Before you start
A charge needs a valid card saved for your practice. A card your client saved with another practice is not available for your charges. A reimbursement bank account receives insurance reimbursements; it cannot pay session charges.What you can check or do
Clinicians, staff, practice administrators, and team owners with access to the client and payment-management permission can open Clinician Portal → Clients → select the client → Payment Methods to view saved cards, add a payment method, set a default, or remove a card. Card changes require an accepted connection and the relevant payment-management permission; access to the profile alone does not grant every action. If your client prefers to enter their own card details, direct them to the client steps below. For the charging process itself, use Charging clients.What your client sees in Payment Methods
Your client manages their cards at Client Portal → Settings → Payment Methods. This link opens their account, not your client record in the Clinician Portal. In the per-practice view, an archived connection still lets your client see the practice’s saved cards. Client card changes require at least one pending or accepted connection with that practice. If none remains, the practice’s card section is read-only: the client cannot add or delete cards, change the default, or add a billing address. Archiving one clinician connection does not make the section read-only if another pending or accepted connection with your practice remains. Archiving does not delete the client’s account, past charges, or claims. If your practice’s cards are missing or changes are unavailable, check the connection before asking the client to add another card. See Adding and managing clients.Payment methods are saved per practice
Each practice has its own saved cards and default payment method. Your practice cannot see or charge a card saved only with another practice. If your client wants to use the same physical card with multiple practices, it must be added separately for each one. Cards saved before August 27, 2026 were carried over to the practices the client was connected to at the time. Removing a card from one practice does not remove it from the others.How a client adds their own card
To guide your client through adding their own card:- Ask them to open Client Portal → Settings → Payment Methods and add the card for your practice.
- Have them select Add Card, enter the card details, and complete the Billing Address fields shown in the form using the address on file with the card issuer.
- Have them select Save Card. If the form reports a problem, they should correct the indicated information before trying again.
Billing address
When the card form asks for a billing address, use the address on the card statement. Complete Street Address, City, State, and Postal Code; Apartment, suite, floor (optional) can be left blank. Select the state from the list and enter the ZIP code in Postal Code. Only US billing addresses are supported. Enter the city name rather than a county, parish, or borough. Postal Code accepts a five-digit ZIP or a nine-digit ZIP+4, with or without the hyphen. If Use a saved address appears, selecting an option fills the fields. Review them and correct anything that does not match this card’s billing address. Follow any field-specific error before saving.If a saved card has no billing address on file
Your client can open Client Portal → Settings → Payment Methods, find the card under your practice, and select No billing address when that action appears. Enter the billing address and select Save billing address. Clinicians, staff, practice administrators, and team owners with permission to manage the client’s cards can also use Clients → select the client → Payment Methods → No billing address. If the label is not selectable, ask an authorized practice member or the client to add the address. If an Add Billing Address prompt opens while you are creating a charge, save the required address or select Cancel. Cancelling does not place the charge. Saving the address also does not place it automatically: review the refreshed payment method and submit the charge again when ready. The prompt has no option to continue without an address. This is the card’s billing address. It does not update the mailing address an insurer uses for reimbursement checks.How a client selects a default card
Your client can use Set as default on a saved card in Client Portal → Settings → Payment Methods. Each practice has its own default. You can also set the default from the client’s Payment Methods in your Clinician Portal when your role permits it.How a client deletes a card
Your client can select Delete on a saved card and confirm the deletion. This removes the card only from the practice it is deleted under. If the card is saved with multiple practices, each saved copy is managed separately.Bank accounts are not payment methods
Session charges require a saved card. Your client’s reimbursement bank account cannot be used for charges. Use Client reimbursement bank setup and missing deposits for bank setup and missing-reimbursement questions.HSA and FSA cards
Thrizer supports health savings account (HSA), flexible spending account (FSA), and health reimbursement arrangement (HRA) cards as payment methods. Your client can add one through the same card-entry process. The card issuer or plan administrator determines which expenses qualify and whether the charge is approved. The card does not determine whether an insurance claim is submitted. That depends on the Billing Type and the usual claim requirements. See Billing types: Self-Pay and OON Billing. If the client’s plan administrator requests documentation, direct the client to Client Portal → Payments to generate a superbill for applicable transactions. They should confirm which documentation their administrator accepts. See Viewing payments and generating superbills.Failed payments
If the payment method fails, Thrizer does not collect payment or submit a claim for that charge. Check that a valid card is saved for your practice. Once the failure is confirmed and the payment method is updated, an authorized practice member makes a new charge attempt using the failed-payment steps. If an HSA, FSA, or HRA administrator declines the card, your client can provide another card. Completed charges cannot be moved to a different card after the fact. A newly added card applies to future charges, not an earlier completed payment. If the problem continues, contact Support through your Thrizer account about the affected charge.What you can share with your client
Use this when the client needs or prefers to enter their own card details. Check the earlier payment outcome before making a new charge attempt.Please open Settings → Payment Methods in your payment portal and make sure a valid card is saved for our practice. A card saved with another practice isn’t available for our charges. Once the card is ready, let me know so I can check the payment and take the next step. Your reimbursement bank account is separate and can’t be used to pay for a session.