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SL-2026-0165Filed — pending Advance funded

K. Williams

Member M-02901 · Spinal Surgery · Atlas Tech Group

Member workspace
JT
James Torres
Assigned owner
Summary
Member
K. Williams
Diagnosis
Spinal Surgery
M48.062
Carrier
Voya Financial
Total claims
$165,000
Spec deductible
$125,000
Amount to file
$40,000
claims above spec deductible
Filed
$40,000
Reimbursed
$0
Outstanding
$40,000
Source: Cigna
Packet 21 days old — stale, refresh before submitting
Packet checklist7/7
Filing output and history
Filing output
Claim ledger
SL-2026-0165-submission-1-claim-ledger.xlsx
Paid claims from Jan 1, 2026 to May 25, 2026
Combined PDF
SL-2026-0165-submission-1-filing-packet.pdf
Auto cover sheet + checklist supporting documents
Submission 1 · Initial filing
Initial filing includes all paid claims from plan start through current paid date. Template: Platform reimbursement request form.
Current cumulative paid
$165,000
Last filed cumulative paid
$165,000
New eligible paid
$0
Filing creation threshold
$1,000
Current filing record
SL-2026-0165-F01 · Initial filing
Submitted
Paid periodJan 1, 2026 to May 21, 2026
Spec applied$125,000
Filed amount$40,000
Cumulative paid through$165,000
Filing threshold$1,000
Printed claim threshold$10,000

Initial filing applied the specific deductible and set the last filed cumulative paid amount for future filings.

Claim detail
Claim Details
DateProviderDx codeAmount
2026-02-11Mayo Clinic — NeurosurgeryM48.062$102,300
2026-03-28Mayo Outpatient PTM48.062$36,300
2026-04-27Walgreens PharmacyM48.062$26,400
Total$165,000
Communication history
Communication1 message
From usclaims@voyafinancial.com
May 21, 2026
[SL-2026-0165] Spinal Surgery stop-loss filing — K. Williams

Stop-loss claim filing for K. Williams (M-02901). Attached: claim ledger flat file plus combined PDF packet with supporting docs.

SL-2026-0165-claim-ledger.xlsx SL-2026-0165-filing-packet.pdf fee-invoices.pdf um-case-management-notes.pdf aaw-cob-forms.pdf
Awaiting carrier
Filed 25 days ago. Auto follow-up at 7 day SLA.
Last update 2 days ago. Our work is done — pinging carrier if needed.
Stuck on
Carrier
Waiting on carrier review
2 days since last meaningful update
Activity
  1. Spec deductible triggered
    May 12, 2026
  2. Filed to carrier
    May 21, 2026·James Torres
  3. Auto follow-up scheduled
    May 25, 2026
    3-day SLA check
  4. Filed and waiting · monitoring for carrier response
    2 days since filed. Auto follow-up on carrier scheduled at SLA.
Carrier risk checks
Carrier pushback risk