Online Bill Pay - White Oak Medical Center

Terms of Transaction

Payment of your bill will be considered final.

Upon receipt and approval of your payment, you will receive an onscreen confirmation.

By submitting an online payment, you agree to these terms.

Our online bill payment form allows you to securely pay White Oak Medical Center patient bills worry free and at your convenience. Should you have questions, please refer to our frequently asked questions for assistance in locating the required information on your billing statement to properly submit payment.

* Denotes required fields

Patient Information

Please provide the patient information for this payment (from your billing statement) below. PLEASE NOTE: If your Patient Account number only has 8 digits, please add a zero (0) before your number below (e.g. 012345678).

* First Name

M.I.

* Last Name

* Date of Birth (mm/dd/yyyy)

* Patient Account/Statement Number

Payment Information

Please enter the amount you wish to pay on your patient bill below:

* Bill Payment Amount

Online Bill Pay - White Oak Medical Center

Terms of Transaction

Patient Information

Payment Information

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