Children's of Alabama - bill payment
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Scroll to the bottom, or
Click Here
to view a Sample Bill
with line item references		 In the left margin, you will see a link to a sample bill that is marked with letters (A, B, C, and D) to help you know where to find the information needed from your own child’s bill. Please enter the information as it is printed on your child’s bill in the corresponding sections below.

**To pay a COA primary care / pediatrician bill, please refer to your child’s bill for their website information.

  A.     Patient Name:    (As it appears on your bill)

To ensure your account is appropriately credited, select location below as indicated on your statement.
  B.     Location Where Service Provided
  
  

  C.     Guarantor Bill ID:

  D.     Amount to Pay:    (ex. 9999.99)

Payments are allowed via credit card transactions only.
You will be directed to a subsequent screen to enter credit card details.


Sample Bill: