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The HIPAA Journal is the leading provider of HIPAA training, news, regulatory updates, and independent compliance advice.

Is Ivy Pay HIPAA Compliant?

Ivy Pay is a HIPAA compliant payment processing service for therapists that eliminates the “interruption” of a financial transaction at the end of a therapy session so clients get the maximum benefit from the therapy session. At the present time, Ivy Pay is only available for qualified, licensed therapists and is not a service every healthcare provider can take advantage of.

Ivy Pay is a payment processing service that evolved from what was effectively a search engine through which clients could reach therapists and “try before you buy”. The service works in a slightly different way from most payment processing services inasmuch as it has been designed to save therapists time and not distract clients from the benefits of therapy at the end of each session.

The payment process consists of a client registering their credit card with Ivy Pay. Then, when a session is finished, rather than the client having to initiate a payment transaction, their therapist enters the charge into an app which connects with Ivy Pay´s servers. Ivy Pay charges the credit card, deducts a small commission, sends the payment to the therapist’s bank account, and advises the client by SMS text that a charge against their card has been made.

Because Ivy Pay maintains the client´s credit card information, the transaction is not exempted from the HIPAA Privacy and Security Rules under §1179 of the HIPAA Act. However, Ivy Pay has the necessary security measures in place to ensure the confidentiality, integrity, and availability of Protected Health Information, and is willing to enter into a Business Associate Agreement as required by 45 CFR §164.502(e) and 45 CFR §164.314(a).

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Only One Potential Issue with Ivy Pay

There is only one potential issue with Ivy Pay and that is that clients have the right to request how they are contacted by covered entities and business associates (see “Confidential Communications Requirements” in HHS´ Summary of the Privacy Rule). If a client objects to being contacted via SMS text, therapists are unable to use Ivy Pay because that is the only communication option.

Other than that, there is nothing in the Terms of Service or Privacy Policy that might create cause for concern, and we have been unable to find any complaints relating to the service in HHS´ enforcement database. In our opinion, not only is Ivy Pay HIPAA compliant, but it is also a shame the service is not available to more healthcare providers than just therapists. Maybe this will change in time.

Author: Steve Alder is the editor-in-chief of The HIPAA Journal. Steve is responsible for editorial policy regarding the topics covered in The HIPAA Journal. He is a specialist on healthcare industry legal and regulatory affairs, and has 10 years of experience writing about HIPAA and other related legal topics. Steve has developed a deep understanding of regulatory issues surrounding the use of information technology in the healthcare industry and has written hundreds of articles on HIPAA-related topics. Steve shapes the editorial policy of The HIPAA Journal, ensuring its comprehensive coverage of critical topics. Steve Alder is considered an authority in the healthcare industry on HIPAA. The HIPAA Journal has evolved into the leading independent authority on HIPAA under Steve’s editorial leadership. Steve manages a team of writers and is responsible for the factual and legal accuracy of all content published on The HIPAA Journal. Steve holds a Bachelor’s of Science degree from the University of Liverpool. You can connect with Steve via LinkedIn or email via stevealder(at)hipaajournal.com

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