Health Facility Services

NJ Health
 

Submit E-Payment to HSB

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  1. On the Payment Information page of your application, please click on   button at the bottom of the screen.



Clicking   will pop up a message to verify the amount. Click on   again to be redirected to the E-Pay website.




 
  1. After clicking on   you will be redirected to the Department of Health E-Payment page.
2.1 Please verify that the facility type and the application type are correct.
2.2 Please fill out the form with appropriate information.
2.3 Select the desired payment type and verify the payment amount is correct. Please enter the security message as shown on your screen.
2.4 Click on  if you want to make the payment or click on  to clear the page and start over.

Please note any field with an asterisk* is required for a final submission of the application.


 

If Electronic Check Payment:

  1. Once you click , the system will display a preview page. Please verify that the information displayed is correct.
If correct, click on . If the information is incorrect, click on  to make the corrections.


  
  1. Clicking  will take you the payment information page. On this page, please answer the question.
4.1 Please select your account type, either “Checking” or “Savings”.
Then proceed to enter your bank information and click on  to proceed with the payment process or click on  to clear the page and start over.


  
  1. After clicking on , you will be asked to verify the information and to agree to allow the State of New Jersey to debit the amount you see on the page.
If the information is correct, click on  to submit the payment. You can also click on  to cancel the payment process.


 



 

If Credit Card Payment:

NOTE: There is a service charge/convenience fee for facilities that choose the credit card payment option.

Customer credit card information is not retained by State of New Jersey (Department of Health).

  1. Once you click  , the system will display a preview page. Please verify that the information displayed is correct.
If correct, click on . If the information is incorrect, click on  to make the corrections.


  
  1. Please verify the details on the screen. If everything looks good, click on  to proceed with the payment process.


  
  1. After agreeing to the credit card disclaimer, you will be directed to the Payment Management Services page.
The page should be auto filled with your Billing Information. If it is not, then please fill out the requested information.
 
Please note any field with an asterisk* is required for a final submission of the application.

NOTE: There is a service charge/convenience fee for facilities that choose the credit card payment option. Customer credit card information is not retained by State of New Jersey (Department of Health).



 

  1. Once the customer billing information is filled/updated please scroll down the page to add the credit card information.
Click on  to move forward with the payment or you can click  to cancel the payment process.


  
  1. After clicking on , you will be guided to a preview/verification page. Please make sure all the information shown on screen is correct.
If anything is not accurate, you can click on  to update the information and then click on  to process the payment or you can click  to cancel the payment procedure.


  
  1. When clicked on , the system might take some time to process the payment.

Once the payment is processed the system will redirect you back to the Portal to final submit the application.