Can my dental office take cards right inside Eaglesoft?
By Grant Beucler, Co-owner, BP Global Merchant Services
Published · Last updated
Eaglesoft runs the front desk at a lot of dental offices. If your team runs a card on a terminal and then types the payment into the patient ledger, you're doing the work twice. Here's how a dental office can take cards inside Eaglesoft, what each setup costs, and what to check before you sign.
Can my dental office take card payments inside Eaglesoft?
Yes. An Eaglesoft office has three realistic setups, and two of them post payments to the patient ledger without retyping.
- Eaglesoft's built-in card payments. These run through a processor that Patterson, the company behind Eaglesoft, partners with.
- An approved third-party payment bridge. Rectangle Health's Practice Management Bridge won approved integrations for Eaglesoft and two other Patterson systems in December 2024, per Dentistry33.
- A standalone terminal. Any processor's terminal works, but staff post each payment to the ledger by hand.
Patterson has added other payment partners too. In 2024 a dental payments platform announced it would integrate directly with Eaglesoft. A patient-financing card already lets offices run transactions from the patient account, and they post back to the Eaglesoft ledger.
| Setup | Posts to the Eaglesoft ledger | Who sets your processing rate | Main thing to check |
|---|---|---|---|
| Eaglesoft's built-in card payments | Yes, automatically | Patterson's processing partner | The markup and fee lines on your statement |
| Approved third-party bridge (for example, Rectangle Health) | Yes, automatically | The provider you board with | Which features your office will actually use |
| Standalone terminal | No, staff post by hand | Any processor you choose | Staff time spent posting and reconciling |
What does "integrated" actually do for a dental front desk?
Integrated means the card charge and the ledger entry happen in one step. The payment lands on the right patient account without anyone retyping the amount.
That matters more in dentistry than at most counters. Dental offices collect at several points: a copay at check-in, the patient's share after the insurance EOB, and monthly payments on larger treatment plans. Every one of those is a chance for a typo or a missed posting when the terminal and the software don't talk.
Rectangle Health's Eaglesoft connection, for example, lists automatic posting to the patient ledger, stored cards, text-to-pay and contactless payments. Patients can pay before, during or after care without staff leaving Eaglesoft. Compare features on the setup you're offered, not on a brochure.
Do I have to use Eaglesoft's built-in payments to stay integrated?
No. Approved third-party bridges post to the Eaglesoft ledger too, so you can keep your software and still choose who processes your cards.
Watch the hardware before you switch, though. A dental office manager writing in DentistryIQ warned that "free" terminals are often proprietary and only work with the provider that supplied them. Ask whether your current readers will work with the new setup, or budget for new ones. Our terminals page lists the devices BP Global supports.
Does paying inside Eaglesoft change what my office pays in card fees?
Integration doesn't set your interchange; Visa and Mastercard do, based on the card type and how it's taken. What integration changes is how your team takes cards, and that changes the mix.
ADA News explained that chip, tap and swipe payments get lower rates than keyed cards. Keyed or online payments do better when the full ZIP code and security code are included. The same article reported dental offices averaged a 3.38% effective rate in 2022, against a suggested target of 2.1 to 2.2%.
Text-to-pay links and charges to a stored card are card-not-present payments. They're convenient for post-EOB balances, but they usually cost more than a chip card at the desk. Your processor's markup sits on top of all of it, and that markup is the part you can negotiate. Our post on a normal card processing rate for a dental office walks through the math.
Example: what the choice is worth at a busy practice
This is a hypothetical example, not a real office or a quote. Picture a practice taking 400 card payments a month, totaling $80,000.
On a standalone terminal, say each payment takes 90 seconds to post and check at day's end. That's 600 minutes, or 10 hours of front-desk time a month.
Now compare two integrated setups that differ only in markup over interchange:
| Example figures | Setup A | Setup B |
|---|---|---|
| Monthly card volume | $80,000 | $80,000 |
| Markup over interchange | 0.70% | 0.30% |
| Monthly markup cost | $560 | $240 |
| Yearly markup cost | $6,720 | $2,880 |
The integration is the same in both columns. The 0.40-point markup gap is worth $3,840 a year at this volume, which is why the statement matters more than the software screen.
What do stored cards and payment plans need?
