ClearBalance HealthCare

What ClearBalance HealthCare does

ClearBalance HealthCare (legal entity: CSI Financial Services LLC) is a privately held U.S. company founded in 1992 and headquartered in San Diego that provides interest-free patient financing programs to hospitals and health systems. The company sits between healthcare providers and patients, absorbing patient payment obligations and enabling providers to recover revenue without recourse financing or patient interest charges; revenue is generated through subscription-style fees charged to provider organizations for program administration, rather than through interest charged to patients.

The company's product stack is built on a cloud-based patient financing and billing platform with deep Epic + MyChart integration (reported 98% user satisfaction). Core offerings include the ClearBalance Patient Financing Program, the Doorstep™ digital patient billing solution, a patient-facing portal at myclearbalance.com, and a provider-facing portal branded ClearPath. Together these components handle program enrollment, ongoing billing, and self-service account management for both patients and provider staff.

ClearBalance distributes its offerings through a hybrid GTM motion combining direct enterprise sales to U.S. hospitals and health systems with a strategic channel partnership with healthcare advisory firm LJO Advisors. The company is led by CEO Ray Freedenberg, operates with 101–250 employees, and has been recognized as Best in KLAS 2025 for Patient Financing and ranked #2 in the KLAS 2026 Patient Financing Services report with a score of 93.4. It holds no publicly disclosed funding rounds and reports no AI/ML capabilities in its current product descriptions.

Name

ClearBalance HealthCare

Legal name

CSI Financial Services LLC

Website

https://ClearBalance.org

Company type

Private

Founded year

1992

Operating status

Operating

Headcount range

51–100 employees

Short description

ClearBalance HealthCare provides interest-free patient financing programs and the Doorstep™ digital billing solution to U.S. hospitals and health systems, generating revenue through subscription-style provider fees. Its cloud platform integrates with Epic MyChart and serves both providers and patients via dedicated portals.

Ownership category

akta.pro rank

Product category

Healthcare Patient Financing Services

NAICS

Sales Financing (52222), Financial Transactions Processing, Reserve, and Clearinghouse Activities (52232), Ambulatory Health Care Services (621)

SIC

Hospital & Medical Service Plans (6324), Services-Prepackaged Software (7372), Services-Health Services (8000)

akta.pro primary industry

Patient Financial Engagement (Estimates, Billing Presentment, Payments) (HLACAEAI)

akta.pro secondary industries

Claims Management, Scrubbing & Clearinghouse (HLACACAB), Healthcare Billing & Patient Payments Presentment (FSAMAJAH)

Keywords

• Patient financing services
• Healthcare billing solutions
• Interest-free financing
• Patient payment platforms
• Healthcare revenue cycle

Headquarters

HQ city

San Diego

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Marketing or Sales, Operations, Others

Revenue model

1. Interest-Free Patient Financing Programs: ClearBalance provides interest-free patient financing programs to healthcare providers. The company generates revenue through fees charged to healthcare provider organizations for administering the financing programs, improving their cash flow, and reducing bad debt. The interest-free model is sustained by provider participation fees rather than patient interest charges.
2. Digital Engagement Tools: Digital engagement and billing tools (including Doorstep™) provided as part of the overall patient financial solution package to healthcare providers, likely bundled with the financing programs.

Go-to-market motion2 records

Distribution channels3 records

Marketing channels8 records

Core offering

ClearBalance HealthCare provides interest-free patient financing programs to hospitals and health systems, enabling healthcare providers to improve cash flow, reduce bad debt, and enhance patient affordability. The offering combines a core patient financing program with digital engagement tools (Doorstep\u2122), a provider portal (ClearPath), and a patient portal (myclearbalance.com) for program administration and self-service.

Product overview

ClearBalance HealthCare offers a unified patient financing platform centered on interest-free financing programs with digital engagement tools. The core offering includes the ClearBalance Patient Financing Program, complemented by the Doorstep™ digital billing solution, the Patient Portal (myclearbalance.com), and the Provider Portal (ClearPath). Together, these products enable healthcare providers to improve cash flow and reduce bad debt while helping patients manage healthcare expenses through accessible payment options.

