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: December 7, 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
Open 2025-02-25 2025-02-26 — — $145.52
Pending 2024-12-07 2024-12-08 — — $19.82
Open 2024-10-21 2024-10-22 — — $119.44
Open 2024-10-19 2024-10-20 — — $166.95
Pending 2024-10-10 2024-10-11 — — $31.55
Pending 2024-10-06 2024-10-07 — — $10.78
Open 2024-09-03 2024-09-04 — — $79.95
Pending 2024-08-31 2024-09-01 — — $95.35
Pending 2024-08-22 2024-08-23 — — $15.38
Open 2024-08-14 2024-08-15 — — $189.51
Open 2024-07-29 2024-07-30 — — $71.63
Closed 2024-04-28 2024-04-29 7785 2025-02-14 $120.07
Open 2024-04-28 2024-04-29 0292 — $35.54
Closed 2024-04-25 2024-04-26 8518 2024-07-11 $246.55
Pending 2024-03-19 2024-03-20 — — $25.31