Transform Payments, Enhance Profits in Surgical Practices

Streamline billing, eliminate credit card fees, and offer flexible financing options all in one platform designed for surgeons.

Eliminate Processing Fees

Save up to 100% on credit card processing costs with our fully compliant surcharging solution, putting thousands back in your pocket every month.
Eliminate Processing Fees

of surgical practices using Strictly report faster collections, improving cash flow for high-cost procedures.

Eliminate Processing Fees

of patients want to pay by text Strictly makes this possible with secure “Pay by Text” solutions.

Eliminate Processing Fees

POS Lending: How does U.S. Bank Avvance work​

It’s easy to offer Avvance as a payment option. Your patients can easily apply for financing within seconds via any online device, when they click on your Avvance payment link or scan your unique QR code. Once approved, they can use Avvance financing to pay for their treatment or service, and select the loan option that works best for them.

Once your patient or client has paid with Avvance, you get paid within 48 hours for the full transaction amount

Why Choose Us

Remove your risk

Remove your risk

Business is paid the full transaction amount within the next 48 hours. U.S. Bank handles the consumer repayment.

Empower your patients

Empower your patients

Offer them the peace of mind that comes from flexible and transparent financing options.

Improve the payment experience

Improve the payment experience

Pre-approval is valid for 15 days, giving your patients time to make important decisions about their care.

Get pre-approved for financing

Know your spending power before you shop.

Get pre-approved for financing

Financing is offered through U.S. Bank

Connected to the Systems You Already Use

Trusted by Leading Surgical Practices

Strictly is built for surgical centers that demand efficiency, security, and modern patient experiences. Examples include:

  • Xiluet Plastic Surgery Miami.
  • Rejuv Cosmetic Surgery Institute.
  • Imagos Institute of Plastic Surgery.
  • Divine Plastic Surgery.

Your surgical practice could be next to reduce fees and streamline patient payments.

Operational Efficiency & Profitability

Streamlined Front Desk Scheduling, check-ins, and payments in one system.

Virtual Terminal Browser-based tool for quick manual entries.

Real-Time Insights Transparent reporting and dashboards.

Financing & Payment Plans Increase accessibility for elective and non-elective surgeries.

Modern Patient Experience & Security

Modern Patient Experience & Security
Text to Pay

Text to Pay

Meet patient demand for mobile convenience.

Card on File

Card on File

Simplify follow-up visits and post-op payments.

HIPAA-Compliant

HIPAA-Compliant

Protect patient data and payment workflows.

Multi-Channel Processing

Contactless Payments

Apple Pay, Google Pay, and tap-to-pay.

PCI DSS-Compliant

PCI DSS-Compliant

Secure by design with built-in 3D Secure and fraud prevention.

©2025 U.S. Bank. Avvance is a registered trademark of U.S. Bank N.A. in the United States and/or other countries. All rights reserved. This document is prepared by U.S. Bank Payment Services as a service for its customers. The information discussed is general in nature and may not apply to your specific solution.

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