Intealth ECFMG

Educational Commission for Foreign Medical Graduates

Fees and Payment

Payment


This page details Intealth's practices for accepting payments for our services, including acceptable payment methods, the time at which payment must be made, and how unused funds are returned.

Payment


Full payment is due to Intealth at the time a Customer submits an application or requests a service.

The amount due for an application/request is comprised of two amounts: (1) the amount of the application/request and (2) administrative fees. All payment amounts are in U.S. dollars. Application/request fees and administrative fees are subject to change without notice.

Intealth accepts payments at the time a Customer submits an application/request. Intealth’s online payment systems are secured using industry-standard encryption technology. By submitting a payment to Intealth, the Customer agrees to the following terms:

  • The information provided by the Customer is true and correct to the best of his/her knowledge;
  • Intealth is authorized to charge his/her credit/debit card or draw on his/her bank account for the fee as per the authorization given by the Customer in MyIntealth;
  • The Customer understands and accepts that the jurisdiction for any disputes relating to Intealth payment collection is Philadelphia, Pennsylvania, USA; and
  • Intealth is not responsible for any damage suffered by the Customer from the use of Intealth’s services.

At any time, Customers can use MyIntealth to make a payment for an amount owed for past services or to pay in advance for future applications/requests. See Customer Financial Accounts.

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Methods of Payment


Intealth accepts electronic payment either by credit/debit card or by ACH from a Customer bank account.

  • To submit payment by credit/debit card, the Customer must have a valid Visa, MasterCard, Discover, or American Express card with a security code.
  • To submit a payment using ACH, the Customer must have an active account at a U.S. bank. ACH payments determined to be unacceptable due to insufficient funds will be subject to a penalty charge.

Important Note: If Customers need to make multiple credit card transactions to pay for an application/request, these payments must be made to the Customer’s financial account (described below) in advance using MyIntealth.

Intealth’s Institutional Customers may have contracts with Intealth with different terms than set forth in this Policy, including for what form of payment may be accepted. The payment terms set forth in such contracts govern payment for such Institutional Customers.

Intealth does not accept cash payments under any circumstances.

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Customer Financial Accounts


At any time, Customers can use MyIntealth to check the status of their financial accounts and to make payments owed for past services or to use toward future applications/requests. When Customers have a positive balance on their financial account, the funds will appear as a credit in MyIntealth that can be applied to current applications/requests. Any funds in a Customer’s financial account will be available for a period of two years, calculated from the date of last transactional activity in the account. Any funds not applied to an application/request or requested as a refund during this two-year period will be forfeited to Intealth; this means that the Customer will lose those funds.

If a Customer owes money to Intealth at the time that an application/request is processed, Intealth will apply the payment associated with the current application/request to the outstanding owed amount and will require payment in full to proceed forward.

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Refunds


If you have money in your Intealth financial account, you may request a refund. Customers who have a positive balance in their financial account can request a refund of that money, if desired, by sending an email to [email protected].

If an application/request is rejected or cancelled, Intealth will offer refunds after applications/requests are submitted and payment is made. Any payment applied to that application/request will be refunded using the same method of the original payment, minus any applicable fees. Fees retained by Intealth due to rejection or cancellation are attributed to the time and effort required to process that outcome, differ for each service type, and are subject to change without notice. Refunds will be automatically processed only in the case of the rejection or cancellation of applicable services.

Important Note for Customers Pursuing ECFMG Certification and applying for the United States Medical Licensing Examination® (USMLE®): Applicants pursuing ECFMG Certification should consider carefully the timing of USMLE applications, eligibility periods, and test dates. Once registered for USMLE Step 1/Step 2 Clinical Knowledge (CK), applicants cannot cancel or postpone their registrations. Applicants who do not schedule and take the exam will not receive a refund or credit of their exam fee(s), and they will be required to reapply, including payment of all applicable fees, if they wish to take the exam.

Although applicants cannot cancel or postpone their registration, there are options that provide registered applicants with flexibility. All registered applicants may change their scheduled test date and/or center, subject to availability. Applicants registered for Step 1/Step 2 CK may request extension of their eligibility periods. Applicants registered for Step 1/Step 2 CK also may request to change their testing region. See information on rescheduling in the applicable edition of the ECFMG Information Booklet. Requests for exceptions will be considered on a case-by-case basis and only after the applicant’s eligibility period has expired.

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[Last update: August 18, 2025]

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