pay.summithealth.com
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Submitted URL: https://pay.summithealth.com/l/131543269155/
Effective URL: https://pay.summithealth.com/welcome/?link=131543269155
Submission: On November 04 via manual from CA — Scanned from CA
Effective URL: https://pay.summithealth.com/welcome/?link=131543269155
Submission: On November 04 via manual from CA — Scanned from CA
Form analysis
12 forms found in the DOMPOST /set-language/
<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="u3KZzhFQbKW3LwSYQimbMX4K08lUQKeIMlqQVXI5UFbc9avFEbwPENEgmP86dAlN">
<input type="hidden" name="language" value="en">
<input type="hidden" name="next" value="/welcome/?link=131543269155">
<input tabindex="-1" class="text-0_875 s768:text-1 tracking-0_2 leading-1_5 text-left bg-white capitalize px-24 py-8 w-full border-none hover:bg-gray-f3f4f7 text-primary-3667e9 font-500" type="submit" value="English">
</form>
POST /set-language/
<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="u3KZzhFQbKW3LwSYQimbMX4K08lUQKeIMlqQVXI5UFbc9avFEbwPENEgmP86dAlN">
<input type="hidden" name="language" value="es">
<input type="hidden" name="next" value="/welcome/?link=131543269155">
<input tabindex="-1" class="text-0_875 s768:text-1 tracking-0_2 leading-1_5 text-left bg-white capitalize px-24 py-8 w-full border-none hover:bg-gray-f3f4f7 text-gray-65657b" type="submit" value="español">
</form>
POST /set-language/
<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="u3KZzhFQbKW3LwSYQimbMX4K08lUQKeIMlqQVXI5UFbc9avFEbwPENEgmP86dAlN">
<input type="hidden" name="language" value="en">
<input type="hidden" name="next" value="/welcome/?link=131543269155">
<input tabindex="-1" class="text-1 bg-white list-style-none my-12 capitalize tracking-0_2 leading-1_25 border-none text-primary-3667e9 font-500" type="submit" value="English">
</form>
POST /set-language/
<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="u3KZzhFQbKW3LwSYQimbMX4K08lUQKeIMlqQVXI5UFbc9avFEbwPENEgmP86dAlN">
<input type="hidden" name="language" value="es">
<input type="hidden" name="next" value="/welcome/?link=131543269155">
<input tabindex="-1" class="text-1 bg-white list-style-none my-12 capitalize tracking-0_2 leading-1_25 border-none text-gray-171731" type="submit" value="español">
</form>
POST /set-language/
<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="u3KZzhFQbKW3LwSYQimbMX4K08lUQKeIMlqQVXI5UFbc9avFEbwPENEgmP86dAlN">
<input type="hidden" name="language" value="en">
<input type="hidden" name="next" value="/welcome/?link=131543269155">
<input tabindex="-1" class="text-0_875 s768:text-1 tracking-0_2 leading-1_5 text-left bg-white capitalize px-24 py-8 w-full border-none hover:bg-gray-f3f4f7 text-primary-3667e9 font-500" type="submit" value="English">
</form>
POST /set-language/
<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="u3KZzhFQbKW3LwSYQimbMX4K08lUQKeIMlqQVXI5UFbc9avFEbwPENEgmP86dAlN">
<input type="hidden" name="language" value="es">
<input type="hidden" name="next" value="/welcome/?link=131543269155">
<input tabindex="-1" class="text-0_875 s768:text-1 tracking-0_2 leading-1_5 text-left bg-white capitalize px-24 py-8 w-full border-none hover:bg-gray-f3f4f7 text-gray-65657b" type="submit" value="español">
</form>
POST /set-language/
<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="u3KZzhFQbKW3LwSYQimbMX4K08lUQKeIMlqQVXI5UFbc9avFEbwPENEgmP86dAlN">
<input type="hidden" name="language" value="en">
<input type="hidden" name="next" value="/welcome/?link=131543269155">
<input tabindex="-1" class="text-1 bg-white list-style-none my-12 capitalize tracking-0_2 leading-1_25 border-none text-primary-3667e9 font-500" type="submit" value="English">
</form>
POST /set-language/
