form.payspan.com
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Submitted URL: https://www.payspan.com/e3t/Ctc/RF*113/cq8Lz04/VWQK7p1ry0kGN40hLhqbm1RwW2K0rfL4S6Hh3N2dmMxS5TqkQV3Zsc37CgGCRW5N9-Fg7VfM7...
Effective URL: https://form.payspan.com/en-us/patient-financial-engagement-with-einvoicing?utm_campaign=PR_SEP_2022_EML_EINV_ALL&utm_med...
Submission: On November 08 via api from US — Scanned from DE
Effective URL: https://form.payspan.com/en-us/patient-financial-engagement-with-einvoicing?utm_campaign=PR_SEP_2022_EML_EINV_ALL&utm_med...
Submission: On November 08 via api from US — Scanned from DE