Payments & POS

Take the money without losing the account.

Optimization clinics get shut off by card processors more than almost any other kind of practice — because they sell prescription products. Aminova routes money the way that keeps you running.

Stripe or SquareRx routed correctlyTerminal & card on fileSuperbills
app.aminova.health · Taking A Payment
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Charging a visit, then a medication

And why the two take different paths.

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1

The reason clinics get shut off

Stripe and Square both prohibit prescription products in their terms, and they enforce it — usually by freezing the account with the balance in it. Clinics selling GLP-1s and testosterone find this out the hard way, mid-month. Aminova assumes it will happen and routes around it by design.

2

One processor, not a pile of them

A clinic banks with Stripe or with Square. Connecting one blocks the other rather than quietly leaving both half-configured, because two live processors means reconciliation nobody can do and subscriptions stranded in the wrong place. Switching is deliberate, and we walk you through it.

3

Cash-pay is the normal case here

Most optimization clinics run on cash, cards and memberships rather than claims. Everything — visits, packages, injectables, supplements, recurring plans — is built for that first, with insurance available for the clinics that want it rather than assumed for everyone.

Rx routing

Medication does not touch a card rail.

This is a rule in the system, not a guideline in a manual. A charge that is a medication cannot be run on the clinic’s standard processor — it goes to a terminal or to a processor that permits it. That keeps the account that pays your rent out of the firing line.

  • Medication charges blocked on the standard card rail, in code
  • Routed to a terminal or a high-risk processor instead
  • Visit and service revenue stays on your normal processor
  • Recurring plans that include medication are caught too

How A Charge Routes

Office Visit — $150 Stripe / Square
IV Drip — $180 Stripe / Square
Testosterone Cypionate Terminal Or Corepay
Semaglutide — Monthly Terminal Or Corepay

The split is enforced whether the charge is one-off or recurring.

In person & on file

The desk, the room, and the card you already have.

Take payment at the front desk on a terminal, from a card on file for a membership renewal, or from the patient in their own app. All of it posts to the same ledger against the same patient.

  • Terminal payments at the desk or in the room
  • Card on file for renewals and no-show fees
  • Patients pay in your branded app
  • Refunds capped at what was actually taken

Today — Payments

Terminal $2,140
Card On File — Renewals $1,795
Patient App $430
Refunded $150

One ledger, whichever way the money came in.

Recurring revenue

Memberships that bill themselves.

Plans charge on schedule against the card on file, on whichever processor the clinic banks with. A decline marks the subscription past due and moves on rather than stopping the whole run — and a failed card is visible instead of silent.

  • Monthly, quarterly and annual plans, billed automatically
  • Runs on Stripe or Square — whichever you connected
  • Declines flagged for follow-up, not swallowed
  • A period is never double-billed, even on a repeated run

This Month’s Billing Run

Charged Successfully 84 Plans
Declined — Card Needs Updating 3
Medication Plans — Collect On Terminal 11
Already Billed This Period Skipped

Idempotent by period — a re-run cannot double-charge.

Paperwork

Superbills without becoming an insurance practice.

Plenty of cash-pay patients want to try their own reimbursement. Issue a superbill and let them file it themselves — you get paid at the time of service and stay out of the claims business entirely.

  • Superbills issued from the visit, with the codes filled in
  • Patient files it themselves — you are paid up front
  • HSA and FSA cards work like any other card
  • Full transaction history, exportable for your accountant

Superbill — Issued

Visit & Codes Populated
Provider NPI On File
Paid At Time Of Service $180
Sent To Patient Via App

You are paid before the patient ever contacts their insurer.

How it works

Three moves, one platform.

1 Connect

Connect the processor your clinic already banks with — Stripe or Square. One of them, not both.

2 Charge

Services, IVs, aesthetics and memberships run on that processor, in person or on a card on file.

3 Route

Medication is deliberately kept off the card rail and sent to a terminal or a high-risk processor instead.

Everything money-related.

Your brand, one login, no stitched-together stack.

Stripe or Square

Connect the one you already bank with. Not both.

Rx routing enforced

Medication never runs on a standard card rail.

Terminal payments

Take it at the desk or in the room.

Card on file

Renewals, packages and no-show fees.

Memberships & packages

Recurring plans billed on schedule.

Pay in your app

Patients settle balances in your branding.

Superbills

Let patients seek their own reimbursement.

One ledger

Every charge, refund and plan against the patient.

Refund guardrails

Never refund more than was actually taken.

Questions

Why can’t we put medication on our normal card processor?

Because Stripe and Square both prohibit prescription products in their terms of service, and enforce it by freezing accounts — usually with your balance inside. This is the single most common way an optimization clinic loses its ability to take money. Aminova blocks it in code so nobody does it by accident on a busy afternoon.

So how do we get paid for medication?

A card terminal, or a processor that permits prescription products, such as Corepay. Your visit and service revenue stays on your normal processor. It sounds like more work than it is — the split is automatic once it’s set up, and it’s the difference between a frozen account and a running clinic.

Can we use both Stripe and Square?

No, deliberately. Two live processors means reconciliation nobody can actually do and subscriptions stranded on the wrong one. Connecting one blocks the other, and switching is a deliberate step we walk you through rather than something that half-happens.

Do you take a cut of our payments?

No. You pay your processor’s normal rates directly and Aminova charges you a flat monthly fee. We are not in the middle of your money, which is also why we can’t be the reason it stops.

What about HSA and FSA cards?

They work exactly like any other card on the same rails. Whether a particular purchase is eligible is between the patient and their plan administrator, not something we can determine for them.

Can patients pay their balance themselves?

Yes, in your branded app — balances, membership renewals and package purchases. Anything that would route to the medication rail is handled separately rather than being quietly put on their card.

See it in action.

A 15-minute walkthrough, configured for how your clinic runs.