From:Insight Family Practice

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

To:Jose Mata

285 E 1450 N
#108
Bountiful, UT 84010
US
Phone: (801) 919-4804
Invoice # 5685
Issued on September 28, 2025
Due on October 27, 2025
Balance Due $21.03

Task 1.0

01/10/2025 Office Visit: Patient Responsibility

Rate

$21.03

Qty

1

Amount

$21.03

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 $21.03 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!

*
*
*
*
*
*
*
*
*
*
*
*

Invoice History

Status Update 216 days ago

Status changed: Draft to Pending.

Updated 216 days ago

Invoice updated by Insight Family Practice.

Viewed 212 days ago

Invoice viewed by 66.249.66.70 for the first time.

Viewed 211 days ago

Invoice viewed by 83.99.151.71 for the first time.

Viewed 211 days ago

Invoice viewed by 83.99.151.68 for the first time.

Viewed 204 days ago

Invoice viewed by 83.99.151.70 for the first time.

Viewed 204 days ago

Invoice viewed by 83.99.151.65 for the first time.

Viewed 181 days ago

Invoice viewed by 39.149.10.113 for the first time.

Viewed 177 days ago

Invoice viewed by 14.243.53.105 for the first time.

Viewed 177 days ago

Invoice viewed by 189.28.240.57 for the first time.

Viewed 170 days ago

Invoice viewed by 3.83.76.234 for the first time.

Viewed 128 days ago

Invoice viewed by 202.76.138.134 for the first time.

Viewed 126 days ago

Invoice viewed by 83.99.206.66 for the first time.

Viewed 125 days ago

Invoice viewed by 146.174.189.68 for the first time.

Viewed 121 days ago

Invoice viewed by 131.221.193.26 for the first time.

Viewed 117 days ago

Invoice viewed by 146.174.160.48 for the first time.

Viewed 115 days ago

Invoice viewed by 83.99.206.246 for the first time.

Viewed 115 days ago

Invoice viewed by 202.76.175.149 for the first time.

Viewed 106 days ago

Invoice viewed by 190.252.177.181 for the first time.

Viewed 106 days ago

Invoice viewed by 146.174.168.106 for the first time.

Viewed 106 days ago

Invoice viewed by 146.174.167.232 for the first time.

Viewed 105 days ago

Invoice viewed by 83.99.206.130 for the first time.

Viewed 102 days ago

Invoice viewed by 146.174.163.16 for the first time.

Viewed 101 days ago

Invoice viewed by 37.238.93.28 for the first time.

Viewed 88 days ago

Invoice viewed by 54.87.206.175 for the first time.

Updated 85 days ago

Invoice updated by info@utahwebdesignpros.com.

Updated 85 days ago

Invoice updated by info@utahwebdesignpros.com.

Viewed 83 days ago

Invoice viewed by 83.99.206.206 for the first time.

Viewed 62 days ago

Invoice viewed by 83.99.206.227 for the first time.

Viewed 54 days ago

Invoice viewed by 83.99.206.207 for the first time.

Viewed 54 days ago

Invoice viewed by 83.99.206.67 for the first time.

Viewed 28 days ago

Invoice viewed by 83.99.206.122 for the first time.

Viewed 6 days ago

Invoice viewed by 83.99.206.51 for the first time.

Viewed 6 days ago

Invoice viewed by 13.52.239.130 for the first time.

Viewed 3 days ago

Invoice viewed by 14.228.4.181 for the first time.