Billing Inquiry

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On-Line Bill Payment

You may also pay your bill on-line. Click the button below to pay your bill through our partner site, PayMyDoctor.com. You’ll need your client ID, Account Number, and Zip Code from your statement.

Pay Your Bill

If you do not have a billing account with PayMyDoctor.com, click the "Create An Account" button on the PayMyDoctor.com website. Then use the information on your billing statement to complete the fields of the on-line enrollment form.

Send a Billing Inquiry Message

Please allow 48-72 hours for a response to your inquiry.

To expedite proper handling of your inquiry,
please provide as much of the supporting demographic information (requested below) as possible.

* = must be completed.

Person Inquiring

*First Name

*Last Name

*Phone (518-555-5555)

*Email (name@domain.com)

Patient Information

*Patient First Name

*Patient Last Name

Account Number (From Billing Statement)

Date of Birth (Example: 01/14/1992)

Street Address

Suite / Apartment

City

State/Province

Zip

*Message

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Billing Inquiry

On-Line Bill Payment

Send a Billing Inquiry Message

Please allow 48-72 hours for a response to your inquiry.

Person Inquiring

Patient Information

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