Patient, insurer, provider: one payment record
Split payments across patients and payers, settle providers on time, and reconcile claims to cash on a single auditable ledger.
One appointment, three payers, months of settlement
Healthcare payments split across parties that settle at different speeds.
A single visit collects a co-pay today, bills an insurer that pays in weeks, and settles the provider net of platform fees, while claims get adjusted, denied, and resubmitted. Matching cash to care is a full-time job.
Patient co-pays and insurer portions for the same visit live in different systems.
Insurer remittances arrive weeks later, batched, and rarely match the claims sent.
Provider payouts are computed from spreadsheets that lag adjustments and denials.
Refunds and claim reversals restate money that was already settled.
_PROOF/ Healthcare platforms run patient-to-provider flows on Formance, claims matched to cash continuously.
From visit to provider settlement
Co-pay now, insurer later, provider paid from both.
The co-pay posts at the visit, the insurer receivable tracks the claim until remittance lands and matches, and the provider's payable accrues from both, net of fees, settled on schedule.
The primitives healthcare platforms need
Built on the open-source Formance ledger.
Multi-payer visit accounting, claims-aware receivables, and derived provider settlement, composed for care platforms.
Patient, insurer, and subsidy portions of one visit tracked as linked postings on a single encounter.
one visit, one record
Claims as explicit receivables with lifecycle states (submitted, adjusted, denied, paid), always reconciled to cash.
claims-to-cash
Provider payables derived from co-pays and remittances net of fees, settled on schedule; statements come straight from the log.
derived payouts
Batched insurer remittances normalize and match against open receivables continuously, flagging underpayments immediately.
underpayments flagged
Read the docsCare-grade accounting, by design
A visit posts both payers at once
Co-pay collected, insurer receivable opened: one operation.
One Numscript transaction records the patient's co-pay and opens the insurer receivable for the balance of the visit, both linked to the same encounter.
Trusted by builders
“Formance enabled us to ship new lending products faster by providing a customizable foundation that let us reliably express the complexities of our flow of funds.”
Embedded finance · reconciliation across 14 countries
See customer story
“Formance is the foundation of our Financial OS, the open-source approach lets us retain control over this key component.”
Healthcare · Financial OS
“Formance helped us kick off our move into fintech, with robust infrastructure and intuitive developer tooling.”
Benefits · fintech infrastructure
Built for regulated money.
Enterprise controls, the certifications auditors ask for, and an immutable record, out of the box.
09:41:07Z AUDIT gateway POST /api/ledger/v2/main/transactions 200 sub:ops@acme.io
09:41:09Z LOG id:4093 NEW_TRANSACTION ledger:main
09:41:12Z LOG id:4094 SET_METADATA ledger:main
09:41:15Z LOG id:4095 REVERTED_TRANSACTION ledger:main
09:41:18Z AUDIT gateway GET /api/ledger/v2/main/logs 200 sub:audit@acme.io
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Everything you need to evaluate and build on Formance.
Healthcare payments, answered
01 / HOW DO DENIED OR ADJUSTED CLAIMS POST?
Denials and adjustments restate the receivable as explicit transactions: the encounter's history shows every version, and provider payables adjust automatically.
02 / CAN REMITTANCES MATCH AUTOMATICALLY?
Yes: batched remittances normalize through Connectivity and match against open receivables by claim reference, with underpayments flagged for follow-up.
03 / HOW ARE PROVIDER PAYOUTS COMPUTED?
Payables derive in real time from collected co-pays and matched remittances, net of declared platform fees; the payout pays what the ledger holds.
04 / IS PATIENT DATA IN THE LEDGER?
The ledger stores financial postings and references, not clinical data: encounters link by identifier, keeping the money record clean of PHI.
Match every claim to its cash
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