NOTE TO INSURANCE COMPANY AND PARTICIPANT:
The Participant named on this receipt has purchased the blood screenings listed. The particpant has PAID Western Health Screening or the Health Fair/Wellness Sponsor for his/her blood screenings. Any and all reimbursement should go directly to this participant, NOT Western Health Screening or the local sponsoring agency. The blood screenings offered at our Health Fair/Wellness sites are screenings only-and are not ordered as the result of physician’s diagnosis. Therefore, there are NO DIAGNOSIS CODES.