I. Bennett
Member M-09501 / Cascade Manufacturing / 2026. Notices, threshold events, filing records, reimbursement, and activity stay scoped to this member within the group.
Submission-level view for carrier, client, or internal status questions.
| Submission | Paid period | Requested | Reimbursed | Outstanding | Status |
|---|---|---|---|---|---|
| Submission 1 SL-2026-0174-F01 / Initial filing | Jan 1, 2026 to May 12, 2026 | $145,000 | $0 | $145,000 | Draft |
| Total | $145,000 | $0 | $145,000 | ||
Current stop-loss position for this member in this group and policy year.
Tokio Marine HCC
gathering-docs
No daily notice row
One member can have one 50% notice event and multiple independent filing records after spec is crossed.
Estimated from current paid claims against $150,000 specific deductible.
Member entered the year-end and pre-spec monitoring lane.
SL-2026-0174-F01, draft amount $145,000.
$295,000 paid against $150,000 deductible.
Daily notices are one-time carrier notices. Older rows remain here as audit history.
Each filing is separate. Subsequent filings compare new eligible paid claims against the configured filing creation threshold.
Paid claim lines that feed notice percentages and filing packets.
| Date | Provider | Dx | Case | Amount |
|---|---|---|---|---|
| Apr 22, 2026 | MSK Follow-up Clinic | C92.00 | SL-2026-0174 | $44,250 |
| Mar 13, 2026 | Accredo Specialty Pharmacy | C92.00 | SL-2026-0174 | $35,400 |
| Feb 6, 2026 | MSK Outpatient | C92.00 | SL-2026-0174 | $53,100 |
| Jan 22, 2026 | Memorial Sloan Kettering | C92.00 | SL-2026-0174 | $162,250 |
System, rep, carrier, notice, and filing events in one history.
Left voicemail; will retry tomorrow. Considering employer-side escalation if no reply by Friday.
Advance-funded case — provider check on hold pending stop-loss approval
Claim ledger, pre-cert, AAW, and case-mgmt pulled. COB query fired in parallel.
Insurance discovery API flagged possible Medicare Part B — member-signed Medicare carve-out waiver required before submission
Email + SMS to member requesting Medicare waiver signature via member portal