Claims

Eligibility and benefits are based on our records at the time of access. This is not an authorization, nor a guarantee of eligibility, benefits, or payment.

Maxwell Kassulke — #628106816

Date of Birth: March 11, 2016 Gender: Male Address: 123 Anywhere Street, Ridgeland MS 39157
Status Date of Service From Date of Service To Check Number Check Date Amount EPP
Open 2025-04-27 2025-04-28 — — $145.52
Pending 2025-02-06 2025-02-07 — — $19.82
Open 2024-12-21 2024-12-22 — — $119.44
Open 2024-12-19 2024-12-20 — — $166.95
Pending 2024-12-10 2024-12-11 — — $31.55
Pending 2024-12-06 2024-12-07 — — $10.78
Open 2024-11-03 2024-11-04 — — $79.95
Pending 2024-10-31 2024-11-01 — — $95.35
Pending 2024-10-22 2024-10-23 — — $15.38
Open 2024-10-14 2024-10-15 — — $189.51
Open 2024-09-28 2024-09-29 — — $71.63
Closed 2024-06-28 2024-06-29 7785 2025-04-16 $120.07
Open 2024-06-28 2024-06-29 0292 — $35.54
Closed 2024-06-25 2024-06-26 8518 2024-09-10 $246.55
Pending 2024-05-19 2024-05-20 — — $25.31