Rectangle Health

  • SNF
  • SL
  • HH

We specialize in embedded payment solutions — helping practices collect pre-care, point-of-care, and post-care payments more efficiently. Even if you already offer payment options, we can bring additional value through flexible integrations, a rev-share model, and modern tools that give providers and patients more ways to pay. We also offer PayerSync, which automates EFT/ERA enrollments — something that’s still a huge manual burden for many practices. It speeds up revenue cycle workflows and eliminates a lot of admin drag.

Partner's Customer Authorization form to Marketplace

Consent to Share Data, including Patient Information between MatrixCare and the Partner Company is the company proposing this Authorization. Company has built an Integration to be able to populate data from your database(s) and/or from a static copy of your database(s) (including all facilities in an enterprise account) in the MatrixCare, Inc. ("MC") Solution that is updated from time to time, and, if applicable, bidirectionally. It is our policy to obtain consent from each of our customers before we allow their data to be shared with another company or party. We have a Business Associate Agreement in place with you, and we have been informed by MC that they also have a Business Associate Agreement in place with you for the protection of that information.

Please complete all the fields below and submit this Authorization form authorizing us to exchange data between MC and Company.

By submitting this Authorization, I, as a duly authorized representative of the Client/Customer, hereby grant my consent to the passage of data between the MC Solution and the Company Solution and represent and warrant that Customer is legally free to enter into this Authorization.

About you:(Required)
Your company information:(Required)
Primary Care Setting

Facility information for Integrations:

Click here for Customer Authorization Form FAQs to help with completing this form.
PLEASE NOTE:

You can individually add in the Facility information in the form below [Click the (+) to add multiple locations]

OR Upload a document with the facilities information. Please refer to this document for the specific formatting.

List all facilities requesting Integration
Facility Name
Facility Address
MC ID
 

ALTERNATIVELY : Upload File or list below

Accepted file types: pdf, xls, xlsx, doc, Max. file size: 50 MB.

Details

Key Discussion Points for Our Meeting:

  • How our platform creates significant opportunities for software companies
  • Why our exclusive-to-healthcare approach benefits technology partners
  •  Ways to streamline patient payments and improve cash flow for your clients

Why Partner with Rectangle Health?

  • 170,000+ transactions processed daily for 36,000+ healthcare organizations
  • 32 years of healthcare payment expertise
  • Patented Payment Platform integrated with 550+ PMS/EHR/EMS system