• Before You Begin
  • Complete Agency Form
  • Enter Payment Info
  • Review & Submit
  • Confirmation

About this form

Please use this form to pay amounts owed related to the Health Insurance Marketplace and Premium Stabilization Programs. Additionally, if necessary, provide the following information to your bank to prevent debit blocking on the payments processed through Pay.gov on your dunning letter/invoice: ACH Company Name: USDEPTHHSCMS...Agency Company ID: 7505008014

Accepted Payment Methods:

  • Bank account (ACH)

By creating an account you can:

  • See the payments you made since you created an account.
  • Store payment information, such as credit card numbers, so that you do not have to reenter it each time you make a payment.
  • Copy a form you already submitted so that you do not have to reenter you information next time.
  • Set up automatic recurring payments (from a bank account, debit card, or credit card).

To take advantage of these benefits, you can Sign In or Create an Account . To continue as a guest user, click the 'Continue to the Form' button.

This is a secure service provided by United States Department of the Treasury. The information you will enter will remain private. Please review our privacy policy for more information.

Need Help?


Contact: the Invoice and Collections Team
Email: Click to email
Website: Click to visit site