Patient Payment Gateway

Directions

  1. Enter your full balance amount shown on your printed bill below
  2. Click the Submit button
  3. You will be taken to a new screen to fill out all of your information.
  4. Make sure to type in your account number in the Memo field at the bottom of the form.
  5. Once all your data is entered, you will receive a receipt via email
  6. Please make sure all of your personal info that you enter in the form matches the info on your printed bill exactly
  7. DO NOT hit the BACK button in your browser during this process, it may cause a DUPLICATE CHARGE against your bank account!

Support

For support, you can contact us via:

  • Phone at (901) 767-0101

Pay Your Bill

YourOrderPage
Balance Amount:
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