Payment Plan Requests

We accept requests for balances due over $100.00.

The orange link below will direct you to our secure patient vault.

Enter the general information found on your billing statement. Enter your credit/debit card details

Choose a Plan:

• PLAN A: Pay Over 2 Months
• PLAN B: Pay Over 4 Months
• PLAN C: Pay Over 6 Months

Choose a Date:

• 15th of the Month
• 30th of the Month

“Save Payment Info”

• We take the security of your payment information very seriously and will not process any payment plans outside of this portal.
• At our discretion, we will finalize your enrollment in the plan of your choice & your first payment will be automatically processed on the date of your choosing
• You will be emailed a receipt after each payment.

If your payment method is declined/rejected for any reason, & no attempt has been made to update your information with our office, you will no longer be eligible for a payment plan & your outstanding balance will become due & payable in full within 14 days. After 14 days, your account will be turned over to our collections company.

If you have any questions, or need to request a modification to an active payment plan, please email billing@ciscapulmonary.com