
PayPal is a popular online payment system used by individuals and businesses worldwide. PayPal is not inherently HIPAA compliant, but it can be used in a way that meets HIPAA requirements with the right setup.
To be HIPAA compliant, businesses must use PayPal's Business account, which has a more robust set of features and security measures than the Personal account. This is because the Business account allows for more control over transactions and data.
The Business account also requires a more detailed setup process, including the creation of a separate business profile and the use of specific payment settings. This extra step is necessary to ensure that sensitive patient data is properly protected.
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PayPal HIPAA Compliance
PayPal is considered a Business Associate under HIPAA, which means they must comply with the regulations.
As a Business Associate, PayPal must sign a Business Associate Agreement (BAA) with covered entities, outlining their responsibilities and obligations.
PayPal's BAA ensures they protect sensitive patient data and maintain confidentiality.
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Online Billing

Online billing with PayPal can be a convenient and secure way to manage your business's financial transactions. This is especially important for healthcare providers who need to protect sensitive patient information.
PayPal's online billing system allows you to send invoices and receive payments from patients, which can help streamline your billing process. You can also customize your invoices with your business's logo and branding.
PayPal's compliance with the Health Insurance Portability and Accountability Act (HIPAA) ensures that sensitive patient information is protected. This includes secure storage and transmission of electronic protected health information (ePHI).
PayPal's online billing system also offers features such as automatic payment reminders and payment tracking, which can help reduce the risk of missed payments.
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A Quick Refresher
HIPAA compliance is a crucial aspect of protecting patient health information (PHI). The Health Insurance Portability and Accountability Act (HIPAA) was enacted into law by Congress in 1996.
HIPAA has proven essential for reducing healthcare fraud and allowing workers to transfer and continue their health insurance when they lose their jobs. This is a significant benefit for individuals and families who may be going through a difficult time.
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At the core of HIPAA is the protection of patient health information (PHI). HIPAA mandates standards that ensure electronic systems for billing and other healthcare-related tasks function without putting patients at risk.
Here are some key benefits of HIPAA compliance:
- Reducing healthcare fraud
- Allowing workers to transfer and continue their health insurance when they lose their jobs
- Mandating standards that ensure electronic systems for billing and other healthcare-related tasks function without putting patients at risk
Alerting Patients and Plan Members
Offering PayPal as a payment option has benefits for health care and health insurance providers, but it also comes with privacy risks.
Covered entities should alert patients and plan members to these risks and advise them to keep the amount of sensitive personal information included in payments to the minimum necessary. This is crucial to ensure the security of their sensitive data.
It's a good idea to include training on payment processing in HIPAA training, especially if members of the workforce are asked about the privacy risks.
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Alerting Patients and Plan Members to Privacy Risks
Alerting patients and plan members to the risks of sharing sensitive information is crucial when offering online payment options like PayPal. If covered entities offer PayPal as a payment option, they should alert patients and plan members to the privacy risks and advise them to keep the amount of sensitive personal information included in payments to the minimum necessary.
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It's a good idea to include training on payment processing in HIPAA training to educate members of the workforce about the privacy risks. This training should be documented, as should any warnings provided to patients and plan members.
Covered entities should be aware that the FTC regulates unfair or deceptive business practices, including consumer protection and health privacy. The FTC has enforced privacy laws against companies that share patient data with third-party advertisers.
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Therapy Best Practices
To ensure you're alerting patients and plan members correctly, it's essential to follow therapy best practices.
Make sure any healthcare payment provider is payment card industry (PCI) compliant, and follows the PCI data security standards (PCI DSS).
Using a payment method that's not HIPAA-compliant, like Venmo, can put your clients' information at risk and lead to penalties.
It's worth investing in a HIPAA-compliant payment method, even if it costs a bit more.
A POS (point of sale) system with up-to-date encryption technology is a must-have for secure payments.
Ensure any card reader you use is EMV chip card compatible for added security.
As you plan to put a HIPAA-compliant payment system in place, be sure to include any related fees in your therapy practice's budget.
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PayPal Breakdown

