pay.envisionhealth.com
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Submitted URL: https://pay.envisionhealth.com/l/569898533848/
Effective URL: https://pay.envisionhealth.com/welcome/?link=569898533848
Submission: On December 18 via manual from US — Scanned from DE
Effective URL: https://pay.envisionhealth.com/welcome/?link=569898533848
Submission: On December 18 via manual from US — Scanned from DE
Form analysis
12 forms found in the DOMPOST /set-language/
<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="SB6jsiON9xHzagQhgD5YA92vvqecP3eCPgga6LuDOOn1KnMrT4YaLElW29XxvYuJ">
<input type="hidden" name="language" value="en">
<input type="hidden" name="next" value="/welcome/?link=569898533848">
<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="SB6jsiON9xHzagQhgD5YA92vvqecP3eCPgga6LuDOOn1KnMrT4YaLElW29XxvYuJ">
<input type="hidden" name="language" value="es">
<input type="hidden" name="next" value="/welcome/?link=569898533848">
<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="SB6jsiON9xHzagQhgD5YA92vvqecP3eCPgga6LuDOOn1KnMrT4YaLElW29XxvYuJ">
<input type="hidden" name="language" value="en">
<input type="hidden" name="next" value="/welcome/?link=569898533848">
<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="SB6jsiON9xHzagQhgD5YA92vvqecP3eCPgga6LuDOOn1KnMrT4YaLElW29XxvYuJ">
<input type="hidden" name="language" value="es">
<input type="hidden" name="next" value="/welcome/?link=569898533848">
<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="SB6jsiON9xHzagQhgD5YA92vvqecP3eCPgga6LuDOOn1KnMrT4YaLElW29XxvYuJ">
<input type="hidden" name="language" value="en">
<input type="hidden" name="next" value="/welcome/?link=569898533848">
<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="SB6jsiON9xHzagQhgD5YA92vvqecP3eCPgga6LuDOOn1KnMrT4YaLElW29XxvYuJ">
<input type="hidden" name="language" value="es">
<input type="hidden" name="next" value="/welcome/?link=569898533848">
<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="SB6jsiON9xHzagQhgD5YA92vvqecP3eCPgga6LuDOOn1KnMrT4YaLElW29XxvYuJ">
<input type="hidden" name="language" value="en">
<input type="hidden" name="next" value="/welcome/?link=569898533848">
<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="SB6jsiON9xHzagQhgD5YA92vvqecP3eCPgga6LuDOOn1KnMrT4YaLElW29XxvYuJ">
<input type="hidden" name="language" value="es">
<input type="hidden" name="next" value="/welcome/?link=569898533848">
<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=569898533848
<form method="post" action="/guest/charge/?link=569898533848">
<input type="hidden" name="csrfmiddlewaretoken" value="SB6jsiON9xHzagQhgD5YA92vvqecP3eCPgga6LuDOOn1KnMrT4YaLElW29XxvYuJ">
<input type="hidden" name="checkout_payment_amount" value="47.04">
<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 </button>
</form>
POST /guest/charge/?link=569898533848
<form method="POST" action="/guest/charge/?link=569898533848">
<input type="hidden" name="csrfmiddlewaretoken" value="SB6jsiON9xHzagQhgD5YA92vvqecP3eCPgga6LuDOOn1KnMrT4YaLElW29XxvYuJ">
<input type="hidden" name="checkout_payment_amount" value="47.04">
<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="SB6jsiON9xHzagQhgD5YA92vvqecP3eCPgga6LuDOOn1KnMrT4YaLElW29XxvYuJ">
<input type="hidden" name="language" value="en">
<input type="hidden" name="next" value="/welcome/?link=569898533848">
<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="SB6jsiON9xHzagQhgD5YA92vvqecP3eCPgga6LuDOOn1KnMrT4YaLElW29XxvYuJ">
<input type="hidden" name="language" value="es">
<input type="hidden" name="next" value="/welcome/?link=569898533848">
<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
Know Your Rights If our services were performed by an out-of-network provider at an in-network facility, your plan should provide in-network coverage. Please contact us if you have questions regarding your bill. Click here for more information. ✕ skip to main content (844) 248-4320 Get Help English * * J * Log in * My account * Add insurance -------------------------------------------------------------------------------- * Log in * My account * Add insurance -------------------------------------------------------------------------------- LANGUAGES Know Your Rights If our services were performed by an out-of-network provider at an in-network facility, your plan should provide in-network coverage. Please contact us if you have questions regarding your bill. Click here for more information. ✕ skip to main content (844) 248-4320 Get Help English * * J * Log in * My account * Add insurance -------------------------------------------------------------------------------- * Log in * My account * Add insurance -------------------------------------------------------------------------------- LANGUAGES HI, JONATHAN REX You have one anesthesiology bill ready from Envision Physician Services. You can pay your bill here or verify your identity to view full bill details. View bill details Total due $47.04 Pay total More payment options * Pay a partial amount Secure payments * About * Terms * Privacy -------------------------------------------------------------------------------- English My account Powered by