SL-2026-0173Ready to file Advance funded

O. Rivera

Member M-04408 · Oncology · Northern Logistics Co

Member workspace

Aisha Robinson

Assigned owner

Summary

Member

O. Rivera

Diagnosis

Oncology

C50.912

Carrier

Berkley Accident & Health

Total claims

$132,000

Spec deductible

$100,000

Amount to file

$32,000

claims above spec deductible

Source: Cigna

Packet 20 days old — stale, refresh before submitting

Packet checklist6/7

Draft filing packet

Packet ready to file

Claim ledger

SL-2026-0173-submission-1-claim-ledger.xlsx

Paid claims from Jan 1, 2026 to May 26, 2026

Combined PDF

SL-2026-0173-submission-1-filing-packet.pdf

Auto cover sheet + checklist supporting documents

Submission 1 · Initial filing

Ready-to-file draft packet. Applies the $100,000 spec deductible and requests $32,000 above deductible. Template: Platform reimbursement request form.

Current cumulative paid

$132,000

Last filed cumulative paid

None yet

New eligible paid

$32,000

Filing creation threshold

$1,000

Current filing record

SL-2026-0173-F01 · Initial filing

Draft

Paid periodJan 1, 2026 to May 26, 2026

Spec applied$100,000

Amount to request$32,000

Cumulative paid through$132,000

Filing threshold$1,000

Printed claim threshold$10,000

Initial filing applies the specific deductible; request amount is paid claims above deductible.

Claim detail

Claim Details

Date	Provider	Dx code	Amount
2026-02-22	Memorial Sloan Kettering	C50.912	$81,840
2026-04-08	MSK Infusion Center	C50.912	$29,040
2026-05-08	Accredo Specialty (chemo)	C50.912	$21,120
Total			$132,000

Submit packet to carrier

Advance-funded

Plan files first, carrier funds the disbursement, plan mails check to provider. Filing speed = provider wait time.

Documents6/7 required

Pushback risk cleared3/3 cleared

Activity

Spec deductible triggered
May 23, 2026
Shock claim summary auto-generated
May 23, 2026
Reviewing packet
May 26, 2026·Aisha Robinson
Packet ready · awaiting rep approval to file
Advance-funded — provider check is on hold pending carrier approval. File now to start the disbursement clock.

Carrier risk checks

Carrier pushback risk