To make a payment, you must enter the patient account number and date of birth (MM/DD/YYYY).  The account number can be found on the patient statement.

* Indicates required field   Your Information * Patient Account Number:  !  *  * Patient Date of Birth:  !  *

If you have any questions or are unable to login, please contact Customer Service at (800) 889-3333, Monday through Friday from 8:00 a.m until 5:00 p.m.