Thank you for choosing on-line billing

Enter both account number and company name abbreviated in the following field: (examples below)
(UC 1234567) for Hometown Urgent Care
(UCSP 1234567) for Urgent Care Specialist.

Account number must be entered in order to process payment.

Check your statement and enter the amount of your payment like the following example: (75.00)
Once you click the button "Continue to Secure Payment Form" you will be directed to the secure payment
site to continue the transaction.

Please enter the amount$