PayZen
PayZen is an AI-powered healthcare fintech that provides hospitals and health systems with patient financing solutions. It uses machine learning and 30,000+ data points to create personalized, interest-free payment plans that increase provider collections by approximately 30%.
- Company typePrivate
- Founded2019
- HeadquartersSan Francisco, United States
- Headcount101–250
- GTM typeB2B
- OfferingSoftware
What PayZen does
PayZen is a San Francisco-based healthcare fintech founded in 2019 that provides AI-powered patient affordability and financing solutions to U.S. hospitals and health systems. Its platform uses machine learning underwriting driven by 30,000+ data points to assess each patient's ability to pay and generate personalized, interest-free, fee-free payment plans, achieving a stated 78% enrollment success rate with sub-minute decisioning. The product portfolio includes the Affordability Financing Platform, Care Card (a Mastercard-branded debit card issued by Patriot Bank, N.A. for pre-service and recurring financing), Post Care (post-service payment plans), Balance Sheet Boost (liquidity for existing receivables), and Financial Assistance Automation (presumptive charity screening, status: coming soon).
PayZen monetizes through transaction fees paid by healthcare provider partners: the company pays hospitals upfront for patient invoices, assumes patient default risk, and earns a take rate on financed volume, supplemented by Care Card program economics. Go-to-market is enterprise field sales targeting hospitals and IDNs of all sizes, supported by pre-built integrations into Epic App Orchard, Cerner/Oracle Health, Meditech, Athenahealth, and Veradigm that enable four-week implementations without IT investment, plus channel partnerships with Capstone Health Alliance and Iowa Hospital Association/ServiShare GPOs. The company is venture-backed (~$277M raised across seed through 2024 Series B led by NEA), has approximately 101–250 employees, operates from San Francisco with a secondary Tel Aviv office, and reports 100% provider retention with a 71 patient NPS.
PayZen firmographics
Firmographics- Name
- PayZen
- Legal name
- PayZen Inc.
- Website
- https://payzen.com
- Company type
- Private
- Founded year
- 2019
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- PayZen is an AI-powered healthcare fintech that provides hospitals and health systems with patient financing solutions. It uses machine learning and 30,000+ data points to create personalized, interest-free payment plans that increase provider collections by approximately 30%.
- Ownership category
- akta.pro rank
PayZen industry classification
Industry- Product category
- Healthcare Patient Financing
- NAICS
- Financial Transactions Processing, Reserve, and Clearinghouse Activities (52232), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Services-Prepackaged Software (7372), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Patient Financial Engagement (Estimates, Billing Presentment, Payments) (HLACAEAI)
- akta.pro secondary industries
- Bill Pay, Invoicing & Payables Platforms (BPAMAFAF), Embedded Payments (Pay-ins, Pay-outs, Wallets) (FSAGALAB)
Keywords
Where PayZen is headquartered
LocationHeadquarters
- HQ city
- San Francisco
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
PayZen business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Marketing or Sales, Operations, Infrastructure
Revenue model
- Provider Transaction/Financing Fees: PayZen pays hospitals upfront for patient invoices and offers zero-interest, fee-free payment plans to patients. Revenue is generated through fees charged to healthcare provider partners, with the company assuming the risk of non-payment while guaranteeing providers get paid immediately.
- Care Card Program: PayZen administers the Care Card program issued by Patriot Bank N.A. The card is accepted everywhere Mastercard is accepted and enables pre-service and recurring payment financing for patients.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Pay-as-you-go | Interest-free, fee-free patient payment plans |
Go-to-market motion3 records
Distribution channels3 records
Marketing channels6 records
PayZen product offering
Product offeringCore offering
PayZen provides AI-powered patient financing solutions to hospitals and health systems, paying providers upfront for patient invoices while offering zero-interest, fee-free personalized payment plans to patients. The platform uses AI and 30,000+ data points to underwrite patients' ability to pay and deliver personalized payment options via pre-built EHR integrations. Care Card, Post Care, and Balance Sheet Boost are core offerings that address pre-service, post-service, and existing receivables financing for healthcare providers.
