create options to pay bill payments

hi, here is what i am trying to do.
there are three options.
pay 10 and bill insurance
pay 70 (no insurance)
pay other and you choose the amount.
i would also love to hold a credit card number if they choose bill
insurance in case insurance wont pay.
how do i set this up?

Hi there,

there are three options.

pay 10 and bill insurance

pay 70 (no insurance)

pay other and you choose the amount.

You can not achieve this using a Product List. However, using normal fields like a single choice field or multiple choice field you can achieve this. Please check the guides below to see how you can assign calculation values to these fields and then pass the value to a payment field.

https://www.jotform.com/help/301-how-to-assign-calculation-value

https://www.jotform.com/help/275-how-to-pass-a-calculation-to-a-payment-field

I would also love to hold a credit card number if they choose to bill insurance in case insurance won't pay.

As per our Terms collecting any details related to credit cards in normal fields is not allowed. You can use payment integrations to charge users instantly or later but still, you won't be able to see complete credit card details due to our PCI compliance.

Here is how you can charge your customers later:

https://www.jotform.com/help/292-how-to-enable-payment-authorization

Let us know if you have any other questions or concerns.

Thanks

Thank you.
One more question, how can i Assign sub users who can view the form
information but not make any edits or alternatively lock the form to avoid
people making changes.
Also is there a way to view daily results on the opening screen where I
can log in and see how many people are signing up each day?
...

It is possible to share your table submission and let your invited use to view the data only.

Guide:https://www.jotform.com/help/1010-how-to-share-your-jotform-tables-and-collaborate

Also is there a way to view daily results on the opening screen where I

can log in and see how many people are signing up each day?

You can view statistics in the Form analytics.

Guide:https://www.jotform.com/form-analytics/

Hope this information helps.

If you have further questions, let us know.

Hi there,

I've fixed the calculations in a clone of your form. You can check it on the link below.

https://www.jotform.com/203657741963969

Here is how you can clone it.

https://www.jotform.com/help/42-How-to-Clone-an-Existing-Form-from-a-URL

Let us know if you need further assistance.

Thanks

hi, one other option. if you choose, yes that you want a rapid test, it
should ask you bill insurance or pay $70 and add the 70 to the total amount
at the end. can you do that?
thank you!!!! happy new yeart!!!
...

Hi there,

I've added the Rapid Test cost in the total calculation as well. Please check it in the form now.

https://www.jotform.com/203657741963969

Thanks

Thanks. If a person has nothing to pay, is there a way to avoid needing to
fill out credit card details? it seems to be a required field
...

Following condition will take care of that:

I've added it in the cloned form above. Please check it and let us know if you need further assistance.

Thanks

...

I have moved your question to a new support ticket.

Kindly follow this link https://www.jotform.com/answers/2797433

Also,
...

I have created a separate ticket with your last question to avoid confusion. I will reply to you here.- https://www.jotform.com/answers/2797704

Best,