{"id":176,"date":"2019-06-18T17:57:58","date_gmt":"2019-06-18T17:57:58","guid":{"rendered":"https:\/\/blueridge-ent.fm1.dev\/?page_id=176"},"modified":"2020-07-01T18:31:46","modified_gmt":"2020-07-01T22:31:46","slug":"online-bill-pay","status":"publish","type":"page","link":"https:\/\/blueridge-ent.com\/online-bill-pay\/","title":{"rendered":"Online Bill Pay"},"content":{"rendered":"\nPlease enter the amount you are paying today, then press &#8220;Make Payment.&#8221; Fill out the form on the next screen and press &#8220;Submit.&#8221; Thank you for your payment.\n\n<form id=\"online-bill-pay-form\" action=\"https:\/\/www.payjunction.com\/trinity\/quickshop\/add_to_cart_snap.action\" method=\"post\" target=\"_blank\">\n    <input name=\"description\" type=\"hidden\" value=\"Medical services\" \/>\n    <input name=\"need_to_ship\" type=\"hidden\" value=\"no\" \/>\n    <input name=\"need_to_tax\" type=\"hidden\" value=\"no\" \/>\n    <input name=\"identifier\" type=\"hidden\" value=\"Blue Ridge Ear, Nose and Throat\" \/>\n    <input name=\"quantity\" type=\"hidden\" value=\"1\" \/>\n    <input name=\"store\" type=\"hidden\" value=\"BRENTWebsite\" \/>\n    <input name=\"fingerprint\" type=\"hidden\" value=\"a958eccec9f12eca6b7fac5f5cd17f9f\" \/>\n    <label><\/label>\n    <input name=\"price\" type=\"text\" id=\"online-bill-pay-form-price-input\" placeholder=\"Amount\" required\/>\n    <input name=\"billingCustomerId\" type=\"text\" id=\"pj-patient-account-number\" placeholder=\"Account Number\" required\/>\n    <table>\n        <tbody>\n            <tr>\n                <td align=\"left\"><input name=\"submit\" type=\"submit\" value=\"Make Payment\" \/><\/td>\n            <\/tr>\n        <\/tbody>\n    <\/table>\n<\/form>\n\n\n\n\n","protected":false},"excerpt":{"rendered":"<p>Please enter the amount you are paying today, then press &#8220;Make Payment.&#8221; Fill out the form on the next screen and press &#8220;Submit.&#8221; Thank you for your payment.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":100,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","schema":"","fname":"","lname":"","position":"","credentials":"","placeID":"","no_match":false,"name":"","company":"","review":"","address":"","city":"","state":"","zip":"","lat":"","lng":"","phone1":"","phone2":"","fax":"","mon1":"","mon2":"","tue1":"","tue2":"","wed1":"","wed2":"","thu1":"","thu2":"","fri1":"","fri2":"","sat1":"","sat2":"","sun1":"","sun2":"","hours-note":"","footnotes":""},"service_tags":[],"_links":{"self":[{"href":"https:\/\/blueridge-ent.com\/wp-json\/wp\/v2\/pages\/176"}],"collection":[{"href":"https:\/\/blueridge-ent.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/blueridge-ent.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/blueridge-ent.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blueridge-ent.com\/wp-json\/wp\/v2\/comments?post=176"}],"version-history":[{"count":3,"href":"https:\/\/blueridge-ent.com\/wp-json\/wp\/v2\/pages\/176\/revisions"}],"predecessor-version":[{"id":2163,"href":"https:\/\/blueridge-ent.com\/wp-json\/wp\/v2\/pages\/176\/revisions\/2163"}],"wp:attachment":[{"href":"https:\/\/blueridge-ent.com\/wp-json\/wp\/v2\/media?parent=176"}],"wp:term":[{"taxonomy":"service_tags","embeddable":true,"href":"https:\/\/blueridge-ent.com\/wp-json\/wp\/v2\/service_tags?post=176"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}