Built for medical practices — now in beta

Refunds in minutes.

What's your practice called?

Try: · ·

Your practice
app.paybackmd.com
CV
Clear Vision Eye Care
JM

New refund

Step 1 of 2
PatientSarah Mitchell
Date of birth03/15/1988
Amount$142.50
ReasonCopay overpayment

Or import hundreds at once via CSV

1/6Your team creates the refund — 20 seconds, tops

$6–12true cost to mail one refund check
30+ daysaverage paper check delivery
40%of refund checks never get cashed
< 2 minaverage digital claim time
5payout methods patients pick from
100%trackable, digital delivery
$6–12true cost to mail one refund check
30+ daysaverage paper check delivery
40%of refund checks never get cashed
< 2 minaverage digital claim time
5payout methods patients pick from
100%trackable, digital delivery
$6–12true cost to mail one refund check
30+ daysaverage paper check delivery
40%of refund checks never get cashed
< 2 minaverage digital claim time
5payout methods patients pick from
100%trackable, digital delivery
$6–12true cost to mail one refund check
30+ daysaverage paper check delivery
40%of refund checks never get cashed
< 2 minaverage digital claim time
5payout methods patients pick from
100%trackable, digital delivery

The problem

Paper checks are quietly costing you money, time, and patients.

The traditional refund process is broken. Here's what practices deal with every day.

$6–12 per check

Printing, postage, and reconciliation costs add up fast — especially for small refunds that cost more to mail than they're worth.

30+ days to deliver

Checks sit in mailrooms, get lost in transit, or wait for patients to deposit them. Some never get cashed at all.

40% go unclaimed

Patients move, ignore mail, or don't recognize the envelope. Unclaimed refunds create liability and compliance headaches.

Zero visibility

No tracking, no audit trail, no way to know if a patient received their refund without calling them.

For your team

Built for the front office, loved by patients.

This is the practice side of PayBackMD. Click around — everything here works.

Approval queue

Try it — approve a refund and watch it route.

3 waiting

Sarah Mitchell

Copay overpayment · Office manager

$142.50

Marcus Lee

Duplicate payment · Office manager

$67.00

Ana Reyes

Insurance adjustment · Manager → Admin (over $250)

$310.00

Single approver, any-of, or sequential chains — configured per practice in Settings. Approved refunds wait for a pay run; nothing sends by itself.

How it works

Three steps. Zero stamps.

Upload refunds

Import via CSV or create refunds one-by-one. Add patient name, amount, and reason — that's it.

Patients choose how to get paid

Each patient gets a secure link via SMS or email. They pick Venmo, PayPal, ACH, debit, or check.

Money delivered

Funds go out via the patient's chosen method. You track everything in real time.

Payment methods

Five ways to pay them back.

No apps. No sign-ups. Patients just pick the method they already use.

Venmo

Instant transfer to their Venmo account

PayPal

Send directly to their PayPal email

Bank Transfer

ACH direct deposit to any bank

Virtual Debit

Instant-use virtual card, no waiting

Check

Paper check mailed to their address

Do the math

What are paper checks really costing you?

40
$8
$85

$3,840

spent every year just mailing refund checks

56

staff hours on printing, stuffing & reconciling

$16,320

at risk of going unclaimed — hello, escheatment

PayBackMD delivers the same refunds digitally — claimed from a text message in under two minutes.

Stop paying for paper

Estimates use industry averages: your all-in check cost, ~7 minutes of staff handling per check, and ~40% of mailed refund checks going uncashed.

The platform

And the parts you don't see.

The plumbing that keeps your compliance officer relaxed.

Team & Roles

Admin, Member, and Auditor roles control who can create, approve, or view refunds.

Audit Trail

Every action logged with timestamps and user attribution. Export to CSV for compliance reviews.

Multi-Practice

Manage multiple locations from one account. Switch between practices with a single click.

Bank-Grade Security

Row-level security, encrypted connections, and role-based access control on every transaction.

Built for every specialty

Eye Care
Dentistry
Dermatology
Orthopedics
Primary Care
Urgent Care
Eye Care
Dentistry
Dermatology
Orthopedics
Primary Care
Urgent Care
Eye Care
Dentistry
Dermatology
Orthopedics
Primary Care
Urgent Care
Eye Care
Dentistry
Dermatology
Orthopedics
Primary Care
Urgent Care
Eye Care
Dentistry
Dermatology
Orthopedics
Primary Care
Urgent Care
Eye Care
Dentistry
Dermatology
Orthopedics
Primary Care
Urgent Care
Eye Care
Dentistry
Dermatology
Orthopedics
Primary Care
Urgent Care
Eye Care
Dentistry
Dermatology
Orthopedics
Primary Care
Urgent Care

Pricing

One price. Pay per refund delivered.

No per-user fees, no contracts. A refund fee is charged only when your patient actually receives their money.

Everything included

$199/month

Per practice · unlimited users & refund volume

  • Unlimited refunds
  • All 5 payment methods
  • Approval workflows
  • Team roles
  • Real-time dashboard
  • Audit trail & export
  • Multi-practice support
  • SMS & email notices

Then, per completed refund

Bank transfer
$1.00
Venmo · PayPal · debit card
$2.00
Mailed paper check
$4.50
Start your 7-day free trial

Free for 7 days, cancel anytime — and still cheaper than the stamps, envelopes, and staff time a paper check costs today.

Ready to mail your last paper check?

Join practices delivering refunds faster, cheaper, and with a patient experience worth talking about.