Differentiator

Problem solved

Functional benefit

Brands

• Doorstep™: Digital patient billing solution designed to make healthcare payments easier

Products and services

• ClearBalance Patient Financing Program Interest-free patient financing program that helps healthcare providers improve cash flow, reduce bad debt, and enhance patient affordability. Designed for hospitals, health systems, and other healthcare provider organizations.
• Doorstep\u2122 Digital patient billing solution designed to simplify healthcare payments and make billing easier for patients and providers.
• Patient Portal (MyClearBalance) Online portal enabling patients to manage their healthcare expenses, view billing information, and access interest-free payment arrangements.
• Provider Portal (ClearPath) Secure login portal for healthcare providers to access the ClearBalance platform, manage patient accounts, and monitor program performance.

Quantifiable outcome

• 97.5% overall provider satisfaction rate – highest in the industry
• +3 more outcomes

Named customers2 records

Segments2 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature4 records

Partnerships

One partnership is on record.

• LJO AdvisorscoreStrategic or Co-development Partner · 10 February 2026LJO Advisors, a healthcare advisory firm, announced a strategic partnership with ClearBalance Healthcare to expand patient financial solutions across the firm's network of hospital and health system partners. ClearBalance provides interest-free patient financing programs and digital engagement tools designed to help healthcare providers improve cash flow, reduce bad debt, and enhance patient affordability. The partnership aims to address the pressure health systems face in balancing financial performance with patient experience.

Scale indicators5 records

Recent moves4 records

Expansion highlights4 records

Direct peers

• PayZen: PayZen is the most direct competitor to ClearBalance, offering patient financing and patient payment solutions to US healthcare providers. It overtook ClearBalance in the KLAS 2026 Patient Financing Services report with a score of 95.2 versus ClearBalance's 93.4.
• AccessOne: AccessOne provides patient financing programs to hospitals and health systems, including interest-free and low-interest options. It competes with ClearBalance in the same patient financing category and is regularly compared in KLAS and other industry reports.
• CarePayment: CarePayment offers patient financing and medical billing solutions to US healthcare providers, including interest-free payment plans. It is one of the established direct competitors in the patient financing category alongside ClearBalance.
• Cedar: Cedar is a patient financial engagement platform serving healthcare providers with billing, payments, and financing experiences. It overlaps directly with ClearBalance's Doorstep™ digital billing and patient financing offerings, and is widely seen as a more modern, software-led entrant.
• HealthBridge Financial: HealthBridge Financial offers patient financing programs tailored to hospitals and health systems. It is a niche but direct competitor in the same patient financing category where ClearBalance competes.
• Health Payment Systems (HPS): HPS provides patient billing and financing solutions to healthcare providers and payers. It competes in the same patient financial experience category where ClearBalance operates.

Emerging players

• Collectly: Collectly provides patient billing and payment solutions to medical practices and health systems. It overlaps with ClearBalance's patient financial engagement and digital billing capabilities, particularly for ambulatory and specialty providers.
• PatientFi: PatientFi offers patient financing primarily for elective and out-of-pocket medical procedures. While focused on a different end market (elective/aesthetic), it competes in patient financing mechanics relevant to ClearBalance's provider-based model.
• Phreesia: Phreesia is a patient intake, engagement, and payments platform widely used by US healthcare providers. While its primary footprint is patient intake and registration, it increasingly competes in the patient financial engagement layer that ClearBalance addresses.

Broad incumbents

• Waystar: Waystar is a large healthcare revenue cycle management platform that includes patient billing, payments, and estimation capabilities. While broader than ClearBalance, it overlaps in the patient financial engagement layer and is increasingly relevant to ClearBalance's buyer base.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/ClearBalanceHC
• LinkedInlinkedin.com/company/clearbalance

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about ClearBalance HealthCare