AmeraStop-Loss
Member stop-loss workspace

K. Bauer

Member M-12450 / 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
115%
$144,000 paid
Spec deductible
$125,000
Trauma 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-2026-0182-F01 / Initial filing
Jan 1, 2026 to May 26, 2026$19,000$0$19,000Draft
Total$19,000$0$19,000
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
Trauma 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 24, 2026

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

75% watch reached
May 10, 2026

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

Specific deductible crossed
May 24, 2026

$144,000 paid against $125,000 deductible.

Initial filing staged
May 26, 2026

SL-2026-0182-F01, draft amount $19,000.

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 9, 2026Walgreens PharmacyS36.298ASL-2026-0182$23,040
Apr 9, 2026MGH OutpatientS36.298ASL-2026-0182$31,680
Feb 23, 2026Mass General — Trauma CenterS36.298ASL-2026-0182$89,280
Activity

System, rep, carrier, notice, and filing events in one history.