recurring billing setup

Set up autopay two ways.

At check-in on the front-desk iPad, or on the patient's own phone right after their first ClinicPay payment. Same form, same outcome — small balances handle themselves, patient gets receipts instead of bills.

  • Front desk path — staff hands the iPad to the patient at check-in
  • Self-serve path — offered on the phone after a patient pays a bill
  • Patient picks the limit — $50 to $1,000, configurable per practice
Step 04 · After payment

Receipt sent. HSA-ready.

Email receipt automatic. For patients submitting to their HSA administrator, an IRS-compliant PDF is one tap away — no phone call to the office.

  • Itemized PDF with NPI, CPT, date — accepted by HealthEquity, Fidelity, Optum
  • Practice never fields the call for HSA documentation
  • Admin dashboard updates in real time
9:41
H Hawaii Clinic
Payment Sent
$208.00
Paid toHawaii Clinic
MethodVisa 4321
Receipt2026-04-118
View receipt
HSA receipt
Hawaii Clinic
HSA / FSA Receipt
Itemized Statement
Julie K.
Hawaii Clinic
NPI 1417301245
Office visit (CPT 99213) · 4/28/26
Paid $208.00
Eligible for HSA / FSA reimbursement

Modern patient payments. Without rebuilding what works.

Pilot with us if you run a practice, a billing service, or a regional PMS.

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