<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="u3KZzhFQbKW3LwSYQimbMX4K08lUQKeIMlqQVXI5UFbc9avFEbwPENEgmP86dAlN">
<input type="hidden" name="language" value="es">
<input type="hidden" name="next" value="/welcome/?link=131543269155">
<input tabindex="-1" class="text-1 bg-white list-style-none my-12 capitalize tracking-0_2 leading-1_25 border-none text-gray-171731" type="submit" value="español">
</form>
POST /guest/charge/?link=131543269155
<form method="post" action="/guest/charge/?link=131543269155">
<input type="hidden" name="csrfmiddlewaretoken" value="u3KZzhFQbKW3LwSYQimbMX4K08lUQKeIMlqQVXI5UFbc9avFEbwPENEgmP86dAlN">
<input type="hidden" name="checkout_payment_amount" value="25.00">
<button id="pay_total_btn" type="submit" class="btn btn-primary" role="link" tabindex="0" data-test="pay_total_btn_default" data-patient-app-click="payment_clarity_pay_total_cta"> Pay total: $25.00 </button>
</form>
POST /guest/charge/?link=131543269155
<form method="POST" action="/guest/charge/?link=131543269155">
<input type="hidden" name="csrfmiddlewaretoken" value="u3KZzhFQbKW3LwSYQimbMX4K08lUQKeIMlqQVXI5UFbc9avFEbwPENEgmP86dAlN">
<input type="hidden" name="checkout_payment_amount" value="25.00">
<input type="hidden" value="True" name="partial">
<button type="submit" id="pay_partial_link" role="link" class="btn-link text-primary-3667e9 focus:px-4" data-test="pay_partial_btn" data-patient-app-click="payment_clarity_partial_pay_cta"> Pay a partial amount </button>
</form>
POST /set-language/
<form action="/set-language/" method="post">
<input type="hidden" name="csrfmiddlewaretoken" value="u3KZzhFQbKW3LwSYQimbMX4K08lUQKeIMlqQVXI5UFbc9avFEbwPENEgmP86dAlN">
<input type="hidden" name="language" value="en">
<input type="hidden" name="next" value="/welcome/?link=131543269155">
<input class="text-left bg-white capitalize px-24 py-8 w-full hover:bg-gray-f3f4f7 text-primary-3667e9 font-500" type="submit" value="English">
</form>
POST /set-language/
<form action="/set-language/" method="post">
<input type="hidden" name="csrfmiddlewaretoken" value="u3KZzhFQbKW3LwSYQimbMX4K08lUQKeIMlqQVXI5UFbc9avFEbwPENEgmP86dAlN">
<input type="hidden" name="language" value="es">
<input type="hidden" name="next" value="/welcome/?link=131543269155">
<input class="text-left bg-white capitalize px-24 py-8 w-full hover:bg-gray-f3f4f7 text-gray-65657b" type="submit" value="español">
</form>
Text Content
Please call the customer service number on the back of your insurance card if your visit was covid-related and you believe that your plan should have waived your cost-sharing responsibility ✕ skip to main content (908) 790-6500 Get Help English J * Log in * My account -------------------------------------------------------------------------------- * Log in * My account -------------------------------------------------------------------------------- Languages Please call the customer service number on the back of your insurance card if your visit was covid-related and you believe that your plan should have waived your cost-sharing responsibility ✕ skip to main content (908) 790-6500 Get Help English J * Log in * My account -------------------------------------------------------------------------------- * Log in * My account -------------------------------------------------------------------------------- Languages HI, JOHN You have one physician bill ready from Summit CityMD NY. You can pay your bill here or verify your identity to view full bill details. View bill details Total due $25 Pay total: $25.00 More payment options Pay a partial amount Secure payments * About * Terms * Privacy -------------------------------------------------------------------------------- English My account Powered by