From:Insight Family Practice

8686 S 1300 E, Suite L102-104
Sandy, UT 84094
US
Phone: (801) 997-0368
insightfamilypractice@gmail.com
Invoice # 3657
Issued on May 5, 2025
Due on May 19, 2025
Balance Due $65.47

Task 1.0

Co-insurance for Office visit on 02/17/25

Rate

$28.21

Qty

1

Amount

$28.21

Task 2.0

Co-insurance for Office visit on 03/17/25

Rate

$37.26

Qty

1

Amount

$37.26

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 $65.47 Due in 7 Days 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 7 days ago

Status changed: Draft to Pending.