Moleculera Labs Patient Online Bill Pay

Prescriber Portal Login

Thank you for taking advantage of our Online Bill Pay feature! This service allows you to quickly and conveniently pay your Moleculera Labs invoice. This form is for payment of statement balances for previously completed testing, and is not for making a deposit payment for a new test.

To begin the process, you will need the account number from your bill. If you have more than one Moleculera Labs bill, each payment must be entered as a separate transaction.

Need help or have questions? Please contact our billing department at 405-239-5260 or email us at billing@moleculera.com.

To pay your bill from a Moleculera Labs invoice/billing statement, complete the form below.

To make a deposit payment for a new test, click here.

ONLINE BILL PAYMENT FOR: The Cunningham Panel of Tests™

Patient Information
Patient Name*
Patient date of birth*
Date Format: MM slash DD slash YYYY
Patient Account #*
Confirm Patient Account #*
If you need assistance, please contact our billing department at 405-239-5260 or email us at billing@moleculera.com.
Email Address*
Enter Email Confirm Email
A receipt for your payment will be sent to the email address you provide above.
Payment Information
Cardholder Name*
First Last
Amount to be charged*
Credit Card Zip Code*
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Total Payment
$0.00
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ONLINE BILL PAYMENT FOR: The Cunningham Panel of Tests™

Patient Information

Payment Information