Online Payment Portal

Payment Form

Fill out the form below to submit your invoice payments for CMS “No Surprises Act” Independent Dispute Resolution services securely online.

Please note: In the event of a refund, amounts paid will be refunded directly to the account information provided less applicable administrative fees as required by law.

Name(Required)

First Last

Party Name(Required)

If you are a third party paying on behalf of an IDR Party, please indicate your company name as well as the IDR Party listed on the dispute.

Email(Required)

Please ensure e-mail address provided is a monitored mailbox as all billing and payment related communications will be sent to the address provided.

Payment Amount(Required)

Invoice Numbers(Required)

Enter invoice numbers being paid separated by commas. (If volume of invoices being paid exceeds this field, please contact us at idreacctg@propeer.com)

Total

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We are here to help.

If you need assistance with your invoices or payments, please let us know.

ProPeer Resources 
P.O. Box 519
Schertz, Texas 78154

idreacctg@propeer.com

Online Payment Portal

Payment Form

We are here to help.

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