1
Create Account
2
Upload Medical Bills
3
Terms, Authorizations, and Consent
Terms, Authorizations, and Consent
Total of Medical Bills Assigned: $
100
Total moopFi Discount: $
10.00
Amount You Now Owe: $
90.00
48 Month Financing at
$2.04
Per Month Estimated
60 Month Financing at
$2.04
Per Month Estimated
72 Month Financing at
$2.04
Per Month Estimated
*Amount Financed
*Term
12 Month Financing
24 Month Financing
36 Month Financing
48 Month Financing
60 Month Financing
72 Month Financing
84 Month Financing
*Payment
*Date of Birth
*Social Security Number
*Agreements
Loan Agreement
Assignment
HIPAA Authorization
Reviewed the Disclosures
*Signature
Clear
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