AmeraStop-Loss
Member stop-loss workspace

R. Hammond

Member M-09712 / Atlas Tech Group / 2026. Notices, threshold events, filing records, reimbursement, and activity stay scoped to this member within the group.

Open active filing
% of spec
150%
$188,000 paid
Spec deductible
$125,000
Cardiac Surgery
Filing records
1
1 open or draft
Outstanding
$0
$0 reimbursed
Printable filing summary

Submission-level view for carrier, client, or internal status questions.

SubmissionPaid periodRequestedReimbursedOutstandingStatus
Submission 1
SL-2026-0175-F01 / Initial filing
Jan 1, 2026 to May 25, 2026$63,000$0$63,000Draft
Total$63,000$0$63,000
Member summary

Current stop-loss position for this member in this group and policy year.

Group
Atlas Tech Group

Voya Financial

Owner
James Torres

gathering-docs

Highest diagnosis
Cardiac Surgery
Case management
Not marked open

No daily notice row

Threshold timeline

One member can have one 50% notice event and multiple independent filing records after spec is crossed.

50% threshold crossed
Apr 17, 2026

Estimated from current paid claims against $125,000 specific deductible.

75% watch reached
May 3, 2026

Member entered the year-end and pre-spec monitoring lane.

Specific deductible crossed
May 17, 2026

$188,000 paid against $125,000 deductible.

Initial filing staged
May 25, 2026

SL-2026-0175-F01, draft amount $63,000.

50% notices

Daily notices are one-time carrier notices. Older rows remain here as audit history.

No 50% notice rows for this member.
Claim ledger

Paid claim lines that feed notice percentages and filing packets.

DateProviderDxCaseAmount
May 2, 2026CVS SpecialtyI50.43SL-2026-0175$30,080
Apr 2, 2026MGH Step-DownI50.43SL-2026-0175$41,360
Feb 16, 2026Mass General — Cardiac SurgeryI50.43SL-2026-0175$116,560