Quick Payment
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All fields are required.
Email
Create Password
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Password must have, at least:
8 - 18 characters
1 uppercase letter
1 lowercase letter
1 number
1 special character
no leading & trailing spaces
Enrollment Code
Your unique registration code can be found on the bottom of your receipt
Patient Identifier Or Account #
Your Patient Identifier or Account # can be found on the monthly statement you receive
Date of Birth (mm-dd-yyyy)
Already a user?
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benefits of an account
Access your bill history online
Make payments online
Store your preferences
Receive Payment Reminders and Messages
Make your first payment using ‘Pay Now’, the enrollment code for registration will be found at the bottom of your receipt
It only takes a minute!
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