Invoice
From:
209 Main Street
Fort Lee, NJ 07024
Email: info@lightpathtowellness.com
Phone: 833-544-4865
| Invoice Number | INV-0204 |
| Invoice Date | May 19, 2023 |
| Total Due | $500.00 |
To:
Humana
ssbci@humana.com
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | panel balance $500 | $500.00 | 0.00% | $500.00 |
| Sub Total | $500.00 |
| Tax | $0.00 |
| Total Due | $500.00 |
You can pay by check or credit card (processed through PayPal - you do not need to have a PayPal account to pay by credit card).