Payment Confirmation

Women’s Health Associates is pleased to offer the convenience of paying your bill online. Simply enter the amount you want to pay online in the field below and click the “Submit Payment” button. You’ll then be directed to a secure website to enter your payment and credit card information.

If you have any questions or concerns regarding this online transaction, please contact our billing department at (913) 541-1046. Thank you!

= ‘5.1.2’ )
{ $fingerprint = hash_hmac(“md5”, $loginID . “^” . $sequence . “^” . $timeStamp . “^” . $amount . “^”, $transactionKey); }
else
{ $fingerprint = bin2hex(mhash(MHASH_MD5, $loginID . “^” . $sequence . “^” . $timeStamp . “^” . $amount . “^”, $transactionKey)); }

// Create the HTML form containing necessary SIM post values
echo ”

“;
// Additional fields can be added here as outlined in the SIM integration guide
// at: http://developer.authorize.net

echo ”

Please confirm the amount of your payment below and click ‘Submit Payment.’

“;
echo ”

If you would like to enter a different amount, click the \”Back\” button on your web browser.

“;

// Print the Amount and Description to the screen.
echo ”

Amount: $amount

“;

echo ” “;
echo ” “;
echo ‘‘;
echo ” “;
echo ” “;
echo ” “;
echo ” “;
echo ” “;
echo ” “;
echo ”

“;
echo ”

“;
?>