Product overview
PayZen is an AI-driven patient affordability platform that provides a unified healthcare financing ecosystem. The core platform consists of the Affordability Financing Platform, supplemented by two primary product modules: Care Card (for pre-service and recurring payments) and Post Care (for post-service payment plans). Balance Sheet Boost enables providers to transition existing payment plans for immediate liquidity, while Financial Assistance Automation (coming soon) adds upstream screening capabilities. All products leverage AI-powered underwriting using 30,000+ data points to offer personalized, zero-interest, fee-free payment plans aligned with each patient's ability to pay.
Differentiator
Problem solved
Functional benefit
Products and services
- Care Card A Mastercard-branded debit card issued by Patriot Bank, N.A. that enables flexible pre-service and recurring patient financing. It works everywhere Mastercard is accepted and helps providers remove financial barriers, increase point-of-service collections, and drive patient loyalty.
- Post Care Post-service payment plans that offer interest-free, personalized payment options based on patients' ability to pay rather than sending accounts to collections. Helps providers improve patient affordability while reducing bad debt.
- Balance Sheet Boost A financing solution that allows healthcare providers to transition their existing book of patient payment plans to PayZen, unlocking immediate cash flow while simplifying patient payment management.
- Affordability Financing Platform An AI-powered integrated platform that automates manual processes to address patient affordability needs end-to-end, from pre-service to post-service payment collection. Features pre-built EHR integrations, automated workflows, and 30,000+ data point underwriting for personalized, zero-interest, fee-free payment plans.
Quantifiable outcome
- 30% average collection lift for health systems
- +5 more outcomes
Companies that use PayZen
Customer profileNamed customers8 records
Segments2 records
Ideal customer profiles1 record
PayZen technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration6 records
AI capability6 records
Feature5 records
PayZen partnerships and signals
Strategic signalPartnerships
Twelve partnerships are on record, tiered flagship, core and minor.
- UTMB (University of Texas Medical Branch)flagshipUTMB partnered with PayZen and Geisinger to launch the Care Card product, enabling flexible patient financing for pre-service and recurring healthcare expenses.
- Iowa Hospital Association (ServiShare)corePayZen signed partnership agreement with ServiShare, a subsidiary of the Iowa Hospital Association, to serve as the preferred patient financing provider for member hospitals.
- Epic Systems (App Orchard)flagshipPayZen's technology was approved by Epic to offer its 'Care Now, Pay Later' solution on the Epic App Orchard Marketplace. This integration enables Epic-using health systems to easily adopt PayZen's financing solutions.
- GeisingerflagshipGeisinger partnered with PayZen to launch AI-backed financing solution for patients. Any patient with out-of-pocket cost over $250 can create personalized payment plans. Geisinger achieved 23% increase in payment adherence.
- Capstone Health AlliancecoreCapstone Health Alliance, a group purchasing organization based in Fletcher, NC, partnered with PayZen to offer member hospitals access to individualized patient payment plans powered by AI.
- Cerner (Oracle Health)corePre-built EHR integration with Cerner (now Oracle Health) enables seamless data exchange and payment plan enrollment for health systems using Cerner's electronic health record system.
- MeditechcorePre-built integration with Meditech EHR system allowing health systems using Meditech to access PayZen's patient financing solutions.
- AthenahealthcorePre-built integration with Athenahealth network enabling seamless implementation for Athenahealth users seeking patient financing solutions.
- Paterson Health CentercorePatterson Health Center, serving Harper County, Kansas and surrounding regions, partnered with PayZen to enhance pre- and post-service collection processes and offer patients more affordable payment options.
- Palomar HealthcoreCalifornia's largest healthcare district partnered with PayZen to provide patients with seamless, interest-free payment options while enhancing access to care.
- Vim (digital health company)minorPayZen partnered with Vim, a digital health company, alongside Revenue Cycle Management firm RMS to provide interest-free payment plans via hospital systems.
- RMS (Revenue Cycle Management firm)minorPayZen partnered with RMS (Revenue Cycle Management firm) to provide interest-free payment plans via hospital systems as part of stealth launch in January 2021.
Scale indicators10 records
Recent moves6 records
Expansion highlights6 records
PayZen competitors and assessment
Company assessmentDirect peers
- ClearBalance Healthcare: ClearBalance is one of the largest U.S. patient financing companies and PayZen's closest direct competitor, ranked #2 by KLAS in 2026 (93.4 score). Both offer zero-interest, fee-free payment plans to hospitals with similar ability-to-pay underwriting approaches.
