Due to the increased enrollment in high deductible health plans (HDHPs), we’ve seen an increase in patient responsibility like never before. In 2010, 10 million consumers were enrolled in HDHPs. Less than a decade later, 75 million consumers are enrolled in HDHPs, a more than seven-fold increase. The trend of increasing patient responsibility requires providers to rely on patients for a larger portion of their revenue and, not surprisingly, the burden to collect from patients has become a growing concern. Forward-thinking providers are turning to automated payment options which assist in collecting revenue that might otherwise go uncollected. Automated payment channels leverage an electronic payment method saved on file to collect a patient payment automatically. Sierra Pacific Orthopedics is a comprehensive muscular skeletal practice in Fresno, California serves up to 500 patients a day with a staff of 22 physicians and 50 total providers. Sierra Pacific Orthopedics faced significant increases in patient responsibility and no clear or simple way to collect these payments. The practice needed a way to increase collections without significant staff and with supported integration with NextGen® Enterprise PM. Joe Clark, CEO of Sierra Pacific Orthopedics, voiced his frustration: