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Stripe Epic Integration: Seamless Healthcare Payments for a Modern EHR

Automate patient billing, streamline financial reconciliation, and enhance the patient payment experience with a secure, real-time integration between Stripe and Epic.

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The Challenge

The Disconnect Between Patient Payments & Clinical Records

Healthcare organizations face significant challenges in managing patient payments efficiently while maintaining accurate financial records within their Electronic Health Record (EHR) systems. This often leads to fragmented data, delayed revenue, and a frustrating patient experience.

  • Manual entry of patient payment data into Epic is time-consuming and error-prone.
  • Delays in reconciling Stripe payouts with Epic's General Ledger impact financial reporting accuracy.
  • Lack of real-time visibility into patient payment status hinders informed decision-making.
  • Limited options for patients to easily pay bills or set up recurring payment plans.
  • Ensuring end-to-end HIPAA and PCI DSS compliance across disparate systems is complex and risky.
Integration Diagram
Solution Illustration
The Solution

The Unified Solution: Intelligent Stripe Epic Integration

Our iPaaS-driven integration solution bridges the gap between Stripe's advanced payment processing and Epic's comprehensive EHR, creating a seamless, automated ecosystem for all patient financial transactions. Leveraging an event-driven architecture and low-code/no-code capabilities, we empower healthcare organizations to manage patient payments with unprecedented efficiency and compliance.

  • Real-time Payment & Refund Synchronization
  • Automated Patient Account Updates in Epic
  • Comprehensive Financial Reconciliation Workflows
  • Secure & Compliant Data Exchange (HIPAA, PCI DSS)
  • Flexible Patient Payment Plan Management
Implementation Timeline

Go live with Stripe + Epic in as little as 2–4 weeks.

A proven, repeatable implementation approach that minimizes risk while getting your team to value quickly.

1

Access Enabled

Secure connections established to both Stripe and Epic, with credentials and environments confirmed.

2

Configuration & Mapping

Field mappings, business rules, and workflows configured using visual tools and pre-built templates.

3

Go Live

Launch production-ready integration with monitoring, alerting, and support in place—typically within 2–4 weeks.

Time to Value

2–4 weeks

Typical implementation window from access granted to production go-live for most Stripe + Epic deployments.

Project Phases

Discovery
Configure & Map
Validate
Launch

Engagement Model

Guided by Clarity experts with your team involved at key milestones.

Comprehensive Solution Details

  • Real-time Payment & Refund Synchronization
  • Automated Patient Account Updates in Epic
  • Comprehensive Financial Reconciliation Workflows
  • Secure & Compliant Data Exchange (HIPAA, PCI DSS)
  • Flexible Patient Payment Plan Management
  • AI-Augmented Anomaly Detection for Fraud & Errors

Technical Integration Details: Connecting Stripe and Epic

Our integration solution orchestrates a secure, bi-directional data flow between Stripe and Epic, leveraging best-in-class API connectivity and event-driven architecture to ensure real-time synchronization and data integrity. The iPaaS acts as the central intelligence layer, handling authentication, data transformation, and workflow automation.

Data Flow Steps

Stripe Webhook Configuration: Set up secure webhook endpoints in Stripe to receive real-time notifications for events like `charge.succeeded`, `charge.refunded`, `invoice.payment_succeeded`, and `customer.created/updated`.

Epic FHIR API Access: Establish secure OAuth 2.0 authentication for accessing Epic's FHIR R4 APIs, ensuring proper scopes and permissions for `Patient`, `Claim`, `Account`, `Payment`, and `ServiceRequest` resources.

iPaaS Connector Setup: Configure dedicated connectors for Stripe and Epic within the iPaaS, providing secure credential management and API access.

Data Mapping & Transformation: Design visual data maps within the iPaaS to translate Stripe's JSON payloads into Epic's FHIR resource structures, handling data types, value sets (e.g., LOINC, SNOMED), and custom field requirements. This includes mapping Stripe `metadata` to Epic identifiers.

Workflow Orchestration: Build event-driven workflows that trigger upon Stripe webhooks. These workflows will fetch relevant data, perform transformations, and then make authenticated API calls to Epic to create or update records.

Error Handling & Monitoring: Implement robust error handling with intelligent retries, dead-letter queues, and real-time alerts. Monitor integration health and data flow through iPaaS dashboards.

Deployment & Governance: Utilize iPaaS environment promotion pipelines (Dev → QA → Prod) with version control to ensure reliable and compliant deployments.

