Overview

The Member Payment Requests feature lets an organization collect member co-payments (or other member responsibility amounts) by sending a Stripe invoice directly to the member. It supports both manual requests and automated requests.

How it works

There are two ways a payment request is created:

1) Manual payment request 

A user creates a payment request for a specific member and associates it to a specific claim. This creates a Draft request. Draft requests are processed overnight, then become Active, and Stripe sends the invoice to the member with a link to pay.

2) Automated payment request 

When ERA data indicates the member owes a responsibility amount, the system automatically creates the payment request overnight and sends the Stripe invoice, as long as the Automatically generate payment requests from ERA setting is enabled.

Important: automated requests only work if ERA data is actually coming back into the claim.

Configuration

Payment Requests are configured on the organization’s Claims settings page.

Where to find the settings

1. Go to the Organizations page.
2. Open the organization.
3. Go to the Claims page.
4. Scroll down to the new Payments section.

Settings explained

Enable member payments

This enables the feature in the organization and unlocks the ability to create payment requests for members.

Automatically generate payment requests from ERA

• This enables the automated workflow based on ERA data (remittance advice).
• The system reads ERA information and determines the member responsibility amount (for example, “Co Pay $20”).
• Overnight, it creates a payment request for that amount and sends the invoice.

You can enable:

• Manual only (Enable member payments checked, ERA unchecked)
• Automated only (Enable member payments checked, ERA checked)
• Both manual and automated (both boxes checked)

Manual payment requests (Member Overview)

Manual requests are created from the Members page within the member profile.

Create a payment request

1. Go to Members.
2. Open the member.
3. Scroll to the Member payments / Payment requests section (the table on the profile).
4. Click Request payment.
5. Choose the Claim to associate the invoice with.
6. Enter an Internal ID (optional). This can be any unique value you want, like the claim ID.
7. Enter the Amount you want to collect.
8. Submit to create the request.

What happens next

• The request is created as Draft.
• Overnight processing runs.
• A Stripe invoice is created and the request becomes Active.
• The member receives the invoice by email or text, with a Stripe payment link.

Automated payment requests 

Automated payment requests are created when the payer sends back the member responsibility amount through ERA.

1. How to enable automated payment requests from ERA
2. Go to Organizations.
3. Open the organization.
4. Go to the Claims page.
5. Scroll to the Payments section.
6. Check Enable member payments.
7. Check Automatically generate payment requests from ERA.
8. Click Save.

What happens after it is enabled

• A claim is submitted as normal.
• The payer responds and ERA information is received on the claim.
• Overnight, the system reads ERA data and looks for a member responsibility amount for the member.
• The system creates a payment request tied to the member and the claim.
• Stripe sends the invoice to the member by email or text with a payment link.

Member experience

• The member experience is the same for manual and automated requests.
• The member receives a Stripe invoice by email or text.
• The email comes from Stripe, not Pear Suite.
• The invoice displays the organization’s name.
• Partial payments may be possible depending on Stripe invoice behavior, but Pear Suite does not manage that directly.

Canceling requests, deleting paid invoices, and refunds

• Payment requests can be canceled.
• If the member already paid, canceling triggers an automatic refund.
• Deleting a paid invoice also triggers an automatic refund.
• Organizations can manage and view invoices and refunds in their connected Stripe Express dashboard.

Permissions

• Only users with claim submission access can create payment requests.
• Other users can still view the payment requests table.

Q&A