Pay My Bill

Allied Services Integrated Health System is based in and provides services in the state of Pennsylvania.

Fill out the form below to pay your bill online. If you have any questions, please e-mail billing@allied-services.org or call us at 570-348-1364 or toll-free at 877-727-3422.

Patient Information

Patient Name

Patient Account Number or Statement Number

Payment Information

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Designation

Designation: Patient Accounting other Designation:

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Billing Information

Organization name:

Full Name: Title: title Mr. Messrs. Mr. & Mrs. Mrs. Ms. Miss Misses Dr. Drs. Dr. & Mrs. Atty. Attys. Atty. & Mrs. Judge The Honorable Honorable Mr.Honorable Ambassador Governor Mayor Representative Senator State Rep. Sheriff Professor Bishop Brother Father Msgr. Monsignor Pastor Rabbi Reverend Sister The Reverend Admiral Capt. Col. Commander General Lt. Major Master Sir Sir/Madam Madam Allied Estate of Francis Friends of John The DMD. Dr's. DVM Governor & Mrs. III Reverend & Mrs. First name: Last name:

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Country: United States Canada United Kingdom Australia New Zealand Netherlands

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State & Zip Code: State: state AA AB AE AK AL AP AR AS AZ BC CA CO CT CZ DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MB MD ME MH MI MN MO MP MS MT NB NC ND NE NL NH NJ NM NS NT NV NY OH OK ON OR PA PE PR PW QC RI SC SD SK TN TX UT VA VI VT WA WI WV WY YT NU DA P P0 PI PQ PHI Zip:

City & county: City: County: county (optional) Kent

Postcode:

City:

Province & postal: Province: province AA AB AE AK AL AP AR AS AZ BC CA CO CT CZ DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MB MD ME MH MI MN MO MP MS MT NB NC ND NE NL NH NJ NM NS NT NV NY OH OK ON OR PA PE PR PW QC RI SC SD SK TN TX UT VA VI VT WA WI WV WY YT NU DA P P0 PI PQ PHI Postal:

Suburb:

State & postcode: State: state AA AB AE AK AL AP AR AS AZ BC CA CO CT CZ DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MB MD ME MH MI MN MO MP MS MT NB NC ND NE NL NH NJ NM NS NT NV NY OH OK ON OR PA PE PR PW QC RI SC SD SK TN TX UT VA VI VT WA WI WV WY YT NU DA P P0 PI PQ PHI Postcode:

Suburb: suburb Albany

City & post code: City: city Auckland Post code:

Payment Details

Payment Processed by Blackbaud

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Expiration: Month: month 01 02 03 04 05 06 07 08 09 10 11 12 Year: year 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035

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