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URL: https://www.concentra.com/patients/urgent-care/pay-bill/
Submission Tags: falconsandbox
Submission: On January 27 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST https://globalgatewaye4.firstdata.com/pay

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    <input type="email" name="sweet-email" id="sweet-email">
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  <div class="form-section">
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</form>

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Concentra has acquired the Connecticut occupational health business of
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Valley Health Network in Pennsylvania.
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URGENT CARE BILL PAY


ONLINE PAYMENT




PAYING YOUR BILL MADE SIMPLE

Concentra now offers online bill pay for urgent care services. We accept Visa,
MasterCard, Discover, and American Express. Payments are normally processed
within 24 hours.

Please have your printed invoice ready to reference before you begin. To start
the online payment process, enter your invoice and account number. You can find
these numbers at the top right-hand corner of your Concentra urgent care bill.

For any questions paying your bill, please call us at 877-427-8801.

Keep this field blank; it's intended for robots.
Name (as shown on bill):
Invoice/Voucher:
Account Number:
Payment Amount:
I acknowledge that by checking this box I am aware that I am moving from
Concentra’s website to the First Data website.
Pay Bill


 * Pay Bill
 * Contact Us


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