MedFlow*, a leading healthcare SaaS platform, provides comprehensive practice management solutions to over 2,800 medical practices across North America. Their integrated platform handles everything from patient scheduling and electronic health records to billing and telehealth services, serving practices ranging from small family clinics to large multi-specialty groups.
When Sarah Chen*, VP of Revenue Operations at MedFlow, joined the company in early 2023, she discovered that payment processing limitations were constraining the company’s ambitious expansion plans. With subscription fees ranging from $150 to $2,500 per month depending on practice size, MedFlow needed to support diverse payment preferences across different regions and ensure uninterrupted service for healthcare providers.
“We were ready to expand into Canada and had prospects in Mexico, but our payment infrastructure was holding us back,” Chen explained. “Different regions required different payment methods, and we couldn’t afford service interruptions for healthcare providers. When a medical practice loses access to patient records or scheduling systems due to payment processor downtime, it directly impacts patient care.”
The healthcare industry’s strict compliance requirements added another layer of complexity. MedFlow needed a payment solution that could handle regional compliance variations, support payment methods preferred by different practice types, and maintain the reliability that healthcare providers demanded across multiple markets.
“Our development team was spending 60% of their time on payment-related projects instead of improving our core healthcare software,” said Chen. “We had a growing backlog of feature requests from our medical practice customers, but we couldn’t deliver because our team was constantly working on payment processor integrations and maintenance.”
The Orchestra Solutions Difference
MedFlow began evaluating payment orchestration platforms that could eliminate integration complexity while supporting their international expansion goals. They ultimately selected Orchestra Solutions for its unified JavaScript library approach and comprehensive global payment support.
“What impressed us most about Orchestra Solutions was their ‘one integration, limitless payments’ philosophy,” noted Chen. “Instead of building separate integrations for Canadian banking, Mexican payment methods, and US processors, we could access everything through Orchestra’s single JavaScript library. This freed up our development team to focus on healthcare innovation.”
Since implementing Orchestra Solutions in mid-2023, MedFlow has successfully expanded across North America while maintaining exceptional payment reliability. “With Orchestra’s unified payment infrastructure, we’ve expanded to serve practices in 47 US states plus 6 Canadian provinces, and we’re processing payments in 3 currencies,” shared Chen. “Our development team now spends 80% of their time on core product features instead of payment maintenance.”
The platform’s intelligent failover capabilities have been particularly valuable for MedFlow’s healthcare customers. “Orchestra’s automatic failover system ensures that payment processor downtime never disrupts our customers’ operations,” Chen noted. “When our primary gateway experiences issues, Orchestra automatically routes transactions through backup processors without any customer intervention. This redundancy is essential when you’re serving healthcare providers who can’t afford service interruptions.”
Key Benefits Delivered
Global Payment Acceptance
Orchestra’s comprehensive international payment support enabled MedFlow’s rapid expansion across North America. “We needed to support direct debit for Canadian practices, credit cards for US customers, and prepare for OXXO payments in Mexico,” explained Chen. “Orchestra’s global payment network gave us instant access to regional payment methods without separate integrations. When we expanded to Ontario, we were accepting payments from Canadian practices on day one.”
The platform’s automatic compliance handling across different jurisdictions eliminated a major expansion barrier. “Orchestra manages PCI compliance, regional banking regulations, and healthcare-specific requirements automatically,” said Chen. “This removed months of compliance work from our expansion timeline and reduced our legal risk significantly.”
Payment Gateway Failover
Orchestra’s intelligent failover system has been transformative for MedFlow’s service reliability. “Healthcare providers need 99.99% uptime, and payment processing is part of that reliability promise,” noted Chen. “Orchestra’s automatic failover has eliminated payment-related service disruptions entirely. When our primary processor experienced a 4-hour outage last quarter, our customers continued processing payments seamlessly through Orchestra’s backup routing.”
The system’s real-time failover capabilities have improved customer satisfaction across all practice types. “Large hospital systems and small family practices both depend on consistent payment processing for their subscription billing,” said Chen. “Orchestra’s failover system ensures that payment issues never cascade into service interruptions, which is essential for healthcare operations.”
Technical Implementation Excellence
MedFlow leveraged both of Orchestra’s interface options to optimize their payment infrastructure:
REST API Integration: “We use Orchestra’s REST API for all backend subscription processing and recurring billing operations,” Chen explained. “This handles our automated monthly billing for 2,800+ practices across multiple currencies and payment methods. The API’s flexibility lets us customize billing cycles to match each practice’s preferences while maintaining centralized processing.”
JavaScript Library: “For embedded payment experiences, we implemented Orchestra’s JavaScript library directly in our practice management dashboard,” said Chen. “This allows healthcare providers to update payment methods, view billing history, and resolve issues without leaving their primary workflow. The library’s unified interface presents the right payment options based on each practice’s location and preferences.”
The technical integration eliminated ongoing maintenance burdens. “Before Orchestra, we had separate codebases for different payment processors, each requiring updates and maintenance,” noted Chen. “Now we maintain one integration that gives us access to dozens of payment methods and processors. This consolidation has reduced our payment-related development overhead by 75%.”
Growing Together
Since implementing Orchestra Solutions, MedFlow has experienced significant growth in both geographic reach and customer acquisition. Monthly recurring revenue has increased by 145%, and the company has expanded to serve practices across North America.
“When we started with Orchestra, we were processing about $3.2 million in monthly recurring revenue from US practices only. Now we’re handling over $7.8 million monthly across 2,800+ practices in the US, Canada, and preparing for Mexico,” said Chen. “Orchestra’s payment infrastructure scales seamlessly with our business growth, and their team continuously adds new payment integrations at no additional cost.”
The partnership has also enabled MedFlow to introduce innovative payment features. They recently launched a flexible payment scheduling system that allows practices to align their subscription payments with their own patient billing cycles, further reducing payment friction across different regions.
Resources and Insights
MedFlow’s success with Orchestra Solutions highlights several key considerations for healthcare SaaS providers:
- Healthcare Payment Compliance: A Complete Guide: Understanding regulatory requirements across different jurisdictions
- Building Scalable Payment Infrastructure for SaaS: Technical considerations for growing software platforms
- International Expansion Strategy for Healthcare Software: Navigating payment challenges in global markets
When asked to describe Orchestra Solutions in one sentence, Chen replied, “It transforms payment complexity into a competitive advantage that lets healthcare software companies focus on patient care innovation.”
As MedFlow continues to expand its healthcare software offerings across North America, Orchestra Solutions remains essential to their growth strategy. “Payment processing used to be a constant development bottleneck and expansion barrier,” concluded Chen. “Orchestra has transformed it into a growth enabler that lets us confidently enter new markets and serve more healthcare providers.”
* Names have been masked for privacy
