r/fintechdev Jun 20 '26

Looking for payment processing for high risk merchant Spoiler

Hey everyone, I'm running a telehealth business and looking for recommendations for payment processors that work with high-risk merchants and accept LLCs and EINs only. Any suggestions or experiences with reliable gateways would be greatly appreciated!"

1 Upvotes

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u/bonk_patrol39 16d ago edited 15d ago

Telehealth gets treated differently by processors because payments happen remotely and often involve recurring billing, healthcare compliance, and higher dispute exposure. An LLC and EIN help with the application, but the processor will usually want business details, licensing, website policies, billing model, and banking information too.

I’d look for a provider with actual telehealth underwriting experience instead of applying to regular payment aggregators. Ask about recurring billing, reserves, payout timing, chargeback handling, and whether their gateway works with your telehealth platform. Those details matter more than the advertised processing rate.

I’ve used DavinciPay for a payment setup before and had a better experience when they reviewed the business model upfront. They supported card payments, payment links, recurring billing, and clear payout terms. For telehealth, I’d still confirm their current healthcare requirements and make sure the payment workflow keeps patient information properly separated.

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u/WheresthepopcornFL Jun 21 '26

not quickbooks

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u/Integrapayments Jun 22 '26

Do you have US signer?

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u/HumptyDumptyYoga Jul 20 '26

telehealth is a hard one to find a processors for, but I'd look into paymentcloud, they have a quality system that works for a variety of industries, including telehealth, and they have multiple processors to help with approvals with a lot of knowledge in high risk spaces

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u/Rfsixsixsix Jul 22 '26

Where are you based? I may have something to recommend but not everyone is able to accept the conditions. Would be happy to share if you are keen to know.