{"id":4426,"date":"2024-03-21T16:51:50","date_gmt":"2024-03-21T16:51:50","guid":{"rendered":"https:\/\/www.urologycenterpc.com\/?page_id=4426"},"modified":"2024-03-26T13:57:59","modified_gmt":"2024-03-26T13:57:59","slug":"payment_asc","status":"publish","type":"page","link":"https:\/\/urologycenterpc.com\/payment_asc\/","title":{"rendered":"payment_ASC"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; da_disable_devices=&#8221;off|off|off&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221;][et_pb_row _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_code _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div style=\"text-align: center;\"><!-- [et_pb_line_break_holder] --><\/p>\n<form onsubmit=\"event.preventDefault(); validateMyForm();\" action=\"\"><!-- [et_pb_line_break_holder] -->  <\/p>\n<h3><!-- [et_pb_line_break_holder] -->    Ambulatory Surgery Center (ASC) Payments<!-- [et_pb_line_break_holder] -->  <\/h3>\n<p><!-- [et_pb_line_break_holder] -->  <pee><!-- [et_pb_line_break_holder] -->    Please type the password from your invoice or call our office at 402-915-0086 and ask for the The Urology Center online payment password<!-- [et_pb_line_break_holder] -->  <\/pee><!-- [et_pb_line_break_holder] -->  <pee><!-- [et_pb_line_break_holder] -->    <!-- commented out by Jason --><!-- [et_pb_line_break_holder] -->  <!-- <input type=\"text\" placeholder=\"Username\" id=\"username\" value=\"\" style=\"border:1px solid #dddddd;border-radius:6px;padding:6px;\" required>    --><!-- [et_pb_line_break_holder] -->  <\/pee><!-- [et_pb_line_break_holder] -->  <pee><!-- [et_pb_line_break_holder] -->  <input type=\"password\" placeholder=\"Password\" id=\"password\" value=\"\" style=\"border:1px solid #dddddd;border-radius:6px;padding:6px;\" required>   Enter password then click &#8220;Pay Now&#8221;<!-- [et_pb_line_break_holder] -->  <\/pee><!-- [et_pb_line_break_holder] -->  <pee id=\"error\" class=\"hidden\"><strong style=\"color:red;\">Username or Password incorrect.<\/strong><\/pee>  <!-- [et_pb_line_break_holder] -->  <pee><!-- [et_pb_line_break_holder] -->     <button class=\"et_pb_button et_pb_more_button\" type=\"submit\">\u00a0\u00a0\u00a0\u00a0Pay Now<\/button><!-- [et_pb_line_break_holder] -->  <\/pee><!-- [et_pb_line_break_holder] -->  <\/p>\n<style><!-- [et_pb_line_break_holder] -->    .hidden {display:none;}<!-- [et_pb_line_break_holder] -->    .error { border-color:red !important; }<!-- [et_pb_line_break_holder] -->  <\/style>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><script><!-- [et_pb_line_break_holder] -->  function validateMyForm() {<!-- [et_pb_line_break_holder] -->    let errorel = document.getElementById('error');<!-- [et_pb_line_break_holder] -->    let passel = document.getElementById('password');<!-- [et_pb_line_break_holder] -->    if (!errorel.classList.contains(\"hidden\")) {  errorel.classList.add(\"hidden\") }<!-- [et_pb_line_break_holder] -->    if (passel.classList.contains(\"error\")) {  passel.classList.remove(\"error\") }<!-- [et_pb_line_break_holder] -->    if (passel.value != \"nsVrcWN9\") {<!-- [et_pb_line_break_holder] -->      if (errorel.classList.contains(\"hidden\")) { errorel.classList.remove(\"hidden\"); }    <!-- [et_pb_line_break_holder] -->      if (!passel.classList.contains(\"error\")) { passel.classList.add(\"error\"); }  <!-- [et_pb_line_break_holder] -->    }<!-- [et_pb_line_break_holder] -->    else {<!-- [et_pb_line_break_holder] -->      if (!errorel.classList.contains(\"hidden\")) { errorel.classList.add(\"hidden\"); }           <!-- [et_pb_line_break_holder] -->      if (passel.classList.contains(\"error\")) { passel.classList.remove(\"error\"); }   <!-- [et_pb_line_break_holder] -->     location.href = 'https:\/\/api.payaconnect.com\/hostedpaymentpage?id=11ee6923226136f6b4952b27&data=U2FsdGVkX18xMWVlNjkyMwkzdUsyaUvwMhBgwBtwP6QZxk4c4gvF%2BVm%2BFWrjTUJ2haRmeXRUKnbp9qj9q1RmcQ%3D%3D'; <!-- [et_pb_line_break_holder] -->    }<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] --><\/script><!-- [et_pb_line_break_holder] --><\/form>\n<p><!-- [et_pb_line_break_holder] --><\/div>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.24.2&#8243; 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