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SL-2026-0185Gathering docs Advance funded

B. Patel

Member M-13002 · Oncology · Heartland Foods

Member workspace
SP
Sarah Park
Assigned owner
Summary
Member
B. Patel
Diagnosis
Oncology
C50.912
Carrier
Sun Life Financial
Total claims
$119,000
Spec deductible
$100,000
Amount to file
$19,000
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-2026-0185-submission-1-claim-ledger.xlsx
Paid claims from Jan 1, 2026 to May 27, 2026
Combined PDF
SL-2026-0185-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 $19,000 above deductible. Template: Platform reimbursement request form.
Current cumulative paid
$119,000
Last filed cumulative paid
None yet
New eligible paid
$19,000
Filing creation threshold
$500
Current filing record
SL-2026-0185-F01 · Initial filing
Draft
Paid periodJan 1, 2026 to May 27, 2026
Spec applied$100,000
Amount to request$19,000
Cumulative paid through$119,000
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
DateProviderDx codeAmount
2026-02-24MD Anderson Cancer CenterC50.912$73,780
2026-04-10MD Anderson InfusionC50.912$26,180
2026-05-10CVS SpecialtyC50.912$19,040
Total$119,000
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
  1. Spec deductible triggered
    May 25, 2026
  2. Shock claim summary auto-generated
    May 25, 2026
  3. 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