Bill Pay

online billpay provided by evalon

Our online Bill Pay feature utilizes Elavon's credit card processing system. An Elavon account is not required to process your payment. We accept MasterCard, VISA, Discover and American Express.

How it Works

When you make a payment using Elavon, your credit card information will not be stored by or provided to CNY Diagnostic Imaging Associates. All credit card processing is handled through Elavon. We encourage you to print and save the presented receipt for your records. If you encounter any payment problems you will need to provide the Transaction ID in order for us to assist you.

If you have any questions regarding the use of our forms please contact our office during normal business hours.

For Online Bill Pay Questions:
Call: 315-269-9729 Option 3

Patient Information

*Fields are required.
Patient Name*
Patient Account Number* Where is my account #?

Billing Information

*Fields are required.
Cardholder First Name*
Cardholder Last Name*
Cardholder Billing Address*
Cardholder Billing Address2
Cardholder Billing City*
Cardholder Billing State* (ex. NY)
Cardholder Billing Zipcode*
Cardholder Email Address
Cardholder Phone*

Payment Information

*Fields are required.
Payment Amount$*
Card Number*
Card Verification Number* What is CVV2?
Card Expiration* (MMYY)