A A

Online Bill Pay

Please follow the appropriate process to pay your bill online:

If your statement Acct. # begins with a "5", please use the form below to pay your bill.
If your Statement Number begins with a "6", please DO NOT use the form below. To pay, visit the new Quick Pay Portal to pay your bill. You will need to have the access code that is printed on your statement.

For more information on payment options and HRMC's monthly payment schedule, visit HRMC's Billing, Insurance and Financial Assistance page.

Patient's First Name*

Patient's Last Name*

Location*

Patient's Account Number*

Patient's Date of Birth*

Payment Information

Exp. Date: