Bill Pay

Complete the form below to pay your bill.  Your submission is confidential and we use the latest technology (SSL) to encrypt your responses.

Your credit card information is kept confidential and secure. Payments to your card are processed only after the claim has been filed and processed by your insurer, and the insurance portion of the claim has been paid and posted to the account.

"*" indicates required fields

To receive your payment receipt.
Are you making a payment for a telemedicine appointment?*
What are you paying for?
Optional. Your account number can be found on your invoice.
This is the amount we will charge your credit card.
Credit Card*
American Express
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date
Terms of Service*

I authorize Los Angeles Colon & Rectal Surgical Associates (Norman N. Hoffman MD Inc.) to charge my credit or debit card listed above for the amount that I have entered. This represents payment for services rendered to me for balances due as my financial responsibility.