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Welcome to the payment processing website for EveryBill Healthcare.
Click "CONTINUE" to begin processing your payment.

CONTINUE

EXIT

Please enter all the required information:

Name *

*First name

*Last name

Address *

*Address line 1 - street, P.O. box, company name, c/o

Address line 2 (optional) - apartment, suite, etc.

*City

*State

*Zip Code

File *

*Account number

Bank Account Info *

*Account type

*Credit card number

Exp. month

Exp. year

*Routing number

*Account number

Bank name

Payment *

*Payment frequency

Number of payments

NOTE: All recurring payments are automatically deducted on their specified due date. Once you've scheduled the recurring payment you do not have to make any separate payments towards that payment schedule except specifically advised to do so by the company.

*Payment amount (in USD)

*Payment date (mm/dd/yyyy)

Please double check your information:

I hereby understand and agree that:

My full name is firstName lastName.

I am authorizing payment(s) toward Account number fileNumber.

I have the authority to make payments from the following account:

Card Number: creditCardNo

Routing Number: routingNo

Account Number: accountNo

I understand that EveryBill Healthcare will deduct $amount from this account on effectiveDate.

I further understand that, unless I call EveryBill Healthcare at 401-262-5025 to cancel, a payment of $amount will be deducted from this account frequency starting from effectiveDate.

These payments will continue for a total of totalPayments payments.totalPayments

If you fully understand and agree, please click "I ACCEPT" to submit your payment. If any information is incorrect, return to the "Make a Payment" page by clicking the "EDIT" button below.

I ACCEPT

EDIT