Self Payment Portal
Attention !
This Application requires that scripting be enabled in the Browser.
If the security setting is set to “High”, try setting to “Medium-High”
If additional help is required, please contact BI Self-Pay Tech Support.
Enroll
To enroll for BI Online Self Pay, please enter the information requested. You must have a copy of your invoice to enroll.
Account Information
Email Address:
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Account Number:
(Enter exactly as appears on your Invoice)
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Invoice Number:
(Enter exactly as appears on your Invoice)
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Password:
(Must be at least 8 characters long, must contain a number and UPPER CASE letter)
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*
*
*
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Verify Password:
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