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: January 24, 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 2025-05-15 2025-05-16 $145.52
Pending 2025-02-24 2025-02-25 $19.82
Open 2025-01-08 2025-01-09 $119.44
Open 2025-01-06 2025-01-07 $166.95
Pending 2024-12-28 2024-12-29 $31.55
Pending 2024-12-24 2024-12-25 $10.78
Open 2024-11-21 2024-11-22 $79.95
Pending 2024-11-18 2024-11-19 $95.35
Pending 2024-11-09 2024-11-10 $15.38
Open 2024-11-01 2024-11-02 $189.51
Open 2024-10-16 2024-10-17 $71.63
Closed 2024-07-16 2024-07-17 7785 2025-05-04 $120.07
Open 2024-07-16 2024-07-17 0292 $35.54
Closed 2024-07-13 2024-07-14 8518 2024-09-28 $246.55
Pending 2024-06-06 2024-06-07 $25.31