- CarePayment: CarePayment is a long-established patient financing provider serving hospitals and health systems with 0% interest payment plans. KLAS 2026 ranked CarePayment at 86.6, directly competing with PayZen for the same provider RFPs and patient populations.
- iVitaFi: iVitaFi is a healthcare patient financing company that scored 92.7 in KLAS 2026, ranking just behind PayZen. Both target hospitals/health systems with patient payment plan products and compete head-to-head in mid-market and community hospital accounts.
- AccessOne: AccessOne is a patient financing company serving hospitals with low-interest and zero-interest payment plans, ranked 76.6 by KLAS 2026. AccessOne focuses on flexible financing programs and competes directly with PayZen in the community and regional hospital segment.
- Curae: Curae is a patient financing platform for healthcare providers, ranked 88.7 by KLAS in 2026. Curae offers healthcare-focused financing solutions and competes with PayZen for hospital revenue cycle partnerships.
Emerging players
- Cedar: Cedar is a patient financial experience platform that combines billing, payments, and engagement for healthcare providers. While not a direct patient financing competitor, Cedar overlaps with PayZen on patient payment engagement, estimates, and billing presentment workflows.
- Collectly: Collectly is a patient billing and payments platform that helps healthcare providers automate outstanding balances and payment plans. It overlaps with PayZen's Post Care and patient communication automation products but takes a different approach to underwriting.
- HealthPay24: HealthPay24 is a patient payment estimation and engagement platform used by hospitals to provide pre-service estimates and post-service payment options. It competes with PayZen in the patient financial experience category, particularly for pre-service collections.
Broad incumbents
- CareCredit: CareCredit is a Synchrony Financial product offering patient financing for healthcare expenses across providers, dentists, and veterinarians. As a broad incumbent with a credit-card-based model, CareCredit competes with PayZen's Care Card for pre-service patient financing share.
Others
- Flywire: Flywire is a global payments platform with a healthcare vertical; PayZen has a payment integration with Flywire. While Flywire's core focus is cross-border patient payments, the integration partnership and overlap in healthcare payment rails make it a relevant ecosystem peer.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
PayZen social profiles
Digital presencePayZen compliance and trust
Trust signalCompliance2 records
PayZen financial estimates
Financial estimateRevenue estimate
Valuation estimate
PayZen leadership team
Management profileNumber of profiles
Profiles13 records
PayZen funding detail
Funding detailFunding overview
Funding rounds7 records
Investors10 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
PayZen M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about PayZen
What does PayZen do?
PayZen provides AI-powered patient financing solutions to hospitals and health systems, paying providers upfront for patient invoices while offering zero-interest, fee-free personalized payment plans to patients. The platform uses AI and 30,000+ data points to underwrite patients' ability to pay and deliver personalized payment options via pre-built EHR integrations. Care Card, Post Care, and Balance Sheet Boost are core offerings that address pre-service, post-service, and existing receivables financing for healthcare providers.
Is PayZen a public or private company?
PayZen is a private company. It is classified as venture growth investor backed and is currently operating.
When was PayZen founded?
PayZen was founded in 2019. It employs 101 to 250 people.
Where is PayZen based?
PayZen is headquartered in San Francisco, United States, in the North America region.
How does PayZen make money?
Two revenue lines are on record. Provider Transaction/Financing Fees are the primary driver. The others are care Card Program.
Who are PayZen's main competitors?
Direct peers on record are ClearBalance Healthcare, CarePayment, iVitaFi, AccessOne and Curae. Emerging players are Cedar, Collectly and HealthPay24. CareCredit is listed as a broad incumbent. Flywire is listed as an others.
Does PayZen have an API?
No public API is recorded for PayZen.
What industry is PayZen in?
PayZen's product category is Healthcare Patient Financing. Its primary akta.pro industry code is HLACAEAI, Patient Financial Engagement (Estimates, Billing Presentment, Payments), with a secondary code of BPAMAFAF, Bill Pay, Invoicing & Payables Platforms. Its NAICS code is 52232 and its SIC code is 7372.