Pay your bill online
What to have ready before you begin
Before starting the payment process, please have your billing statement on hand. You will need to provide:
- The practice account name listed under “Remit To” on your statement
- The account number shown on your statement
- The amount you wish to pay
- The patient’s first and last name
As the cardholder, you will also be asked to enter your name, address, and contact information. All payments are processed through a secure system, so you can rest assured that your personal information will be kept safe.
Please refer to your statement to complete the form below to securely pay your bill online
Online payments are temporarily unavailable
Please do not submit or retry a payment at this time. For assistance or to confirm a recent payment attempt, contact Billing at 1-855-352-8472. We apologize for the inconvenience.