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Auto Bill Pay (optional) Patient Name:Date of Birth//Parent/Guardian Name (if applicable): Some of our patients find it convenient to leave a credit card number on file so that their outofpocket balances
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Auto bill pay is a feature offered by banks and financial institutions that allows customers to set up automatic payments for their bills, such as credit card payments or utility bills.
Anyone who wants to streamline their bill payment process and ensure their bills are paid on time may choose to set up auto bill pay.
To fill out auto bill pay, customers need to provide their banking information, the billing details for each bill they want to automate, and specify the amounts and payment dates.
The purpose of auto bill pay is to simplify the bill payment process, avoid late payments, and ensure that bills are paid on time each month without the need for manual intervention.
The information required for auto bill pay includes account details, billing information, payment amounts, and payment dates for each bill to be automated.
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