Data Touchpoints

Stripe: Customer, PaymentIntent, Charge, Refund, Subscription, Invoice, BalanceTransaction, Payout, WebhookEvent
Epic: Patient, Claim, Account, Payment (or similar financial entity), ServiceRequest, Encounter, Practitioner, Organization

"Patient Payment Initiated (Portal/App) -> Stripe Payment Intent/Charge -> Stripe Webhook (charge.succeeded) -> iPaaS Listener -> Data Transformation (Stripe to FHIR) -> Epic FHIR API Call (Update Claim/Patient Account/Create Payment) -> Epic EHR Updated -> (Optional: Epic Event Listener for Payment Plan updates) -> iPaaS -> Stripe API Call (Update Customer/Subscription)"

Pricing

Simple, transparent pricing for Stripe + Epic.

Start with a single integration pair and scale as your business grows—without surprise fees or transaction penalties.

Connect™ Plan

Clarity Connect

$595 /mo

Billed annually • Includes one production integration pair

  • Unlimited transactions and API calls within fair-use limits.
  • Visual workflow designer and reusable mapping templates.
  • Monitoring, alerting, and access to Clarity’s support team.
View full pricing & options
Innovative & Robust

How Middleware Integration Works

Benefits of Integrating Stripe

Integrating Stripe fosters greater efficiency and data accuracy. Automate your critical business processes to deliver consistently outstanding results.

Hover over the steps on the right to see detailed integration points.
Data Mapping

Key Entities & Data Mapping: Stripe to Epic

A successful integration hinges on precise, compliant mapping between Stripe's financial entities and Epic's patient-centric records. Our iPaaS provides visual tools and AI assistance to ensure accurate, consistent data synchronization.

Patient (Epic) <-> Customer (Stripe)

Synchronizes core patient demographics with Stripe's customer profiles to associate payments with individuals. Ensures a unified view of patient identity across clinical and financial systems.

Stripe Fields

id (Epic Patient ID) identifier (MRN, SSN, External ID) name (First, Last) gender birthDate address telecom (phone, email)

Epic Fields

id (Stripe Customer ID) email name description (e.g., 'Patient MRN: [MRN]') metadata (e.g., `epicpatientid`, `mrn`)

Mapping Notes

Crucial for linking. Epic's Patient ID should be stored in Stripe's `customer.metadata.epicpatientid`. Stripe's Customer ID can be stored in Epic's `Patient.identifier`. Deduplication logic is essential during initial sync and ongoing updates.

Next Steps

See Stripe + Epic integration in action.

Explore a guided demo, start a sandbox integration, or speak directly with our solution architects about your specific use cases.

Start Free Trial Request Live Demo
Real-World Applications

Integration Use Cases

Explore how the integration behaves in real business scenarios, with clearly defined steps, outcomes, and execution patterns.

Automated Patient Payment Collection & EHR Update

Streamline the collection of patient co-pays, deductibles, or full bill payments via a patient portal or direct billing. Once a payment is made through Stripe, the integration automatically updates the corresponding Patient's financial record, Claim status, or generates a Payment/Receipt in Epic.

Integration Steps:

  1. 0 Patient initiates payment via integrated portal/link.
  2. 1 Stripe processes `PaymentIntent` and `Charge`.
  3. 2 Stripe `charge.succeeded` webhook triggers iPaaS workflow.
  4. 3 iPaaS transforms Stripe data to Epic's `Claim` or `Payment` FHIR resource.
  5. 4 Epic's `Patient` account balance and `Claim` status are updated in real-time.

Business Outcome

Faster payment collection, real-time financial visibility, reduced manual data entry and reconciliation in Epic.

Frequency

Real-time, Event-driven

Business Value

Key Integration Benefits

Discover the strategic advantages and business value of seamless integration between your systems.

Accelerated Revenue Cycle
Automate patient payment collection and reconciliation, significantly reducing Days Sales Outstanding (DSO) and accelerating cash flow for your healthcare organization.
Enhanced Patient Experience
Offer modern, convenient payment options and clear billing transparency, improving patient satisfaction and loyalty.
Guaranteed Compliance & Security
Ensure end-to-end adherence to HIPAA for PHI and PCI DSS for payment data, minimizing compliance risks and safeguarding sensitive information.
Reduced Administrative Burden
Eliminate manual data entry, reconciliation, and error correction, freeing up finance and administrative staff for higher-value tasks.
Real-time Financial Visibility
Gain immediate insights into patient payment statuses, outstanding balances, and reconciliation progress directly within Epic.
Flexible Payment Options
Easily implement recurring payment plans, partial payments, and diverse payment methods via Stripe, managed and tracked in Epic.
✨

Accelerated Revenue Cycle

20%+ Reduction in DSO

📋 What You Get

Automate patient payment collection and reconciliation, significantly reducing Days Sales Outstanding (DSO) and accelerating cash flow for your healthcare organization.

