Changes Premier Health
* Account Number:
The account number is required.
The account number may not contain the semicolon (';') character.
The account number may not contain a credit card number.
* Guarantor/Patient Name:
The guarantor/patient name is required.
The guarantor/patient name may not contain the semicolon (';') character.
The guarantor/patient name may not contain a credit card number.
* Birth Date (mm/dd/yyyy):
The birth date is required.
The birth date is not valid.
The birth date may not contain the semicolon (';') character.
The birth date may not contain a credit card number.
* Payment Amount:
The payment amount is required.
The payment amount is not valid.
The payment amount may not contain the semicolon (';') character.
The payment amount may not contain a credit card number.
Technical Support
If you have any problems making your payment, please contact 469-634-1272 and ask to speak to the Business Office.