Online Authorization for Payments Agreement Sample Contracts

AMB – Ambulance Medical Billing
Online Authorization for Payments Agreement • September 6th, 2017

The Ambulance Medical Billing Website (the "Service") is an on-line bill viewing and payment service provided by Ambulance Medical Billing and its licensors, including Acryness, Inc. (collectively, "Licensors").

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Rutherford Regional Health System
Online Authorization for Payments Agreement • March 8th, 2012

The Rutherford Regional Health System Website (the "Service") is an on-line bill viewing and payment service provided by Rutherford Regional Health System and its licensors, including Acryness, Inc. (collectively, "Licensors").

FMT – Family Medical Transport
Online Authorization for Payments Agreement • December 27th, 2016

The Family Medical Transport Website (the "Service") is an on-line bill viewing and payment service provided by Family Medical Transport and its licensors, including Acryness, Inc. (collectively, "Licensors").

Flagler Hospital
Online Authorization for Payments Agreement • September 6th, 2017

The Flagler Hospital Website (the "Service") is an on-line bill viewing and payment service provided by Flagler Hospital and its licensors, including Acryness, Inc. (collectively, "Licensors").

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