PaySec + RXNT: Affordable EHR/PM Meets Zero-Fee Patient Payments

Rachel D.2026-04-30

How practices using RXNT's cloud-based health IT suite are eliminating credit card processing fees with PaySec's Network Offset Pricing.


RXNT has earned a loyal following among healthcare practices that want comprehensive health IT tools without enterprise-level pricing. Its cloud-based suite covers EHR, practice management, e-prescribing, and medical billing in an affordable, integrated package that serves solo providers, small groups, and community health centers. Practices choose RXNT because they want functionality without financial strain.

But even practices that save on their EHR still lose money on something they rarely scrutinize: credit card processing fees. Every copay, patient balance, and payment plan installment processed by card carries a 2.5-3% fee that silently erodes practice revenue. For a three-provider group collecting $28,000 per month in patient payments, that adds up to more than $9,000 per year — money that disappears into the processing pipeline without delivering any value to the practice or its patients.

PaySec extends the affordability philosophy that brought you to RXNT by eliminating processing fees entirely through Network Offset Pricing. If affordability drove your EHR decision, it should drive your payment processing decision too.

What Is the PaySec + RXNT Integration?

PaySec complements RXNT's billing and practice management modules by serving as the payment collection layer. Through Network Offset Pricing (NOP), patients see two prices at the point of payment: a cash/check/ACH price and a card price. The card price includes a small network offset that covers the cost of processing, so the practice receives the full patient-owed amount regardless of payment method. NOP is legal in all 50 states, compliant with card network rules, and HIPAA compliant with a BAA available.

PaySec operates alongside RXNT without requiring changes to your clinical workflows, charting, or e-prescribing setup. It handles the payment side while RXNT handles everything else.

The Real Cost of Processing Fees for RXNT Practices

Practice ProfileMonthly CollectionsProcessing RateAnnual Cost
Solo provider$10,0002.8%$3,360
2-3 provider group$28,0002.7%$9,072
Multi-specialty (5+ providers)$55,0002.6%$17,160
Community health center$40,0002.7%$12,960

For a solo provider, $3,360 per year in processing fees represents a significant chunk of take-home income. For a multi-specialty group, $17,160 is the cost of a part-time medical assistant. These are not trivial amounts, and they are entirely eliminable.

How Network Offset Pricing Works with RXNT

In-Office Payment Example

A patient owes $185 after insurance adjustment. At the front desk:

Payment MethodAmount
ACH/Bank Transfer$185.00
Credit/Debit Card$192.40

The patient selects their preferred payment method. The practice receives $185.00 either way. The payment applies directly to the patient account in the RXNT billing module.

Patient Balance Example

A patient with a $450 outstanding balance receives a text-to-pay link:

Payment MethodAmount
ACH/Bank Transfer$450.00
Credit/Debit Card$468.00

The patient can pay at their convenience through the online portal or text link, with dual pricing clearly displayed.

Payment Plan Example

A patient on a $100/month payment plan for a $600 balance:

Payment MethodMonthly Amount
ACH/Bank Transfer$100.00
Credit/Debit Card$104.00

Over the six-month plan, the practice saves $24 on this single patient. Across dozens of patients on payment plans, the annual savings compound significantly.

Integration Features

  • In-office NOP terminal — PCI Level 1 compliant contactless terminal at front desk and checkout
  • Patient payment portal — online 24/7 self-service payment with dual pricing
  • Text-to-pay — SMS payment links for outstanding patient balances
  • Email payment requests — payment links embedded in patient statements and communications
  • Payment plan support — installment billing at zero processing cost per payment
  • HIPAA compliant — BAA available for protected health information
  • No contracts, no minimums — matches RXNT's accessible, affordable approach
  • Billing module compatibility — payments post to RXNT billing for clean reconciliation
  • Multi-provider support — works across all providers and locations within the practice

Who Benefits Most?

The PaySec + RXNT integration is designed for cost-conscious practices that chose RXNT for its affordability and want the same value from their payment processing. This includes solo providers where every dollar of overhead reduction directly impacts take-home income, small group practices processing $15,000-$50,000 per month in patient collections, community health centers where budget efficiency directly affects the number of patients that can be served, and any RXNT practice that has accepted processing fees as inevitable and wants to discover they are not.

Getting Started

  1. Sign up for a PaySec merchant account. Approval takes 3-5 business days with no minimum processing volume required.
  2. Deploy the NOP terminal and configure the patient payment portal. PaySec ships the terminal to your practice and sets up online payment access.
  3. Connect to your RXNT billing workflow so payments post cleanly to patient accounts.
  4. Go live and start collecting every patient payment — copays, balances, and payment plans — at zero effective cost.

PaySec + RXNT: affordable health IT deserves affordable payment processing. Zero fees on every patient payment means your practice keeps the full value of every dollar it collects.

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