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Online Payment Processing

This is an attempt to collect a debt by a debt collector and any information obtained will be used for that purpose.

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Complete the fields below with the information provided on the letter you received.
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Click here to view a sample collection letter.
Patient Information
Account Number
First Name
Last Name
Address
 
City
State
Zip Code
Phone Number
Payment Type
header If you do not know your account number, please contact our office at (800) 945-7184.

This is an attempt to collect a debt by a debt collector and any information obtained will be used for that purpose.

North Carolina Department of Insurance Permit #1091