By law we must have approval to save cards on file. We get this at the beginning during intake. But if that card expires or they add a new card to pay a bill that card also gets saved. But with out their knowledge it is getting saved. Not sure how this can change but a disclaimer should be there that all cards get saved. I made a note in the disclaimer saying all cards will be saved and patients can manage there cards filled. But would be nice if we could capture a check box or something when the update it out make a new payment