ARCI - Extended Business Office - Subrogation Collections

Payments

To proceed with your online payments, you must agree to the Terms and Conditions below.

Terms and Conditions:

CREDIT CARD TRANSACTION
By submitting payment information through this Service you agree to the terms and conditions of this Agreement and any documents incorporated by reference. You further agree that this User Agreement forms a legally binding contract between you and Patient Financial Services, and that this Agreement constitutes a writing signed by You under any applicable law or regulation. Any rights not expressly granted herein are reserved by Patient Financial Services.

CHECK TRANSACTION
By submitting payment information, you are authorizing Patient Financial Services to reproduce this item as an 'ACH Transaction' for deposit on the date specified above. A transaction that is returned to Patient Financial Services for any reason is subject to a returned item fee in the amount of $30.00. An ACH transaction will be produced utilizing the information from this form you are submitting.