APEX Ledger™
Instant settlement, HSA/FSA-aware rails, and medical credit built into the clinical stack. Payment primitives designed for healthcare, not retrofitted.
Healthcare payments are notoriously slow, opaque, and disconnected from clinical delivery. Ledger introduces instant settlement and healthcare-native financial primitives to close the gap.
What Ledger does.
Utilize FedNow and modern payment rails to settle transactions instantly, eliminating multi-day clearing delays.
Embedded financial products that allow patients to access medical credit seamlessly at the point of care.
Automatically route eligible expenses to tax-advantaged accounts with zero manual adjudication.
Plays well with the stack you already run.
Every integration is first-party and maintained in-house. No fragile middleware, no orphaned connectors.
- FedNow
- Stripe
- Plaid
- Cross River
- NetSuite
- Workday
- QuickBooks
- PCI-DSS Level 1
- SOC 1 Type II
- SOC 2 Type II
- HIPAA Business Associate Agreement