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  • Statement Details
  • Payment
  • Confirmation

Enter Your Statement Details

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Review and Pay

Account #
Patient Name
Reference #
Amount

Enter Credit Card Details

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Thank you for your payment

Your payment has been accepted and will be applied to your account.
Please find the payment details below for your reference.

Payment Receipt
Account #
Patient Name
Reference #
Amount
Transaction #
 

Payment Receipt

Account #
Patient Name
Reference #
Amount
Transaction #
Transaction Date
 
 
For Billing Support, please call the number on your billing statement