They need written consent and a token instead of a card number. Both rules apply whether the payment runs inside Eaglesoft or not.
Visa's stored credential rules took effect October 14, 2017. You must tell the patient how the card will be used and get consent before storing it. You must notify the patient of changes and keep the agreement. For an installment plan, the agreement shows the total price and the payment terms. Charges must stop after the patient cancels under your policy.
Integrated systems store a token, not the card number. The PCI Security Standards Council says tokenization can reduce or remove the need to keep card numbers. It also says tokenization is not an alternative to PCI DSS, so your office still validates compliance every year.
Does my payment vendor need a HIPAA business associate agreement?
It depends on what the vendor does beyond payments. Under HHS's 2013 HIPAA rule, HIPAA doesn't apply to financial institutions doing the payment processing listed in Section 1179, as Jones Walker summarized. Those include authorizing, processing, clearing, settling and collecting payments.
A vendor that goes further, such as handling accounts receivable for the practice, may become a business associate. That call is fact-specific, Physicians Practice noted. Payment platforms that sync with your patient records, book appointments or send reminders are doing more than processing cards. Ask whether the vendor signs a business associate agreement, and check with your counsel.
What should I ask before choosing an Eaglesoft payment setup?
Ask questions that show up on the statement and at the front desk, not just in the demo.
- Is the connection approved for Eaglesoft, and does every payment post to the ledger automatically?
- Which features will we use: card on file, text-to-pay, payment plans, online payments?
- Will our current terminals work, or do we need new ones?
- Is pricing interchange-plus with a fixed markup, or a flat or tiered rate?
- How long is the contract, and is there a cancellation fee?
- Will the vendor sign a business associate agreement if it handles more than payments?
- How fast do deposits land, and do they arrive on weekends?
For a wider checklist that covers any software, see how to choose a POS and a card processor. Our integrations page shows what BP Global connects to.
When BP Global Merchant Services fits
BP Global works with Rectangle Health, whose Eaglesoft connection is confirmed. That lets an Eaglesoft office take payments inside its software. If you run other dental software, ask us before assuming the same. We offer interchange-plus or dual pricing and managed PCI compliance through VikingCloud. You also get a dedicated case manager who fights chargebacks and Elavon funding 7 days a week. To see what you pay now next to what you'd pay with us, in writing, start with the Free Statement Review.
FAQ
Do I have to change dental software to get integrated card payments in Eaglesoft?
No. Eaglesoft has built-in card payments, and approved third-party bridges such as Rectangle Health's also connect to it, so you keep your software and your ledger. You may still need terminals that work with the setup you choose.
Does integrated processing cost my dental office more than a standalone terminal?
Not by itself. Visa and Mastercard set interchange by card type and how the card is taken, and your processor adds its markup on top. Compare the markup and fee lines on the statement, not the software screen.
Can we text patients a link to pay their balance after insurance pays?
Many integrated setups offer text-to-pay, including Rectangle Health's Eaglesoft connection. These are card-not-present payments, so they usually cost more than a chip or tap card at the front desk.
What do we need before storing a patient's card for a payment plan?
Visa requires you to tell the patient how the card will be used, get consent before storing it and keep the agreement. For installment plans, the agreement shows the total price and payment terms. Store a token, not the card number.
Is our card processor a HIPAA business associate?
For payment processing alone, HIPAA's Section 1179 exception generally covers financial institutions. A vendor that does more, such as accounts receivable work for the practice, may be a business associate. Ask the vendor and check with your counsel.
Sources
- Dentistry33: Patterson Dental and Rectangle Health unveil seamless payment process integration (Dec 2024)
- Dental Products Report: dental payments platform partners with Patterson on Eaglesoft integration (May 2024)
- DrBicuspid: CareCredit now integrated into Eaglesoft software (Feb 2022)
- ADA News: Are credit card fees affecting your bottom line? (Feb 2023)
- DentistryIQ: Does the merchant service provider for your dental practice think you're an idiot? (2016)
- Visa: Stored Credential Transaction Framework (2017)
- PCI Security Standards Council: Tokenization guidelines release (Aug 2011)
- Jones Walker: HHS HIPAA omnibus final rule and financial institutions
- Physicians Practice: Does a financial institution qualify as a HIPAA business associate?
Drafted with AI from public sources, including those listed above, and fact-checked before publishing.