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: July 3, 2015 Gender: Male Address: 123 Anywhere Street, Ridgeland MS 39157
Status Date of Service From Date of Service To Check Number Check Date Amount EPP
Pending 2024-06-27 2024-06-28 $25.31
Open 2024-06-11 2024-06-12 $145.52
Pending 2024-02-17 2024-02-18 $10.78
Open 2024-02-08 2024-02-09 $166.95
Open 2023-12-26 2023-12-27 $119.44
Pending 2023-12-18 2023-12-19 $19.82
Pending 2023-12-07 2023-12-08 $31.55
Open 2023-12-05 2023-12-06 $79.95
Open 2023-11-11 2023-11-12 $189.51
Open 2023-10-20 2023-10-21 $71.63
Pending 2023-09-22 2023-09-23 $95.35
Closed 2023-09-10 2023-09-11 8518 2024-01-12 $246.55
Pending 2023-09-06 2023-09-07 $15.38
Open 2023-08-21 2023-08-22 0292 $35.54
Closed 2023-08-14 2023-08-15 7785 2024-06-07 $120.07