Use this item to pay for a custom amount. Please indicate in the notes in the checkout what it is you are paying for. If your amount is under $500.00 please add an additional 3.1% for credit card processing. If your amount is under $500.00, you may charge your card $500.00 to avoid the additional 3.1% fee and we will hold the remaining funds on your account for future claims. We issue monthly statements showing the balance of your account.