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Patient Bill Pay

Please use this page to make payments to your Alpha Internal Medicine patient account. In order to ensure that we apply your payment to your account correctly and timely please enter all information below exactly as it appears on your patient statement.

Payment Details

Patient Number: A value is required.Invalid format.
Re-enter Patient Number: A value is required.The values don't match.

Patient First Name: A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
Patient Middle Initial:
Patient Last Name: A value is required.Minimum number of characters not met.Exceeded maximum number of characters.

Payment Amount: A value is required.Invalid format.
(Do not enter "$")

 

 

 

   
   
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