💼 Business Impact

This benefit directly contributes to 20%+ improvement in Reduction in DSO, enabling your team to focus on high-value strategic initiatives.

Implementation Timeline

Go live with Stripe + Epic in as little as 2–4 weeks.

A proven, repeatable implementation approach that minimizes risk while getting your team to value quickly.

1

Access Enabled

Secure connections established to both Stripe and Epic, with credentials and environments confirmed.

2

Configuration & Mapping

Field mappings, business rules, and workflows configured using visual tools and pre-built templates.

3

Go Live

Launch production-ready integration with monitoring, alerting, and support in place—typically within 2–4 weeks.

Time to Value

2–4 weeks

Typical implementation window from access granted to production go-live for most Stripe + Epic deployments.

Project Phases

Discovery
Configure & Map
Validate
Launch

Engagement Model

Guided by Clarity experts with your team involved at key milestones.

Technical Documentation

API Endpoints & Data Logic

Technical details for developers and architects.

Method Endpoint Purpose
POST /v1/charges Create a new charge for a customer. Used for one-time payments from patient portal.
POST /v1/payment_intents Create a PaymentIntent to manage patient payment flows, especially for SCA compliance or multi-step payments like payment plans.
POST, GET, PUT /v1/customers Create, retrieve, or update customer objects to store patient payment methods and track subscriptions. Essential for linking to Epic Patients.
POST, GET, PUT /v1/subscriptions Create, retrieve, or manage patient subscriptions to healthcare products/plans configured in Stripe Billing.
POST /v1/refunds Issue refunds for existing patient charges, updating Epic's financial records.
GET /v1/invoices Retrieve invoices, particularly useful for syncing with Epic for accounting and reconciliation of recurring services.
POST /v1/webhooks Configure webhook endpoints to receive real-time event notifications from Stripe (e.g., `charge.succeeded`, `charge.refunded`), enabling event-driven updates to Epic.

⚡ Transformation Logic

  • Currency Conversion: Stripe's smallest unit (cents) to Epic's decimal currency format.
  • ID Cross-Referencing: Mapping Stripe `customer.metadata.epicpatientid` to Epic `Patient.id`, and Stripe `charge.metadata.epicclaimid` to Epic `Claim.id`.
  • Status Mapping: Translating Stripe `charge.status` (`succeeded`, `failed`, `refunded`) to Epic's internal payment/claim statuses.
  • Data Enrichment: Adding Epic-specific context (e.g., `Encounter.id`, `Practitioner.id`) to payment records if available through lookups.
  • Conditional Logic: Applying rules for partial payments, overpayments, or specific service codes to determine Epic workflow paths.

🛡️ Error Handling

  • Stripe API call failure due to invalid credentials or network issues.
  • Epic FHIR API validation errors (e.g., incorrect `Patient` ID, invalid `Claim` status).
  • Data transformation failures due to unexpected Stripe payload structure.
  • Duplicate webhook events from Stripe leading to potential duplicate records (mitigated by idempotency).
  • Rate limit breaches on either Stripe or Epic APIs.
Pricing

Simple, transparent pricing for Stripe + Epic.

Start with a single integration pair and scale as your business grows—without surprise fees or transaction penalties.

Connect™ Plan

Clarity Connect

$595 /mo

Billed annually • Includes one production integration pair

  • Unlimited transactions and API calls within fair-use limits.
  • Visual workflow designer and reusable mapping templates.
  • Monitoring, alerting, and access to Clarity’s support team.
View full pricing & options
Support & Information

Frequently Asked Questions

Common questions about integration implementation, security, and best practices.

Technical FAQs

▸ What is the primary method for integrating Stripe with Epic?
The primary method involves using an iPaaS platform to orchestrate event-driven workflows. Stripe webhooks (`charge.succeeded`, `charge.refunded`) act as triggers, and Epic's FHIR R4 APIs (`/R4/Patient`, `/R4/Claim`, `/R4/Account`) are used for creating or updating records in Epic. This ensures real-time, secure, and standards-compliant data exchange.

