Billing in QuickBooks
Customer-by-customer, invoice-by-invoice. Mid-month adjustments require manual recreation. Aging report is rebuilt every Monday.
For TPAs
The platform built
for the TPA you actually run.
You're not running a fintech. You're running a third-party administrator with employer groups, brokers, carriers, and a hundred edge cases. PayGate replaces the QuickBooks-plus-spreadsheet stack with one engine designed for your reality.
90%
Less staff time on billing
1
Platform replaces 4
Days
Not weeks on provider pay
70+
Support employees
The current stack
We know what you're running today.
We have walked into dozens of TPA operations. The stack is almost always the same. And it works — until it doesn't.
Commissions in spreadsheets
Per-carrier rate cards live in someone's Excel file. Reconciliation is a multi-day exercise every month.
HSA cards through a generic bank
The bank doesn't understand healthcare. Cardholder support routes member calls back to your operations team.
Provider payments on a batch cycle
Practices wait weeks for funding. Your team fields the calls. The bank takes the float.
What changes on PayGate
One platform. Real numbers.
The functions that consume your operations team's time, running on one engine.
- 90% staff time reduction on billing & commission workflows
- One platform for invoicing, commissions, HSA card, and provider payments
- Real-time provider payments (days, not weeks)
- HealthOne dual-function HSA card backed by Discover
- Integration with your existing TPA infrastructure
Ready to talk
Bring us your billing stack.
Free 30-minute billing audit. Not a demo — an audit. We'll come back with a real number for your environment.