SL-2026-0182Gathering docs Advance funded

K. Bauer

Member M-12450 · Trauma Surgery · Atlas Tech Group

Member workspace

James Torres

Assigned owner

Summary

Member

K. Bauer

Diagnosis

Trauma Surgery

S36.298A

Carrier

Voya Financial

Total claims

$144,000

Spec deductible

$125,000

Amount to file

$19,000

claims above spec deductible

Source: Cigna

Packet 20 days old — stale, refresh before submitting

Packet checklist0/7

Draft filing packet

Packet ready to file

Claim ledger

SL-2026-0182-submission-1-claim-ledger.xlsx

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

Combined PDF

SL-2026-0182-submission-1-filing-packet.pdf

Auto cover sheet + checklist supporting documents

Submission 1 · Initial filing

Ready-to-file draft packet. Applies the $125,000 spec deductible and requests $19,000 above deductible. Template: Platform reimbursement request form.

Current cumulative paid

$144,000

Last filed cumulative paid

None yet

New eligible paid

$19,000

Filing creation threshold

$1,000

Current filing record

SL-2026-0182-F01 · Initial filing

Draft

Paid periodJan 1, 2026 to May 26, 2026

Spec applied$125,000

Amount to request$19,000

Cumulative paid through$144,000

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
2026-02-23	Mass General — Trauma Center	S36.298A	$89,280
2026-04-09	MGH Outpatient	S36.298A	$31,680
2026-05-09	Walgreens Pharmacy	S36.298A	$23,040
Total			$144,000

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 triggered
May 24, 2026
Shock claim summary auto-generated
May 24, 2026
Just triggered · system building claim ledger and COB
Auto-pulled docs landing now. Pre-cert and case management files can be uploaded locally when available.

Carrier risk checks

Carrier pushback risk