Even before the COVID-19 pandemic, medical debt was throwing the country’s healthcare system into crisis. Now, as challenges with the virus continue, many people are losing their jobs, making it impossible to pay their bills. Add that to a 50-70% drop in patient volume due to coronavirus fears, and 13% of providers worry they’ll be out of business in a month. Struggling to keep the lights on, practitioners are trying a variety of strategies to obtain patient responsibilities – optimizing IT systems, collecting payments at the time of service, using external business offices (EBO) – but it’s not enough. These challenging times require a truly innovative solution.