Flywire vs RevSpring
Two Patient Payments & Billing vendors, side by side. Facts from public sources; judgments are ours.
At a glance
Derived from public facts · a rough scale, not a ranking
| Flywire | RevSpring | |
|---|---|---|
| Pricing model | Per-transaction / per-chart · Payment processing fees, quote only | Per-transaction / per-chart · Per-statement fees plus payment processing |
| Speed to go live | Deep Epic payment workflow integration | Statement conversion project, one to three months |
| Automation model | Software platform · Patient payments embedded in MyChart | Software platform · Platform plus print and mail operations |
| Built for | Enterprise systems | Mid-size groups, Enterprise systems, Payers |
| Security posture | SOC 2 Type II, PCI DSS, HITRUST, HIPAA | HITRUST, SOC 2 Type II, PCI DSS, HIPAA |
| Company maturity | 17 yrs (est. 2009) | 45 yrs (est. 1981) |
| Financial backing | Public (NASDAQ: FLYW) | Private equity-owned (Frazier Healthcare Partners) |
| Named customers | 2 named | 2 named |
| Published results | Specific numbers public | Specific numbers public |
| Documented integrations | 1 listed | 3 listed |
| Third-party validation | KLAS / analyst cited | KLAS / analyst cited |
Bottom line
- Pick Flywire if you're a health system on Epic that wants patient payments and affordable payment plans embedded directly in MyChart and Resolute.
- Pick RevSpring if you want a proven, analytics-driven statement and payment vendor that can run both print and digital at health system scale.
Flywire
Public payments company with a healthcare affordability arm
- Founded
- 2009
- HQ
- Boston, MA
- Stage
- Public (NASDAQ: FLYW)
- Raised
- $263M pre-IPO
What it does
- Digital patient billing and payment portal
- Analytics-driven patient outreach and engagement
- Self-service payment plans, provider-funded or financed
- Integrated non-recourse financing up to 60 months
- Cross-border payments in 140+ currencies
Where it's strong
- Public-company scale and financial transparency, with proven deployments at very large systems like Banner Health and CommonSpirit.
- The affordability suite lets providers offer long payment plans without carrying receivables, since financed plans are funded non-recourse.
- A Forrester Total Economic Impact study commissioned by Flywire found clients can reach a 269% ROI.
What buyers should weigh
- Healthcare is one of four verticals alongside education, travel, and B2B, and recent capital went to travel (the $330M Sertifi deal), so healthcare is not the company's center of gravity.
- It covers patient payments and engagement, not claims, denials, or payer-side revenue cycle work, so you still need other RCM tooling.
- Best suited to large systems with high patient-pay volume; smaller groups may not justify the platform.
Named customers
Banner Health · CommonSpirit Health
Integrations
RevSpring
Patient billing communications and payments at enterprise scale
- Founded
- 1981
- HQ
- Nashville, TN
- Stage
- Private equity-owned (Frazier Healthcare Partners)
- Raised
- n/a
What it does
- Print and digital patient billing statements
- PersonaPay payment portal and payment plans
- Analytics that tailor message and payment offers
- Omnichannel outreach: text, email, voice, mail
- Pre-service estimates and financial engagement
- Integrated payment processing via TrustCommerce
Where it's strong
- Proven at scale: 1.5 billion communications and over $8 billion in payments processed annually.
- Data-driven personalization measurably lifts patient payment rates versus generic statements.
- The TrustCommerce acquisition adds a widely deployed Epic-integrated payment gateway.
What buyers should weigh
- It is an incumbent print-heavy vendor at its core; digital-first rivals pitch faster innovation.
- Statement and processing fees add up, and switching statement vendors is disruptive mid-contract.
- PE ownership changes (GTCR to Frazier) can shift roadmap and pricing priorities.
Named customers
Geisinger Health Plan · Emory Healthcare
Integrations
Compare against the rest of Patient Payments & Billing
Deciding between these two?
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