How to Make an Online Payment

  1. Click the “Make an Online Payment” button below
  2. Enter amount owed (under "Office Visit")
  3. Click "add to cart" 
  4. Check-out as guest or make a personal account
  5. Enter your information
  6. Submit your payment and receive confirmation via email

Make an Online payment (Clinic balance only)

Students

Students are able to pay their clinic balance with credit card, HSA/FSA card, or have the balance transferred to their student account (Bursar).  Any amount under $53.00 will automatically be transferred to their student account.

Out-of-State HSA cards may reject the transaction.  If that occurs you can pay with another credit card and we will give you a statement to turn in for HSA reimbursement.

To have your balance sent to your student account to be paid online with Bursar's Office, please send us a secure message to let us know.

*Please note, your balance will automatically be sent to to your student account if we don't receive a response regarding your balance within two business days.

Pay with the Bursar's Office

See Ways to Pay on the Insurance/Billing page for more information.

Faculty/Staff

If you received a bill for services not covered by your insurance plan (or copay/deductible) or for past due accounts, you can choose to pay by:

Credit Card

Pay with credit card or HSA/FSA card anytime online. Payments by phone or in person are available Monday through Friday from 8:00 a.m. to 11:30 a.m. and 1:00 p.m. to 4:00 p.m. Call (256) 824-5495 or visit the clinic during these hours to make a payment.

Payroll Deduction

Employees may use a one-time Payroll Deduction option or enroll in Standing Payroll Deduction. If you choose either of the payroll deduction options, please fill out the top portion of the desiganted form (see below) and forward to the Faculty and Staff Clinic.

Standing Payroll Deduction NEW for Staff and Faculty

For your convenience, we are happy to offer Standing Payroll Deductions to help make billing easier and reduce paperwork.

This is an option to have your clinic charges automatically sent to Payroll Deduction after each visit. 

Key Benefits for this option:

  • Less paperwork at each visit
  • Max amount is $150.00 per visit, unless other max amount is specified by you
  • Ease of payment and convenience
One-time Payroll Deduction

To do a one-time payroll deduction (1PD), click the button below:

Download 1PD Form
Standing Payroll Deduction

To do a standing payroll deduction (SPD), click the button below:

Download SPD Form

 

Next Steps

You can send the form to us by either:

  • A secure message attachment using the billing/insurance option in your patient portal, or
  • Drop off in person at the FSC or
  • Campus Mail to UAH Health Services, Wilson Hall 327, or
  • Email to fsc@uah.edu