Group workspace
Pacific Health Network
Group ID pacific-health-network. Review setup and search members without changing the filing queue workflow.
Members
16
With tracked notices, filings, or package rows
50% notices
4
Group-level carrier notice rows
Filing records
12
Owned and worked from the filing queue
Spec deductible
$175,000
$87,500 50% threshold
Policy config
Core policy fields that drive monthly reporting, thresholding, and filing packet rules.
Group ID
pacific-health-network
Enrollment and claims feed linkage.
Policy year
2026
Policy effective
Jan 1, 2026
Policy expiration
Dec 31, 2026
Carrier / MGU
Sun Life Financial
Berkley Accident & Health
Contract basis
12/12
Specific deductible
$175,000
50% threshold $87,500
Aggregate attachment
$6,452,950
Operational config
Delivery and workflow defaults for requests, reporting, and carrier communication.
Covered lives
1,253
Source system
Cigna
HR email
benefits@pacifichealthnetwork.example
Default destination for AAW and employer-side requests.
Carrier delivery
Sun Life Financial portal
Pre-populated from carrier selection.
Broker notification
stoploss-pacific-health-network@broker.example
Static package delivery only unless PHI permission allows more.
Case management vendor
Not captured
Vendor name only; UM/CM docs remain manual upload.
Members
Open a member to see their 50% notices, spec filing records, claim ledger, reimbursement, and activity in one place.
| Member | Member state | Diagnosis / reason | Paid | % spec | Notices | Filings | Last activity | Action |
|---|---|---|---|---|---|---|---|---|
| M. Ng M-07955 | Ready to file | Cardiac Surgery | $232,000 | 133% | 0 | 1 | May 24, 2026 | Open |
| L. Fernandez M-12678 | Ready to file | Cardiac Surgery | $226,000 | 129% | 0 | 1 | May 25, 2026 | Open |
| P. Sandoval M-06822 | Ready to file | Spinal Surgery | $215,000 | 123% | 0 | 1 | May 27, 2026 | Open |
| M. Reyes M-10277 | Ready to file | Spinal Surgery | $212,000 | 121% | 0 | 1 | May 26, 2026 | Open |
| G. Kumar M-07891 | Ready to file | NICU | $204,000 | 117% | 0 | 1 | May 27, 2026 | Open |
| D. Martinez M-06622 | filed-pending | Cardiac Surgery | $200,000 | 114% | 0 | 2 | May 5, 2026 | Open |
| A. Lopez M-07733 | Ready to file | NICU | $198,000 | 113% | 0 | 1 | May 26, 2026 | Open |
| F. Brown M-07712 | approved | Trauma Surgery | $198,000 | 113% | 0 | 1 | May 25, 2026 | Open |
| J. O'Brien M-07088 | Ready to file | Trauma Surgery | $196,000 | 112% | 0 | 1 | May 25, 2026 | Open |
| N. Ali M-09920 | filed-pending | Spinal Surgery | $195,000 | 111% | 0 | 1 | May 19, 2026 | Open |
| H. Tran M-12888 | Ready to file | Oncology | $188,000 | 107% | 0 | 1 | May 27, 2026 | Open |
| N. Ito M-06701 | Ready to file | NICU | $178,000 | 102% | 0 | 1 | May 18, 2026 | Open |
| B. Lee M-33209 | 50% notice delivered | Orthopedic Surgery | $91,000 | 52% | 1 | 0 | May 23, 2026 | Open |
| V. Stone M-33018 | 50% notice delivered | Cardiac Surgery | $90,900 | 52% | 1 | 0 | May 25, 2026 | Open |
| M. Garcia M-33101 | 50% notice delivered | Oncology | $90,900 | 52% | 1 | 0 | May 25, 2026 | Open |
| G. Hayes M-33042 | 50% notice delivered | Transplant | $86,100 | 51% | 1 | 0 | May 25, 2026 | Open |