make a payment - KEARNY WELLNESS

Payments for checks received for medical services

How to use this option:

Submit this form with the check(s) or other payments made by your insurance carrier
Deposit any checks you received
Once the checks are confirmed from us you will receive an invoice
The electronic invoice will be emailed to you, allowing payment through debit/credit card, google and apple pay.

* Indicates required field

Policy Holder Name *

First

Last

Email *

Phone Number *

Check Number (if multiple use comma to separate) *

Check Amounts (if multiple use comma to separate) *

Submit