How it works: TWINT and QR payment in acupuncture and natural healing practices in Switzerland
TWINT via QR code is often the cheapest and easiest payment solution for Swiss acupuncture and natural healing practices – without a terminal, without a monthly subscription and at 1.25% with QR Pay. A static QR code can be set up in minutes and covers the majority of Swiss direct payments.
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TWINT via QR code is often the cheapest and simplest payment solution for Swiss acupuncture and natural healing practices – without a terminal, without a monthly subscription and with a fee of 1.25% for QR Pay or 1.25% + EUR 0.18 via Payment Link. A static QR code can be set up in minutes and covers the majority of Swiss direct payments.
This guide shows you how to set up TWINT QR in your practice, which variants exist and why the QR code is often more sensible for Swiss complementary practices than a classic terminal.
1. Why TWINT fits particularly well in complementary practices
With over 4 million active users, TWINT is the most widely used mobile payment method in Switzerland. TWINT is particularly popular in complementary practices because many patients already use the app for other payments and because the process after a treatment feels particularly natural: no pulling out a card, no holding up a terminal – simply scan the QR code and pay. This fits the calm, non-clinical setting of many TCM and natural healing practices.
Many practices already accept TWINT today – but via a private mobile number or personal TWINT account. This is problematic for larger amounts: no structured bookkeeping, no automatic transaction reports, no refund option via the system. A professional TWINT setup via a PSP resolves all of this.
2. Three TWINT variants compared
Variant A: Static TWINT QR code (via Payrexx QR Pay)
A static QR code is created once in the Payrexx Dashboard, printed out and set up in the practice. Patients scan the code, enter the amount themselves and confirm. The payment appears immediately in the Payrexx Dashboard. Fee: 1.25% + EUR 0.00 per transaction (Payrexx QR Pay, as of: May 2026). No monthly subscription needed. The easiest entry-level solution.
Variant B: Dynamic TWINT via Payment Link
A Payment Link with the exact amount is created in the Payrexx Dashboard and sent to the patient via SMS or WhatsApp. The patient clicks the link, selects TWINT and pays. Advantage: The amount is predefined – no input error possible. Online Standard fee: 1.25% + EUR 0.18. Ideal for variable amounts after the session.
Variant C: TWINT via Tap to Pay Android
With the Payrexx Tap to Pay App on an NFC-enabled Android smartphone, TWINT can be triggered directly in the app. Patients hold their smartphone to the therapist's Android device. Fee: 1.25% + EUR 0.00. iPhone is not supported. Good for practices that already have an Android device and use Tap to Pay for card payments.
Variant | Setup effort | Amount fixed/variable | Fee EUR 130 | Device needed |
Static QR code (QR Pay) | Very low | Entered by patient | EUR 1.63 (1.25%) | No |
Payment Link dynamic | Low (via link) | Fixed predefined | EUR 1.81 (1.25%+0.18) | No |
Tap to Pay Android | Medium (app+account) | Fixed entered | EUR 1.63 (1.25%) | Android |
3. Setting up a static TWINT QR code: step-by-step
Setting up a static TWINT QR code via Payrexx QR Pay takes under 15 minutes:
Create a Payrexx account (free, 30-day trial period, no credit card required)
Create a new QR code in the Dashboard under 'QR Pay'
Enter your practice name and an optional purpose of payment
Download the QR code and print it in high quality (min. A6 format)
Laminate it and display it clearly in the practice – at the reception, on the treatment table or at the checkout
Carry out a first test payment with your own TWINT
Recommendation: Print the QR code in two sizes – a large one for the reception area and a small laminated one to take with you on home visits or mobile deployments.
4. TWINT refunds and bookkeeping
All TWINT payments via Payrexx appear immediately in the Dashboard with the date, amount and optional booking text. This enables seamless bookkeeping without manual entry. CSV export for your accountant is possible at any time.
