When you pay online, you will be required to provide the following information:

  1. Invoice#/Prepayment Reference ID
    Include the 3 letter code in front of the numbers. Also if your invoice starts with zeros please enter all numbers.
  2. Patient First and Last Name
  3. Facility/Location
    The name of the facility where you requested medical records. For example, Northside Hospital.
  4. Requester/Company Name
    Person or business that is requesting the records
Enter Balance Due: $

If you have any questions, please contact us at payments@himqualitysolutions.com. If you have any questions, please contact us at payments@himqualitysolutions.com. Or you may contact us at 678-482-5571 and choose option 1, Monday – Friday 8:30am – 5:00pm ET.