Payments

What would you like to do?

I want to make a payment
I want to apply for a payment plan

Help keep costs low
Help keep costs low by making a payment by check or debit card when possible

Payment Method

Check / Money Order
Debit Card / Credit Card
CareCredit
Cash

To make a payment via Check or Money Order, please mail a payment to :

The ColonoscopyAssist Program
2100 Valley View Ln, Suite #490
Farmers Branch, TX 75234

Checks should arrive at least 7 days prior to the scheduled appointment date.

Cash payments are not accepted at this time.

Do you already have a CareCredit Account?

Yes
No

You will need to first apply for a CareCredit account.

Once approved, you can return to this page to make a CareCredit Payment.

You will be redirected to the Care Credit Website to make a payment

When asked for Provider Account Number, please enter 99999 or 00000.

Is your scheduled appointment date more than 8 days away from today?

Yes
No

Unfortunately, its too late to apply for a payment plan.
ColonoscopyAssist can not accept new payment plan applications for procedures scheduled within 8 days.

CareCredit Plan
CareCredit is recommended for patients with an above average credit score. You are able to finance 100% of your procedure cost without paying anything upfront.
With CareCredit you can choose between the following plans :
1) 6 month interest free
2) 24 month interest bearing @ 14.9% APR
3) 36 month interest bearing @ 14.9% APR
4) 48 month interest bearing @ 14.9% APR

ColonoscopyAssist Plan
A ColonoscopyAssist Payment Plan is recommended for patients that would not qualify for a CareCredit plan.
The plan requires 50% to be paid upfront with the balance to be paid over 3 months. The plan is interest-free.

Which Payment Plan would you like to apply for?

ColonoscopyAssist Payment Plan
CareCredit

Apply For Payment Plan

Patient ID

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This form complies with HIPAA & PCI regulations.
Transmission is secured by a 256-bit SSL certificate and you are protected by a $1,750,000 warranty.