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 21, 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 2025-05-07 2025-05-08 — — $145.52
Pending 2025-02-16 2025-02-17 — — $19.82
Open 2024-12-31 2025-01-01 — — $119.44
Open 2024-12-29 2024-12-30 — — $166.95
Pending 2024-12-20 2024-12-21 — — $31.55
Pending 2024-12-16 2024-12-17 — — $10.78
Open 2024-11-13 2024-11-14 — — $79.95
Pending 2024-11-10 2024-11-11 — — $95.35
Pending 2024-11-01 2024-11-02 — — $15.38
Open 2024-10-24 2024-10-25 — — $189.51
Open 2024-10-08 2024-10-09 — — $71.63
Closed 2024-07-08 2024-07-09 7785 2025-04-26 $120.07
Open 2024-07-08 2024-07-09 0292 — $35.54
Closed 2024-07-05 2024-07-06 8518 2024-09-20 $246.55
Pending 2024-05-29 2024-05-30 — — $25.31