District of Columbia
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ACH (Checking Account)
Name on Card
1 - Jan
2 - Feb
3 - Mar
4 - Apr
5 - May
6 - Jun
7 - Jul
8 - Aug
9 - Sep
10 - Oct
11 - Nov
12 - Dec
Name on Check
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For your protection, ACH transactions require an additional level of identity verification. Please choose an identification type and the corresponding number to verify your identity.
TypeSelect one...Driver’s LicenseSocial Security NumberTax IDMilitary ID
By providing the information above and clicking “Complete My Order,” I authorize my payment in the amount indicated above to be processed as an electronic funds transfer (EFT) or draft drawn from my checking or savings account as identified above and, if necessary, electronic credits to my account to correct erroneous debits. I understand that my payment will be processed within two banking days. If the payment returns unpaid, I authorize you or your service provider to collect the payment by EFT(s) or draft(s) drawn from my account. I understand that this authorization will remain in full force and effect until I notify you that I wish to revoke it or cancelling my subscription to this service by calling 904-262-1234 and allow you reasonable opportunity to act on my notice.
PINNACLE BILLING SERVICES may appear on your credit card or bank statement for all applicable charges.
Complete My Order
Likely you have had too many online transactions in a very short period of time. Please wait 15 minutes and try again.
This result could happen under several circumstances.
The next thing to do is to contact your bank or card issuer to see what may be preventing your order from going through.
Likely you double-clicked the order button causing to identical transaction at the same time.
Please contact to verify the status of your order before trying again.
This is an undefined unknown error. Most likely cause is that the credit card number provided was incorrect. Please check the number and try again.
Check the email address you provided above to make sure it is correct. If it is then contact for assistance.
Now it is time to set your password to create your login credentials.
Setting up your new account is fast and fully secure. Just enter your contact and payment information to instantly become a member.
Log in from any device at any time to get professional healthcare from home.
Once you’ve logged in, your benefits number, group number, and zip code are used to grant you secure access.
When you access your benefits, you’ll find a wealth of resources at your fingertips. Talk to a doctor, nurse, dentist, or keep tabs on your overall health. The Doctor on call is here for you.