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.

Janelle Kassulke — #740196857

Date of Birth: February 20, 1999 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 2025-08-03 2025-08-04 $61.42
Closed 2025-08-02 2025-08-03 3731 2025-08-06 $276.69
Open 2025-06-21 2025-06-22 0814 $24.41
Open 2025-03-30 2025-03-31 $144.01
Pending 2025-03-16 2025-03-17 $46.35
Open 2025-03-13 2025-03-14 $11.32
Open 2025-03-01 2025-03-02 1147 $115.90
Pending 2025-02-22 2025-02-23 $3.98
Open 2025-01-11 2025-01-12 $92.15
Pending 2025-01-11 2025-01-12 $50.78
Closed 2024-10-09 2024-10-10 5149 2025-06-06 $161.76
Pending 2024-09-30 2024-10-01 $18.31
Open 2024-09-03 2024-09-04 5561 $7.54