clearbalance

What clearbalance does

ClearBalance, operated by CSI Financial Services, LLC, is a digital patient payment and financing platform serving US healthcare consumers. The company offers a web-based patient portal (myclearbalance.com) that enables patients to register accounts, configure customized 0% interest payment plans, make one-time or recurring payments via credit/debit card or electronic funds transfer from a checking account, add and manage family members on a single account, and receive SMS text alerts and email notifications for payment reminders. Patients access the program primarily through healthcare provider referrals at point of service, supplemented by a phone-based Patient Experience Center (888-334-4022) and self-serve online account management.

The platform is structured around partnerships with multiple regulated lending institutions — BOKF NA, Pathward NA, Republic Bank & Trust Company, Columbia Bank, WaFD Bank, Western Alliance Bank, and the captive ClearMed Finance LLC subsidiary — which originate and fund the revolving credit used for patient payment plans. ClearBalance earns transaction fees from participating lenders and healthcare providers for processing and managing these plans; specific contract terms and pricing to providers or lenders are not publicly disclosed. Patients access credit at 0% interest, with monthly billing cycles and customizable plan durations based on financial situation.

Distribution is a hybrid of healthcare provider referrals embedded in the billing workflow, self-serve portal usage, and a US-domestic call center. The company is privately held, operates exclusively in the United States, is CCPA-compliant (effective December 1, 2024), holds state-specific lending licensure (including Missouri for ClearMed Finance for 2025-2026), and has no disclosed venture capital or private equity backing, parent company, or public market listing.

Name

clearbalance

Legal name

CSI Financial Services, LLC

Website

https://myclearbalance.com

Company type

Private

Operating status

Operating

Short description

ClearBalance operates a digital patient payment portal offering 0% interest healthcare financing plans, connecting US patients with a network of partner banks through healthcare provider referrals at point of service.

Ownership category

akta.pro rank

Product category

Healthcare Patient Financing

NAICS

Activities Related to Credit Intermediation (5223), Financial Transactions Processing, Reserve, and Clearinghouse Activities (52232), Sales Financing (52222)

SIC

Personal Credit Institutions (6141), Hospital & Medical Service Plans (6324)

akta.pro primary industry

Healthcare Payouts (Payers-to-Providers, Patient Refunds) (FSAMAKAK)

akta.pro secondary industry

Payment Processing for Collections (Lockbox, ACH, Card, IVR) (FSAKAJAJ)

Keywords

• Patient financing solutions
• Healthcare payment plans
• Medical billing management
• Patient payment portal
• Healthcare revenue cycle

Headquarters

HQ city

San Diego

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Patient Payment Financing Facilitation: ClearBalance facilitates revolving credit accounts for patient healthcare payments. The company earns fees from participating lenders/healthcare providers for processing and managing patient payment plans. Patients make payments on revolving credit accounts managed through the ClearBalance portal.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

ClearBalance operates a patient payment portal (myclearbalance.com) that enables patients to register accounts, customize 0% interest payment plans for healthcare bills, and make payments online via credit/debit cards or ACH transfers. The company facilitates revolving credit accounts for patient healthcare payments in partnership with multiple lenders including BOKF, Pathward, and Western Alliance Bank, earning fees from healthcare providers and lenders for processing and managing these payment plans.

Product overview

ClearBalance offers a unified patient payment portal platform (MyClearBalance.com) that enables patients to manage healthcare payment obligations. The platform provides a single integrated system for account registration, flexible payment plan management, online payment processing, family account management, and automated notifications. The primary offering consists of this one portal with no separate modules or add-ons described.

Differentiator

Problem solved

Functional benefit

Products and services

• MyClearBalance.com Patient Portal Web-based patient payment portal enabling account registration, customizable payment plan management with 0% interest rates, online one-time and recurring payments via credit/debit cards or checking accounts, family member account management, and real-time payment tracking with automated notifications.
• Patient Financing Program (0% Interest Payment Plans) Healthcare patient financing program offering 0% interest rate revolving credit payment plans, enabling patients to spread medical costs over customizable monthly payment periods. Facilitated through partnerships with seven lending institutions including BOKF, ClearMed Finance, Pathward, Republic Bank, Columbia Bank, WaFD Bank, and Western Alliance Bank.

Segments1 record

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• ClearGage: Healthcare patient financing platform providing payment plans and revolving credit to patients of hospitals and medical practices. Comparable technology stack, lender-backed model, and provider-channel acquisition motion.
• CareCredit: Synchrony Financial's healthcare-focused revolving credit product. The most direct competitor to ClearBalance, offering patient financing at point of service across provider categories with an established national footprint and large lender balance sheet.
• AccessOne: Patient financing platform offering revolving credit and payment plans to healthcare providers and their patients. Closely comparable business model with multi-lender funding structure and provider-channel GTM.
• HealthFirst Financial: Patient financing provider offering interest-free and extended payment plans for medical, dental, and hospital bills. Competes head-to-head with ClearBalance on zero-interest revolving credit at point of service.

Emerging players

• PatientFi: Patient financing platform focused primarily on elective and cosmetic procedures. Overlaps with ClearBalance on patient installment lending but concentrated in elective healthcare rather than general medical bills.
• Walnut: Healthcare BNPL provider offering interest-free payment plans through hospitals and provider systems. Direct functional overlap on patient financing with provider-channel GTM, though smaller scale and more recent market entry.
• PayZen: Healthcare BNPL platform offering interest-free payment plans for medical bills, integrated with provider billing systems. Competes in the same patient-financing category but with a tech-forward, AI-enabled underwriting approach.

Broad incumbents

• Klarna: Global BNPL platform that has entered US healthcare with pay-over-time options for medical and dental services. Comparable BNPL mechanics, but ClearBalance is more deeply embedded in provider billing workflows and patient revolving credit specifically.
• Affirm: Public BNPL platform increasingly expanding into healthcare financing with pay-over-time products for medical procedures. Comparable BNPL mechanics but operates at much broader scale across retail and healthcare verticals.

Regional players

• MedPlan Logic: Healthcare payment plan management provider focused on hospital and provider receivables. Comparable in patient payment plan administration but with narrower product depth than ClearBalance's revolving credit model.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries1 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