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  3. Payments
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How do I set up my Payments to pass the fee on to the patient?

Last updated 19 September 2025 00:49   ∙   ~ minute read
Best Practice - Medical Director (Pracsoft) - Zedmed  - HotDoc Calendar 

Question

How do we set up our Payments to automatically pass on the cost of the fee (1.75% +30c) to the patient? 

Solution

These settings are on by default for new clinics using Payments or Routine Requests.

If you start using HotDoc Routine Requests, you will be required to enable this setting for all online payments in order to standardise the fee structure and have the simplest reconciliation experience. Please see Routine Requests FAQs for more.

ⓘ Please note

 

Enabling the 'Provider Processing Fee' setting in the HotDoc Dashboard automatically passes on the payment processing fee to patients.

Screenshot 2023-12-21 at 1.51.09 pm.png

  • For example, if the cost of an appointment is $80 and the processing fee is $1.70, we will automatically add the fee and charge the patient $81.70 and your practice will receive $80. 

Please review the cost of your appointments in your Dashboard to ensure the amount entered is the same amount you would like to receive from the patient ($80). Changes will come into effect immediately after enabling this feature.

For reconciling your HotDoc payments to the invoices in your practice software, you should use the 'subtotal net' in the reporting section moving forward. There will be no need for you to add a manual expense to account for a fee.

Please see How do I reconcile my HotDoc payments to the receipts in my practice software? for our recommendation on reconciling your payments. 

 

How to enable the setting

 

 

  1. In the Dashboard, go to Payments > Payment Setup, make sure the Accounts tab is selected, and you will see the setting under Provider Processing Fee:

    Screen_Shot_2023-02-23_at_3.23.50_pm.png

  2. Tick the box next to Patient pays processing fee. 
    Screen_Shot_2023-02-14_at_11.38.14_am.png

  3. A pop-up modal will then appear:
    1. If you are setting up payments for the first time - Skip this modal, tick the box and select the green button to continue:
      Screen_Shot_2023-02-23_at_3.27.21_pm.png

    2. If you are already using HotDoc Payments - Review the Estimated Costs for all your appointment types to ensure the cost is the amount you want to receive from the patient: (eg. $80 not $81.73). 

      To do this, click the green Payments Setup > Appointment Setup link:

      Screen_Shot_2023-02-23_at_2.39.34_pm.png

    3. You'll be directed to the Payment Setup > Appointment Setup page to review the costs and select Edit if required:

      Screen_Shot_2023-02-23_at_2.42.08_pm.png

    4. Adjust the amount, entering what you want to receive from the patient and press Save, then go back to the payment setup and repeat the steps for your other appointment types:

      Screenshot 2023-12-21 at 10.27.44 am.png

    5. Go back to Payments Setup > Accounts and tick the box next to patient pays processing fee, then tick the box in the modal, and select Start passing on the fee now.

      Screen_Shot_2023-02-14_at_11.31.45_am.png

  4. We will start automatically add on the processing fee for all payments related appointments or requests, when you collect payment. Please see How to collect a payment for a patient's appointment for more information. 
    • Note: If you're already using payments, any appointments that were made prior to enabling this setting, when collecting payment for these appointments you may need to manually adjust the amount to collect to avoid overcharging the patient. 

  5. When a patient adds a payment method, they'll be advised a processing fee will be added to the cost of their appointment and receive an email with this information once payment has been collected. To see what the patient will see, please view Payments - The Patient Journey

  6. When reconciling your HotDoc payments to your invoices, you should use the subtotal net amount in the reporting section, and do not need to account for the fee. For more information, please see:
    1. How do I reconcile my HotDoc payments to the receipts in my practice software?
    2. How do I use Payments Reporting to reconcile payouts to my bank account?
    3. How do I reconcile my payments if I pass on the processing fee to patients?
    4. Payments Reporting and Reconciliation FAQs

 

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