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SL-2026-0181Gathering docs Advance funded
J. Park
Member M-12114 · Oncology · Cascade Manufacturing
Member workspaceMC
Maria Chen
Assigned owner
Summary
Member
J. Park
Diagnosis
Oncology
C50.912
Carrier
Tokio Marine HCC
Total claims
$162,000
Spec deductible
$150,000
Amount to file
$12,000
claims above spec deductible
Source: Javelina
Packet 20 days old — stale, refresh before submitting
Packet checklist0/7
Draft filing packet
Packet ready to file
Claim ledger
SL-2026-0181-submission-1-claim-ledger.xlsx
Paid claims from Jan 1, 2026 to May 27, 2026
Combined PDF
SL-2026-0181-submission-1-filing-packet.pdf
Auto cover sheet + checklist supporting documents
Submission 1 · Initial filing
Ready-to-file draft packet. Applies the $150,000 spec deductible and requests $12,000 above deductible. Template: Platform reimbursement request form.
Current cumulative paid
$162,000
Last filed cumulative paid
None yet
New eligible paid
$12,000
Filing creation threshold
$0
Current filing record
SL-2026-0181-F01 · Initial filing
DraftPaid periodJan 1, 2026 to May 27, 2026
Spec applied$150,000
Amount to request$12,000
Cumulative paid through$162,000
Filing threshold$0
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 |
|---|---|---|---|
| 2026-02-24 | MD Anderson Cancer Center | C50.912 | $100,440 |
| 2026-04-10 | MD Anderson Infusion | C50.912 | $35,640 |
| 2026-05-10 | CVS Specialty | C50.912 | $25,920 |
| Total | $162,000 | ||
Submit packet to carrier
Advance-funded
Plan files first, carrier funds the disbursement, plan mails check to provider. Filing speed = provider wait time.
Documents0/7 required
Pushback risk cleared3/3 cleared
Activity
- Spec deductible triggeredMay 25, 2026Member crossed $150K — claim ledger auto-pulled
- Pre-cert request queued to UMMay 25, 2026
- Just triggered · system building claim ledger and COBAuto-pulled docs landing now. Pre-cert and case management files can be uploaded locally when available.
Carrier risk checks
Carrier pushback risk