Make a PaymentWhether you're paying a patient bill or an agency invoice, please enter the details from your statement below. Name * First Name Last Name Email * Phone * (###) ### #### Are you an Agency or a Patient? * Agency Patient Agency Name (Optional) Invoice ID / Patient Account # * Credit Card Number * CVV * Zip Code * Expiration Date * MM DD YYYY Payment Amount * $ Thank you for your payment! Our billing department will process your transaction and apply it to your account. If you have any questions, please contact us at info@aisxray.com or call (210) 684-0409.
