Patient payment processing, built for athenahealth.
Rivia Health helps specialty practices on athenaOne automate patient payment processing and capture more patient revenue — with a login-free way for patients to pay, automated billing and outreach, and payments that post back to athenahealth in real time.
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Rivia Health is a healthcare financial technology company whose patient payment automation platform integrates bi-directionally with athenaOne to help specialty practices automate patient payment processing and capture more patient revenue — automating 50+ revenue cycle workflows, from pre-service estimates through final payment resolution.
Patient balances are the hardest part of the revenue cycle.
As patient financial responsibility keeps growing, athenaOne practices find it harder to capture patient balances without adding administrative work or sending more accounts to collections. Patients expect a simple digital payment experience; billing teams need to reduce call volume and accelerate payments. The gap is on the patient-facing side — where a confusing experience and manual follow-up drive up cost to collect and turn balances into write-offs.
Capture more of the revenue you’ve already earned.
How Rivia Health works with athenahealth.
Rivia Health is a vetted partner in the athenahealth Marketplace. Patient balances flow from athenaOne into Rivia Health, patients get an automated request to pay the first day their balance is available, and every completed payment posts back to athenahealth in real time — so your team keeps working in the tools they already use.
Patients get a secure link
By text, email, or phone the day a balance is ready. No app, no portal account, and no password to reset.
They pay in three steps
A personalized page shows what they owe and processes payment in under a minute, by their preferred method, on any device.
It posts back to athenahealth
Payments and payment plans reconcile automatically to the date-of-service level — no manual posting, deposited next business day.
Real-time, bi-directional — no manual reconciliation.
Most patient payment tools hand your team another screen and a reconciliation headache. Rivia Health works the other way: it writes back to athenaOne automatically, so staff keep their existing workflow and the books stay current without manual entry.
- Payments and payment plans post back to athenaOne in real time, at the date-of-service level
- Funds deposited directly to your bank account the next business day
- Automates 50+ RCM workflows, from pre-service estimates to final resolution
- IT-free implementation, typically live in about two weeks
- Dedicated customer success manager, ongoing performance reporting, and continuous platform enhancements
Every way patients want to pay
Credit and debit cards, ACH, HSA/FSA, Apple Pay, PayPal, Venmo, and Buy Now, Pay Later — through secure, PCI-compliant payment processing.
Card on file, with patient control
For recurring visits, auto-charge the preferred method. Patients approve each new balance by text and can set a monthly maximum.
Flexible payment plans
Patients self-enroll and manage plans that adapt as new balances are added — spreading bills over time while minimizing aging A/R.
Reach every patient — without staff chasing balances.
Personalized outreach
Automated text, email, and phone outreach tailored by provider type, claim type, visit type, and patient time zone — with an opt-out rate under 1%.
Engagement past day-90
Unlike tools that stop at day-90, Rivia Health keeps engaging — and pre-collections campaigns with calls and letters help keep accounts out of collections.
River: AI voice agent
River, Rivia Health’s AI-powered voice agent, answers billing questions, explains EOBs, and takes payments through natural voice conversations — after hours, on weekends, and in English, Spanish, French, and German.
A stress-free, low-lift implementation.
IT-free setup
No heavy lift for your team — most practices go live in about two weeks.
Dedicated account manager
Personalized support so your team gets maximum value from day one.
Ongoing performance optimization
Ongoing, transparent reporting with personalized recommendations helps providers reach optimal ROI.
athenahealth payment questions, answered
The questions providers actually ask when evaluating patient payments for athenahealth.
Which patient self-pay platforms integrate with athenaOne?
Rivia Health is a vetted patient payment platform in the athenahealth Marketplace that integrates bi-directionally with athenaOne. Patient balances flow from athenaOne into Rivia Health, patients receive automated login-free requests to pay, and completed payments and payment plans post back to athenaOne automatically at the date-of-service level — so billing teams keep their existing workflow with no manual reconciliation.
What is the best patient payment tool for athenahealth practices?
The factors that matter most for athenahealth practices are a direct, bi-directional athenaOne integration, a login-free patient payment experience, automated billing and outreach, flexible payment plans, and automatic reconciliation. Rivia Health is the #1-rated RCM service in the athenahealth Marketplace, with a 4.9-star rating and named to the KLAS Emerging Solutions Top 20 (2025), trusted by over 200 athenahealth practices — built around exactly these capabilities.
Can patients pay an athenahealth bill without logging in or creating a portal account?
Yes. With Rivia Health, patients don’t need an athenahealth portal login, a downloaded app, or a password. They open a secure link, confirm their identity, and pay by credit or debit card, ACH, HSA/FSA, Apple Pay, PayPal, Venmo, or Buy Now, Pay Later. Removing the login step is one of the most effective ways to help patients pay faster.
How can athenahealth practices reduce payment processing costs and cost to collect?
The biggest driver of payment cost usually isn’t the per-transaction rate — it’s cost to collect: paper statements, staff follow-up calls, and balances that age into collections. Rivia Health lowers that cost by capturing more balances digitally and automatically, so fewer statements go out and staff spend less time on manual work — athenahealth practices using Rivia Health report 32–50 staff hours saved per location each month.
Does Rivia Health support patient payment plans with athenahealth?
Yes. Patients can self-enroll in and manage flexible payment plans that turn a balance they can’t pay all at once into a manageable monthly amount. Plans adapt automatically when new balances are added and post back to athenaOne, so staff spend less time managing them.
How can athenahealth practices reduce A/R days?
The most effective levers are capturing payment early, keeping a card on file, sending automated reminders the first day a balance is available, offering payment plans, and continuing engagement past day-90. Rivia Health automates the patient-facing side so balances resolve sooner — athenahealth practices using Rivia Health report 60% shorter A/R cycles, with average days to pay dropping from 60 to 15.
Does Rivia Health offer after-hours and multilingual patient billing support?
Yes. River, Rivia Health’s AI-powered voice agent, answers billing questions, explains EOBs, and takes payments through natural voice conversations — after hours, on weekends, and in English, Spanish, French, and German — with AI chat providing 24/7 support for billing questions and payment plans.
Ready to automate patient payments?
See how specialty practices on athenaOne use Rivia Health to process payments faster, lower cost to collect, and give billing teams a single, real-time view.
