FAQ: Transition from Vantage to Transaction Services (TRX)

TRX Payments is an integrated payment processing solution built into the Ensora Health platform. It allows your practice to accept credit cards directly within your practice management software. Additionally, the TRX integration enables access to alternative payment options and patient financing. 

Your first step is a seamless transition from Vantage to Transaction Services (TRX)—a healthcare-focused payments platform built to help your practice run more efficiently and get paid faster.  

What you’ll gain:  

• Integrated payments that auto-post to the patient ledger  

• Card-on-file, flexible patient payment options, and enhanced reporting  

• 24-hour funding with live 24/7/365 support  

• Fully HIPAA and PCI compliant processing  

Getting started is easy—most applications are approved same-day and only require a valid driver’s license and a voided check or direct deposit letter. 

Start your TRX Application here: https://merchant-app.trxservices.com/?AgentId=13819  

Most merchant applications move from approved to boarded within 24–72 hours. 

You will need to provide your business legal name and DBA, Federal Tax ID (EIN), business address and contact information (phone number and email), your bank account and routing number provided via an image of a voided check and a copy of your ID. 

For processing patient payments, use Ensora Payments in MCP 2.0. Your TRX Dashboard can be reviewed for transactions processed and additional reporting.   

Yes. TRX Services supports multi-location practices. Each location can be set up as a separate merchant account or configured under a parent account structure, depending on your reporting and reconciliation preferences. Contact your account representative to configure the right setup for your organization. 

Through Ensora Payments you can accept Visa, Mastercard, American Express, and Discover. 

Ensora Payments uses transparent, competitive pricing through TRX Services. Your processing rate with Vantage will transfer to TRX. There are currently no monthly minimums. 

You can monitor settlement activity through the Batch Report and Summary Report in the TRX Portal Reporting tab. Deposits will appear in your linked bank account according to your settlement schedule. Contact your bank if a deposit does not appear within the expected timeframe. 

A chargeback occurs when a patient or cardholder disputes a transaction with their bank. When a chargeback is initiated, the disputed funds are temporarily held or reversed. You will be notified and given the opportunity to provide documentation to contest the dispute. Use the Disputes/Returns Report in the Manage Portal to monitor and respond to chargebacks.  

Gather supporting documentation such as signed consent forms, appointment records, payment receipts, and communication logs. Submit your rebuttal through the process outlined by TRX Services’ support. Providing thorough documentation improves your chances of a favorable outcome. Tip: Collecting patient signatures at the time of service and storing authorization records can significantly strengthen your position in a dispute. 

Yes. TRX Services maintains PCI DSS (Payment Card Industry Data Security Standard) compliance. All transactions are encrypted and processed through a secure, certified environment. Your practice does not store raw cardholder data — payment information is tokenized to protect your patients.  

Yes. Stored payment methods are securely tokenized through TRX Services' StorageSafe. A token - not the actual card number - is stored and used for future transactions. This means sensitive card data is never held within the Ensora platform or your practice systems.  

Payment data (cardholder information) is governed by PCI DSS, while patient health information is governed by HIPAA. TRX Services handles the payment processing environment under PCI standards. Your practice is responsible for ensuring that patient billing records and health information are managed in accordance with HIPAA requirements within the Ensora platform. 

Yes. You may be required to complete an annual PCI Self-Assessment Questionnaire (SAQ) and, in some cases, quarterly network scans. TRX Services will provide guidance on your specific compliance requirements. Keeping your systems updated and following best practices for cardholder data handling are essential ongoing responsibilities. 

No. You can process card-not-present payments entirely within the Ensora Health software using a keyboard entry.  

Your account representative can advise on hardware for your practice setup. 

For payment processing issues, including transaction errors, settlement questions, terminal problems, or chargeback responses, contact TRX Support directly at support@trxservices.com. For issues within the Ensora Health platform, such as billing reconciliation, contact Ensora Health Payments Support at payments.support@ensorahealth.com.  

TRX Services provides support Monday – Friday, 8:00 AM – 8:00 PM EST. For urgent after-hours issues, refer to the emergency contact information provided in your merchant welcome materials or account agreement.