Bill Pay

Pay for Your Equipment Online

Please fill out the information below in order to pay your bill online.

Sign-in is NOT required to submit a payment.

If you have a MyBinson's account, you can sign in to complete the form even faster.

You are on a secure page. Any information that is provided is safely stored on our secure servers to comply with HIPAA. If you have any questions or concerns about a payment, please contact our billing department at 1-800-922-6528.

Patient
* - Indicates a required field
myBinson's Account Number
First Name*
Last Name*
Address*
Address 2
City*
State*
Zip*
Email*
Phone*

Payment Information (Billing)
Billing address is different than address provided above

Monthly Statement Information
Monthly Statement Number*
Payment Amount*
Additional Information ( Date of Service or Comments)
Payment Total
Payment Type*
- Credit Card
- ACH

Bill Pay

Pay for Your Equipment Online

Patient

Payment Information (Billing)

Monthly Statement Information