{binding Group} | |
{binding Name} - {binding Description} | {binding displayValue} |
{{ Cognito.resources['payment-subtotal'] + ":" }} | {binding displayValue} |
{{ Cognito.resources['order-total-label'] }}: {binding displayValue} | |
{{ Cognito.resources['order-amount-paid'] }}: | ({binding displayValue}) |
{{ Cognito.resources['order-balance-due-label'] }}: | {binding displayValue} |
NCOPE will assess a $30 fee for completing verification documentation to an employer or patient care facility. Failure to provide all requested information will result in a delay in processing.
Please make the check / money order payable to:
NCOPE
Mail payments to:
Verification
c/o NCOPE
330 John Carlyle St
Suite 200
Alexandria, VA 22314