PayPal's website boasts about protecting patient data with buzzwords like encryption, protection, and security, but it's all just a facade. They don't provide HIPAA compliant payment processing, and they collect and sell patient data for advertising purposes.
As a healthcare provider, you can't use PayPal as a payment method, as it would likely result in a breach of HIPAA compliance and lead to disciplinary actions and penalties.
PayPal's lack of HIPAA compliance is a major red flag, especially considering they collect and sell patient data. This is a clear example of why healthcare providers need to exercise due diligence over third-party vendors.
Here's a list of payment processors that explicitly state they don't comply with HIPAA Rules and won't sign a HIPAA business associate agreement:
- PayPal
- Venmo
- CashApp
- Stripe
- Zelle
These payment processors confirm they can't guarantee personal information won't be accessed, disclosed, altered, or destroyed, and they share personal data with other businesses, which HIPAA prohibits.
Compliance with Other Services

PayPal, like any other payment processing company, must comply with various regulations beyond HIPAA. The Federal Trade Commission (FTC) regulates unfair or deceptive business practices, including consumer protection and health privacy.
The FTC has enforced privacy laws against non-business associate companies that share patient data with third-party advertisers. This includes companies like GoodRx, BetterHelp, and PreMom.
Zelle Compliance
Zelle is not HIPAA compliant for payment processing, despite having a robust security page.
The authentication and monitoring used by Zelle meets HIPAA Security Rule requirements, but the company does not sign Business Associate Agreements.
This means using Zelle for patient payments would likely put you at risk of violating HIPAA rules.
Zelle's lack of HIPAA compliance is a major concern for healthcare providers who need to protect sensitive patient information.
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Beyond FTC Rules Apply
The FTC and the Office for Civil Rights (OCR) have expressed concern about website trackers that permit tech companies to share PHI with third-party advertisers.

The FTC has enforced privacy laws against non-business associate companies, like GoodRx, BetterHelp and PreMom, because their web trackers shared patient data with other companies to the detriment of patients.
If consumers complain or a significant data breach occurs at a payment processing company, the FTC can respond under the FTC Act or its own Health Breach Notification Rule.
Payment apps that share patient data with third parties are subject to FTC scrutiny, so it's essential to be mindful of how patient data is handled.
Here are some key takeaways:
- The FTC regulates unfair or deceptive business practices, including consumer protection and health privacy.
- Payment apps that share patient data with third parties are subject to FTC scrutiny.
Payment Processing
HIPAA compliant payment processing is a must for healthcare providers, but it can be confusing. You can't just use any payment service, as some popular options like Zelle are not HIPAA compliant.
To resolve this issue, you can employ HIPAA compliant online billing software, such as KAREO Billing, RXNT Medical Billing and Scheduling, EZclaim Medical Billing, NueMD cloud-based software, or InstaMed Online for Providers. These services are specifically designed to meet HIPAA requirements.
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Alternatively, you can use online payment processing companies like Stripe and Square, but be sure to limit your use of these services to only receiving payments. If you use them for anything else, you'll need to sign a Business Associate agreement.
To receive HIPAA-compliant payments, you should use an online payment method that is explicitly HIPAA compliant or a traditional method like credit card, ACH, or cash.
Frequently Asked Questions
Which payment app is HIPAA compliant?
SimplePractice offers HIPAA-compliant payment methods, ensuring secure and confidential transactions. This platform is HITRUST certified, demonstrating its commitment to data security and compliance.
Sources
- https://acupuncturetoday.com/article/34283-hipaa-compliant-online-payment-billing
- https://www.netsec.news/is-paypal-hipaa-compliant/
- https://healthcare.trainingleader.com/2021/10/hipaa-compliant-payment-processing/
- https://www.joinheard.com/articles/hipaa-compliant-payment-methods-for-therapists
- https://thehipaaetool.com/are-venmo-paypal-cashapp-or-zelle-hipaa-compliant/
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