pay.gialliance.com
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Submitted URL: https://pay.gialliance.com/l/634569156429/
Effective URL: https://pay.gialliance.com/welcome/?link=634569156429
Submission: On August 16 via manual from US — Scanned from DE
Effective URL: https://pay.gialliance.com/welcome/?link=634569156429
Submission: On August 16 via manual from US — Scanned from DE
Form analysis
11 forms found in the DOMPOST /set-language/
<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="NAISeJ8qeqGoxtuuSc7VwUl5zyKEoytfzhhWu9SDXKw3cMRDT0YcuL3EuCXursWW">
<input type="hidden" name="language" value="en">
<input type="hidden" name="next" value="/welcome/?link=634569156429">
<input type="submit" tabindex="0" 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" lang="en" value="English">
</form>
POST /set-language/
<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="NAISeJ8qeqGoxtuuSc7VwUl5zyKEoytfzhhWu9SDXKw3cMRDT0YcuL3EuCXursWW">
<input type="hidden" name="language" value="es">
<input type="hidden" name="next" value="/welcome/?link=634569156429">
<input type="submit" tabindex="0" 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" lang="es" value="español">
</form>
POST /set-language/
<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="NAISeJ8qeqGoxtuuSc7VwUl5zyKEoytfzhhWu9SDXKw3cMRDT0YcuL3EuCXursWW">
<input type="hidden" name="language" value="en">
<input type="hidden" name="next" value="/welcome/?link=634569156429">
<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="NAISeJ8qeqGoxtuuSc7VwUl5zyKEoytfzhhWu9SDXKw3cMRDT0YcuL3EuCXursWW">
<input type="hidden" name="language" value="es">
<input type="hidden" name="next" value="/welcome/?link=634569156429">
<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="NAISeJ8qeqGoxtuuSc7VwUl5zyKEoytfzhhWu9SDXKw3cMRDT0YcuL3EuCXursWW">
<input type="hidden" name="language" value="en">
<input type="hidden" name="next" value="/welcome/?link=634569156429">
<input type="submit" tabindex="0" 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" lang="en" value="English">
</form>
POST /set-language/
<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="NAISeJ8qeqGoxtuuSc7VwUl5zyKEoytfzhhWu9SDXKw3cMRDT0YcuL3EuCXursWW">
<input type="hidden" name="language" value="es">
<input type="hidden" name="next" value="/welcome/?link=634569156429">
<input type="submit" tabindex="0" 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" lang="es" value="español">
</form>
POST /set-language/
<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="NAISeJ8qeqGoxtuuSc7VwUl5zyKEoytfzhhWu9SDXKw3cMRDT0YcuL3EuCXursWW">
<input type="hidden" name="language" value="en">
<input type="hidden" name="next" value="/welcome/?link=634569156429">
<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="NAISeJ8qeqGoxtuuSc7VwUl5zyKEoytfzhhWu9SDXKw3cMRDT0YcuL3EuCXursWW">
<input type="hidden" name="language" value="es">
<input type="hidden" name="next" value="/welcome/?link=634569156429">
<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=634569156429
<form method="post" action="/guest/charge/?link=634569156429">
<input type="hidden" name="csrfmiddlewaretoken" value="NAISeJ8qeqGoxtuuSc7VwUl5zyKEoytfzhhWu9SDXKw3cMRDT0YcuL3EuCXursWW">
<input type="hidden" name="checkout_payment_amount" value="152.71">
<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: $152.71 </button>
</form>
POST /guest/plan/?link=634569156429
<form method="post" action="/guest/plan/?link=634569156429">
<input type="hidden" name="csrfmiddlewaretoken" value="NAISeJ8qeqGoxtuuSc7VwUl5zyKEoytfzhhWu9SDXKw3cMRDT0YcuL3EuCXursWW">
<button id="payment_plan_secondary_btn" type="submit" role="link" class="btn btn-secondary" data-test="payment-plan-btn-secondary" data-patient-app-click="payment_clarity_payment_plan_cta">
<div class="flex flex-col">
<div> Start a payment plan </div>
<div class="mt-8 text-0_75 text-gray-65657b"> Always 0% interest </div>
</div>
</button>
</form>
POST /guest/charge/?link=634569156429
<form method="POST" action="/guest/charge/?link=634569156429">
<input type="hidden" name="csrfmiddlewaretoken" value="NAISeJ8qeqGoxtuuSc7VwUl5zyKEoytfzhhWu9SDXKw3cMRDT0YcuL3EuCXursWW">
<input type="hidden" name="checkout_payment_amount" value="152.71">
<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>
Text Content
skip to main content Get Help English * * A * Log in * My account * Add insurance -------------------------------------------------------------------------------- * Log in * My account * Add insurance -------------------------------------------------------------------------------- LANGUAGES -------------------------------------------------------------------------------- Get Help skip to main content Get Help English * * A * Log in * My account * Add insurance -------------------------------------------------------------------------------- * Log in * My account * Add insurance -------------------------------------------------------------------------------- LANGUAGES -------------------------------------------------------------------------------- Get Help HI, AMALIA You have one medical bill ready from Digestive Health Specialists. You can pay your bill here or verify your identity to view full bill details. View bill details TOTAL DUE $152.71 Pay total: $152.71 Start a payment plan Always 0% interest MORE PAYMENT OPTIONS * Pay a partial amount Secure payments * About * Terms * Privacy * Help Center -------------------------------------------------------------------------------- Powered by