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: April 25, 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 2025-07-14 2025-07-15 $145.52
Pending 2025-04-25 2025-04-26 $19.82
Open 2025-03-09 2025-03-10 $119.44
Open 2025-03-07 2025-03-08 $166.95
Pending 2025-02-26 2025-02-27 $31.55
Pending 2025-02-22 2025-02-23 $10.78
Open 2025-01-20 2025-01-21 $79.95
Pending 2025-01-17 2025-01-18 $95.35
Pending 2025-01-08 2025-01-09 $15.38
Open 2024-12-31 2025-01-01 $189.51
Open 2024-12-15 2024-12-16 $71.63
Closed 2024-09-14 2024-09-15 7785 2025-07-03 $120.07
Open 2024-09-14 2024-09-15 0292 $35.54
Closed 2024-09-11 2024-09-12 8518 2024-11-27 $246.55
Pending 2024-08-05 2024-08-06 $25.31