Security & Compliance FAQs

▸ How does this integration ensure HIPAA and PCI DSS compliance?
Compliance is ensured through several layers: Stripe itself is PCI DSS Level 1 certified; our iPaaS is HIPAA compliant and operates under a signed BAA. We enforce end-to-end encryption (TLS 1.2+ for transit, AES-256 for at-rest), secure API key management, webhook signature verification, and utilize Stripe.js for client-side tokenization of card data, minimizing your PCI scope.

Workflows FAQs

▸ Can I automate patient payment plans and subscriptions with this integration?
Absolutely. The integration allows you to leverage Stripe Billing for managing recurring patient payment plans or subscriptions for healthcare services (e.g., wellness programs). Stripe `Subscription` and `Invoice` events trigger workflows to update the corresponding `Patient` accounts or `ServiceRequest` records in Epic, ensuring accurate financial tracking.

iPaaS Capabilities FAQs

▸ What are the benefits of using a low-code iPaaS for Stripe Epic integration?
A low-code iPaaS significantly accelerates integration development, reduces reliance on technical developers, and empowers business users (like finance or billing teams) to manage and modify workflows visually. This leads to faster time-to-value, increased agility in adapting to new requirements, and reduced IT backlog.

Error Handling FAQs

▸ How does the integration handle failed Stripe payments?
When a Stripe `charge.failed` event occurs, the iPaaS workflow is triggered. It can then: 1) Update the `Claim` or `Account` status in Epic to reflect the failed payment; 2) Trigger automated patient notifications (SMS/email) for payment retry; 3) Initiate a dunning process for subscriptions; or 4) Alert billing staff for manual follow-up, all configurable within the iPaaS.

AI Enhancements FAQs

▸ Can AI help with data mapping and error resolution between Stripe and Epic?
Yes, AI plays a crucial role. Our AI co-pilot can suggest optimal field mappings between Stripe's JSON data and Epic's complex FHIR resources, significantly speeding up configuration. For error resolution, AI can detect anomalies in transactions, categorize payment failures, and even suggest automated corrective actions or intelligent routing to human experts, reducing manual intervention.

Data Flow FAQs

▸ How do we ensure real-time synchronization of patient financial data?
Real-time synchronization is achieved through an event-driven architecture. Stripe's webhooks provide instant notifications for payment events, which immediately trigger iPaaS workflows. These workflows then use Epic's FHIR APIs to update patient financial records, ensuring that Epic always reflects the most current payment status.

Advanced Use Cases FAQs

▸ Is it possible to integrate Stripe Connect for a multi-provider healthcare platform with Epic?
Absolutely. If you operate a multi-sided healthcare platform (e.g., a telehealth marketplace with various providers), Stripe Connect can be integrated. Your iPaaS can orchestrate the onboarding of connected accounts, manage payments to individual providers, and handle platform fees, all while ensuring relevant financial data is synced back to Epic for each patient and provider.
Implementation Timeline

Go live with Stripe + Epic in as little as 2–4 weeks.

A proven, repeatable implementation approach that minimizes risk while getting your team to value quickly.

1

Access Enabled

Secure connections established to both Stripe and Epic, with credentials and environments confirmed.

2

Configuration & Mapping

Field mappings, business rules, and workflows configured using visual tools and pre-built templates.

3

Go Live

Launch production-ready integration with monitoring, alerting, and support in place—typically within 2–4 weeks.

Time to Value

2–4 weeks

Typical implementation window from access granted to production go-live for most Stripe + Epic deployments.

Project Phases

Discovery
Configure & Map
Validate
Launch

Engagement Model

Guided by Clarity experts with your team involved at key milestones.

Pricing

Simple, transparent pricing for Stripe + Epic.

Start with a single integration pair and scale as your business grows—without surprise fees or transaction penalties.

Connect™ Plan

Clarity Connect

$595 /mo

Billed annually • Includes one production integration pair

  • Unlimited transactions and API calls within fair-use limits.
  • Visual workflow designer and reusable mapping templates.
  • Monitoring, alerting, and access to Clarity’s support team.
View full pricing & options
Next Steps

See Stripe + Epic integration in action.

Explore a guided demo, start a sandbox integration, or speak directly with our solution architects about your specific use cases.

Start Free Trial Request Live Demo