Refunds are possible within 30 days – directly in the Payrexx Dashboard with just a few clicks. This is particularly important for practices that accept upfront payments for series: if a patient has to drop out of the series, the remaining amount can be refunded quickly.
TWINT does not support pre-authorisation. This means: TWINT is not suitable for no-show fees. This requires a credit card (Visa, Mastercard) with pre-authorisation. If you want to secure against no-shows, it is best to combine TWINT QR for ordinary payments with a credit card guarantee during online booking.
5. Combining TWINT and cards: the recommended setup for sole practices
For most TCM and natural healing practices in Switzerland, this setup is ideal: a static TWINT QR code as the main solution for on-site payments, complemented by Tap to Pay on Android for card payments (Visa/Mastercard Debit) for patients who do not use TWINT. Payment Links via WhatsApp for subsequent payments or herb orders after the session.
This setup requires no monthly subscription (the Free plan is sufficient), no POS terminal and no complex integration. Total fixed costs: EUR 0. Total fees per EUR 130 session via TWINT: EUR 1.63.
Situation | Recommended solution | Fee (EUR 130) |
Patient pays with TWINT on site | Static QR code (QR Pay) | EUR 1.63 |
Patient pays with card | Tap to Pay Android | EUR 1.39 (Debit) |
Subsequent payment for herbs | Payment Link via WhatsApp | EUR 1.81 (Standard TWINT) |
Prepaying for a series | Payment Link with series amount | EUR 1.81 (Standard TWINT) |
6. Common mistakes when setting up TWINT in the practice
The biggest mistake: accepting TWINT via a personal mobile number or a private TWINT account. This leads to missing transaction receipts, no possibility of refunds and an unclear bookkeeping situation. Switching to a professional business TWINT via a PSP takes less than an hour and should not be delayed.
Another mistake: printing the QR code in too low a resolution. Smartphones sometimes struggle to scan low-resolution QR codes. Always print the high-resolution version downloaded from the Payrexx Dashboard.
Checklist: Setting up TWINT QR code in the complementary practice
Create a Payrexx account (free, the Free plan is sufficient for QR Pay and Tap to Pay)
Activate QR Pay and create a static QR code for the practice
Download the QR code in high resolution and print it out laminated
Install the Payrexx Tap to Pay App on an Android device for card payments
Carry out first test payments with TWINT and card before going live with the solution
Prepare a Payment Link template for herb orders and subsequent payments
Deactivate previous private TWINT connections or separate them clearly from the business solution
Test the CSV export from the Dashboard for the first monthly bookkeeping
Payrexx QR Pay is included in all plans, including Free. TWINT via QR Pay costs 1.25% without a fixed fee – no monthly subscription, no contractual tie-in, no terminal. For sole practices with mainly Swiss patients and 10–20 sessions per week, this is the cheapest and simplest entry into cashless payment.
FAQs on TWINT and QR payment in complementary medicine practices
How much does TWINT via QR code cost in a TCM practice?
Payrexx QR Pay: 1.25 % + EUR 0.00 per transaction, no monthly subscription. With a session price of EUR 130, this results in a fee of EUR 1.63. As of May 2026.
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Can I use TWINT via my personal mobile number in the practice?
Technically yes, but not recommended. Personal TWINT does not offer structured accounting, no refund option and no transaction reports.
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Can the patient enter the incorrect amount in the QR code?
With a static QR code yes – the patient enters the amount themselves. With a dynamic payment link, the amount is fixed.
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Is TWINT suitable for no-show fees?
No. TWINT does not support pre-authorisation. For no-show fees, Visa or Mastercard with pre-authorisation is required.
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Can I also use the TWINT QR code for home visits?
Yes. Carry a laminated, printed QR code during home visits. Patients scan it on site – you will see the payment in the Dashboard once you are back online.
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Does the TWINT QR code work without an internet connection?
The printed QR code itself does not require an internet connection. You will see the incoming payment in the Dashboard as soon as your device is online again.
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