Collectly vs Flywire
Two Patient Payments & Billing vendors, side by side. Facts from public sources; judgments are ours.
At a glance
Derived from public facts · a rough scale, not a ranking
| Collectly | Flywire | |
|---|---|---|
| Pricing model | Subscription (per user or PMPM) · module and volume based, quote only | Per-transaction / per-chart · Payment processing fees, quote only |
| Speed to go live | 4 to 8 weeks with EHR sync | Deep Epic payment workflow integration |
| Automation model | Software platform · patient billing plus AI agents | Software platform · Patient payments embedded in MyChart |
| Built for | Mid-size groups, Enterprise systems, Billing companies | Enterprise systems |
| Security posture | HITRUST, SOC 2 Type II, PCI DSS, HIPAA | SOC 2 Type II, PCI DSS, HITRUST, HIPAA |
| Company maturity | 9 yrs (est. 2017) | 17 yrs (est. 2009) |
| Financial backing | $34M · Series A | Public (NASDAQ: FLYW) |
| Named customers | None public | 2 named |
| Published results | Specific numbers public | Specific numbers public |
| Documented integrations | 4 listed | 1 listed |
| Third-party validation | None found | KLAS / analyst cited |
Bottom line
- Pick Collectly if patient balances sit unpaid for 60+ days and you want digital-first statements and payments live within two months.
- Pick Flywire if you're a health system on Epic that wants patient payments and affordable payment plans embedded directly in MyChart and Resolute.
Collectly
Automated patient billing for medical groups
- Founded
- 2017
- HQ
- Santa Monica, CA
- Stage
- Series A
- Raised
- $34M
What it does
- Digital-first patient statements by text and email
- Self-serve payments and flexible payment plans
- AI agents answer patient billing questions
- Automated follow-up sequences until balance resolution
- Collections and DSO analytics for billing teams
- Connects to 30+ EHR and PM platforms
Where it's strong
- Purpose-built for medical groups and ambulatory practices, with quick EHR-connected deployment instead of an enterprise implementation.
- Publishes strong outcome claims: patient collections up 75%, DSO down to about 12 days, 93% patient satisfaction.
- Sapphire-led $29M Series A and 3x annual revenue growth suggest real momentum in the mid-market.
What buyers should weigh
- It has raised $34M against far larger competitors like Cedar, so weigh long-term vendor durability for enterprise commitments.
- Named customers are scarce in public materials; insist on references from groups your size and specialty.
- Hospital-scale organizations with deep Epic workflows are outside its sweet spot.
Integrations
Flywire
Public payments company with a healthcare affordability arm
- Founded
- 2009
- HQ
- Boston, MA
- Stage
- Public (NASDAQ: FLYW)
- Raised
- $263M pre-IPO
What it does
- Digital patient billing and payment portal
- Analytics-driven patient outreach and engagement
- Self-service payment plans, provider-funded or financed
- Integrated non-recourse financing up to 60 months
- Cross-border payments in 140+ currencies
Where it's strong
- Public-company scale and financial transparency, with proven deployments at very large systems like Banner Health and CommonSpirit.
- The affordability suite lets providers offer long payment plans without carrying receivables, since financed plans are funded non-recourse.
- A Forrester Total Economic Impact study commissioned by Flywire found clients can reach a 269% ROI.
What buyers should weigh
- Healthcare is one of four verticals alongside education, travel, and B2B, and recent capital went to travel (the $330M Sertifi deal), so healthcare is not the company's center of gravity.
- It covers patient payments and engagement, not claims, denials, or payer-side revenue cycle work, so you still need other RCM tooling.
- Best suited to large systems with high patient-pay volume; smaller groups may not justify the platform.
Named customers
Banner Health · CommonSpirit Health
Integrations
Compare against the rest of Patient Payments & Billing
Deciding between these two?
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