Payments infrastructure for healthcare.
A complete payments suite with multi-processor support, BIN mapping, network tokenization, and native Core integration — built for the complexity of medical billing workflows.
Generic processors weren’t built for specialty pharmacy billing.
Patient switches from 10mg to 20mg — your billing needs to prorate. A card declines on a refill — you need intelligent retry before treatment lapses. A compounded medication has variable pricing by formulation — your payment system needs to understand the clinical context. Generic payment processors don’t handle these workflows. You end up building custom billing logic on top of off-the-shelf tools and maintaining it forever.
Manifold handles medical billing complexity natively because it’s connected to Core.
Payments that understand healthcare.
Multi-Processor Support
Connect multiple payment processors and route transactions intelligently. Failover, load balancing, and cost optimization across your processor stack.
BIN Mapping
Identify card types, issuing banks, and network affiliations at the point of transaction. Route payments to the optimal processor based on BIN data.
Network Tokenization
Replace sensitive card data with network-level tokens. Reduce PCI scope, improve authorization rates, and keep stored credentials current automatically.
Dosage & Plan Transitions
Patients switch dosage levels, change medications, or upgrade plans. Manifold handles the billing logic seamlessly — prorations, plan changes, and recurring adjustments without manual intervention.
Native Core Integration
Manifold is wired directly into 5 Axis Core. Payment events, subscription changes, and billing data flow through the same data layer as clinical and operational workflows.
Subscription & Recurring Billing
Manage recurring payments for ongoing treatments. Automatic retries, dunning sequences, and grace periods keep patients on treatment and revenue predictable.
Refund & Dispute Management
Process refunds, handle chargebacks, and manage disputes from one interface. Full audit trail on every transaction.
Complex Medical Billing Workflows
Healthcare billing isn't simple checkout. Manifold supports split payments, insurance coordination, copay collection, and custom billing rules for specialty medications.
Built for the scenarios that break generic tools.
Patient switches from 10mg to 20mg
Manifold automatically prorates the current billing cycle, adjusts the recurring amount, and charges the difference — no manual billing intervention required.
Payment fails on renewal
Intelligent retry logic across multiple processors. If the primary processor declines, Manifold routes to a backup. Dunning sequences notify the patient before treatment lapses.
Patient requests a refund
Refund processed through the original payment path with full audit trail. Linked to the order in Core so pharmacy, support, and finance all see the same data.
New processor added to the stack
Add a processor, configure routing rules, and start processing — without touching your application code. BIN mapping and failover update automatically.
Native to Core. Not bolted on.
Manifold isn’t a third-party integration — it’s part of the platform. Payment events flow through the same data layer as prescriptions, orders, and patient records. When a dosage changes in the clinical workflow, billing updates automatically. When a refund is processed, pharmacy and support see it instantly.
Billing changes triggered by clinical events automatically
Every transaction linked to patient, order, and prescription
Analytics tracks payment health alongside operations
Audit trail spans payment, pharmacy, and clinical data
Payments that just work — even when the billing is complex.
Talk to our team about Manifold for your healthcare operation.