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SL-2026-0184Gathering docs Advance funded
H. Tran
Member M-12888 · Oncology · Pacific Health Network
Member workspaceDN
David Nguyen
Assigned owner
Summary
Member
H. Tran
Diagnosis
Oncology
C50.912
Carrier
Sun Life Financial
Total claims
$188,000
Spec deductible
$175,000
Amount to file
$13,000
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-2026-0184-submission-1-claim-ledger.xlsx
Paid claims from Jan 1, 2026 to May 27, 2026
Combined PDF
SL-2026-0184-submission-1-filing-packet.pdf
Auto cover sheet + checklist supporting documents
Submission 1 · Initial filing
Ready-to-file draft packet. Applies the $175,000 spec deductible and requests $13,000 above deductible. Template: Platform reimbursement request form.
Current cumulative paid
$188,000
Last filed cumulative paid
None yet
New eligible paid
$13,000
Filing creation threshold
$500
Current filing record
SL-2026-0184-F01 · Initial filing
DraftPaid periodJan 1, 2026 to May 27, 2026
Spec applied$175,000
Amount to request$13,000
Cumulative paid through$188,000
Filing threshold$500
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 | Memorial Sloan Kettering | C50.912 | $116,560 |
| 2026-04-10 | MSK Infusion Center | C50.912 | $41,360 |
| 2026-05-10 | Accredo Specialty (chemo) | C50.912 | $30,080 |
| Total | $188,000 | ||
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, 2026
- Shock claim summary auto-generatedMay 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