PayZen

Affordability platform with pay-over-time for care

Our take

PayZen tackles healthcare affordability with a financing model rather than a billing interface. Its AI underwrites every patient and offers zero-interest, fee-free installment plans matched to what each person can actually pay, while the health system receives cash upfront and PayZen carries the repayment risk. A pre-care product, Care Now, Pay Later, extends the same approach before treatment, and the whole flow embeds into Epic and other EHR billing workflows so staff do not manage plans manually.

Founded in 2019 in San Francisco, PayZen closed a $232M Series B in 2024 led by NEA, combining $32M in equity with a $200M credit warehouse from Viola Credit and insurance investors. It works with roughly 60 health systems and physician groups, including Geisinger, CommonSpirit, and Appalachian Regional Healthcare System, and was named 2026 Best in KLAS for Patient Financing Services. For systems sitting on growing self-pay receivables, it is the most direct way in this group to turn them into predictable cash.

What it does

AI underwrites every patient for an affordable plan
Zero-interest, no-fee installment plans for patients
Pays providers upfront and takes on repayment risk
Care Now, Pay Later financing before treatment
Embedded in Epic and other EHR billing workflows

Where it's strong

Converts aging self-pay balances into upfront cash for the health system while patients get zero-interest plans, a genuinely different model from statement optimization vendors.
Approves every patient regardless of credit, which protects the patient experience and avoids the reputational problems of medical credit cards.
Serious capital behind it: an NEA-led Series B with $200M in credit warehouse capacity, plus about 60 health system and physician group clients including Geisinger and CommonSpirit.

What buyers should weigh

The provider pays for the upfront cash through program economics, so model the effective discount against your current self-pay recovery rate.
It addresses affordability and financing, not the whole billing experience; many systems pair it with a broader engagement platform.
Patient financing is credit-adjacent and drawing regulatory attention, so review compliance, disclosures, and collection practices carefully.

Latest

Named the 2026 Best in KLAS winner for Patient Financing Services, capping a 2025 that included a new COO and rapid customer growth.