With surcharge pricing, patients will pay a 2.75% processing fee for credit card transactions. By law, only credit card transactions are eligible for surcharge pricing. Your practice will still pay standard payment processing rates if the patient uses a debit card or other payment methods.

Surcharge pricing is the process of passing your payment processing fees onto your patients by adding additional fees to credit card transactions

Surcharge pricing is only available in some locations, due to local legal & regulatory requirements.

Surcharge pricing does not require Ledger sync - all Payments customers (in available jurisdictions) will be able to use it.

For use with NexHealth Payments.

Surcharge pricing works for all NexHealth payment collection methods—on Terminals, in Payment requests, and when charging a saved patient payment method.

Overview

Turn on Surcharge pricing

Once you enable surcharge pricing, all credit card payment collections will automatically attach surcharge pricing.

Eligibility is based on the listed address of your business.

Surcharge pricing is currently only available in the US.
Practices in Connecticut, Massachusetts, and Puerto Rico are not eligible.

1. Go to Gear icon → Settings → Processing fees.

You can find the gear icon in the upper right, and Processing fees at the bottom of the left sidebar.

2. Toggle on Surcharge pricing.

A teal switch means that surcharge pricing is on.

3. Select I understand the legal & regulatory requirements.

When you turn on surcharge pricing, you will need to acknowledge that you understand the legal & regulatory requirements. These will vary based on location.

Signage must be displayed near the point of sale, and at the point of entry to the business. We provide a printable pricing notice PDF to use. The notice is automatically tailored to your specific jurisdiction. (For example, Colorado has a unique disclaimer.)

You can also copy this setting to multiple locations at once by clicking Copy under Surcharge pricing, then selecting locations to copy this setting to.

Use Surcharge pricing

Once you enable surcharge pricing, all payment collections through NexHealth will…

…automatically detect whether the attempted payment method is eligible for surcharge pricing.
…automatically notify customers using a credit card about surcharge pricing before they complete the transaction.
…and append the surcharge to credit card transactions, and reflect the surcharge fees in patient receipts and NexHealth Payments reports.

1. Initiate collection and select your method of collection.

Begin payment collection through your preferred method, select procedures and/or a custom amount to collect for, and Send request, Process payment, or Use terminal to collect payment.

2. Collect payment.

If you Send request, NexHealth will notify the patient about surcharge pricing if they enter a credit card as payment.
If you Charge credit card on file, you will be reminded to verbally notify the patient about surcharge pricing before charging a credit card.
If you Use terminal, the terminal will notify the patient about surcharge pricing before they swipe or tap their payment card.

In New York and Maine, in accordance with state laws, instead of displaying the cost of the procedure (e.g. $100) and then the surcharge fees (e.g. $2.75), we display the combined amount in payment requests ($102.75). When paying, the patient will see a disclaimer that indicates that they will receive a discount if they use a debit card.

Receipts & Refunds

Receipts will display the surcharge as a separate line item.

When the terminal transaction is complete, the patient will receive a receipt to their email, and you can also View receipt within NexHealth. The receipt will display the surcharge as a separate line item, in line with legal requirements.

Refunds will automatically partially or entirely refund surcharges.

If the payment that you’re refunding had surcharge fees added, you need to refund a proportionate amount of those collected fees back to the patient along with the refund amount. When initiating a refund in NexHealth, enter the pre-fees amount that needs to be refunded into the left field (i.e. the cost of care being refunded, ignoring surcharge fees). NexHealth will automatically calculate the surcharge fees to be refunded on the right. This ensures perfect accuracy and compliance.

For example, assume you requested a $100 payment and the patient paid a credit card. The surcharge fees were $2.75, so the patient paid $102.75 total.

To refund the entire payment, you would type $100 into the Gross refund amount field. NexHealth would automatically calculate that $2.75 in surcharge fees need to be refunded as well, and issue a full $102.75 refund.
To make a partial refund, you would type the cost of care you want to refund into the Gross refund amount field. If you want to refund $40 of care, NexHealth will automatically calculate that $1.10 in surcharge fees also need to be refunded, and issue a $41.10 refund.