GovPayNet - The Simple Way To Pay

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PLC:

a007gv

Agency:

texas health benefits pool

For:

group payments

Phone:

512-719-6515

Address:

13640 briarwick dr,suite 180
austin , texas 78729

*Required Field

Payment Information

For Billing Inquiries Dial 800-282-5385.

For questions regarding online payments please contact AllPaid 888-561-7888.

*Group/ Client Name:

*Group Number:

*Invoice Number:

Payment Amount

Payment Amount :

Subtotal:

$0.00

Total:

$0.00

Billing Information

*First Name:

Middle Initial:

*Last Name:

*Billing Address:

*City:

*State/Province:

*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

*Card Security Number: