pay.summithealth.com Open in urlscan Pro
2606:4700::6811:7776  Public Scan

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

Form analysis 12 forms found in the DOM

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 /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



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 * My account
    

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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


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 * Terms
 * Privacy

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