Specialties06Integrative & cash-pay
Run a cash-pay practice without the billing drag.
Insurance still won't reimburse the extended visits and coaching that define integrative medicine — so most practices run cash-pay or HSA/FSA. Ona's billing flexes to fit, instead of fighting it.
The defining constraint of integrative medicine hasn't moved: insurance won't pay for the things that make it work — long visits, in-depth coaching, personalised lifestyle planning. So most practices run on cash-pay, HSA and FSA. The software problem isn't documentation complexity; it's payment flexibility, because a billing flow built for insurance claims gets in the way of a practice that doesn't file them.
Ona's billing is built to flex. Each visit's invoice is drafted from its services, patients pay by card online or from a card saved on file, and a program paid over time runs as a membership that ends after a set number of payments. The financial flow fits the cash-pay model instead of fighting it.
Three things integrative medicine practices lean on.
Invoices drafted from each visit's services, payment by card online or from the card on file with an emailed receipt, and superbills for patients who claim reimbursement themselves. No insurance-claim machinery in the way.

From first inquiry to a paid, documented visit.
Step 01
Inquiries land in one place.
New callers, texts, emails, the AI receptionist and your website's chat and contact form drop into a lead pipeline with owner, source and follow-up dates — so the cash-pay funnel isn't a spreadsheet.
Step 02
Booking and payment in one flow.
Self-service booking against real-time availability, with payment by card at booking and the time held while the patient checks out.
Step 03
The long visit runs in the chart.
In-person or over telehealth, the ambient scribe captures the extended visit and the note drafts from it against your template, so the depth of the work doesn't cost you the documentation.
Step 04
The receipt clears on the spot.
Payments post against the patient record as they clear, and a charge to the card on file emails the patient a receipt. Balances, refunds and invoice PDFs are one click away.
Integrative Medicine, answered.
Does Ona work for a cash-pay practice?
Yes — billing is built to flex. Invoices are drafted from each visit's services, patients pay by card online or from a saved card, and superbills cover patients who claim reimbursement themselves. Ona has no HSA/FSA-specific features. No insurance-claim machinery required.
Can I offer payment plans for higher-priced programmes?
Not as an installment plan on an invoice. Instead, create a membership that bills monthly and ends after a set number of payments, with the program's visits included — each payment is charged to the patient's card and recorded as a paid invoice.
How do extended, coaching-style visits work?
Telehealth runs encrypted in the browser with a waiting room and one-click join, and the long visit's note drafts from the transcript against your own template — so depth of care doesn't translate into hours of documentation.
Can patients handle everything themselves?
The mobile-first portal lets patients book, reschedule, complete intake, sign consents and pay without calling the office — keeping the cash-pay relationship low-friction.
See Ona in integrative medicine.
Book a demo and we'll walk through your own workflows — no slides, no pitch.
- Live walkthrough
- Free data migration
- 14-day free trial

