From:Insight Family Practice

8686 S 1300 E, Suite L102-104
Sandy, UT 84094
US
Phone: (801) 997-0368
insightfamilypractice@gmail.com

To:Caed Hyde

4000 S Redwood Rd
#2147
Salt Lake City, UT 84123
US
Phone: (512) 783-8476
Invoice # 6041
Issued on October 2, 2025
Due on November 2, 2025
Balance Due $215.49

Task 1.0

Owed for 1/30/25 Appointment (not met deductible)

Rate

$63.28

Qty

1

Amount

$63.28

Task 2.0

Owed for 2/10/25 Appointment (co-insurance)

Rate

$39.65

Qty

1

Amount

$39.65

Task 3.0

Owed for 4/22/25 Appointment (co-insurance)

Rate

$54.87

Qty

1

Amount

$54.87

Task 4.0

Owed for 5/23/25 Appointment (co-insurance)

Rate

$57.69

Qty

1

Amount

$57.69

Total Owed

Info & Notes

Thank you; we really appreciate your business.

Terms & Conditions

We do expect payment within 21 days, so please process this invoice within that time. There will be a 1.5% interest charge per month on late invoices.

Balance of $215.49 is Overdue Make a Payment

Make a Payment

Please enter your payment information to pay this invoice. A receipt for your records will be sent to you. Thank you very much!

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Invoice History

Status Update 317 days ago

Status changed: Draft to Pending.

Updated 317 days ago

Invoice updated by Insight Family Practice.

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