AmeraStop-Loss
Member stop-loss workspace

K. Mitchell

Member M-13201 / Cascade Manufacturing / 2026. Notices, threshold events, filing records, reimbursement, and activity stay scoped to this member within the group.

Open active filing
% of spec
101%
$152,000 paid
Spec deductible
$150,000
Spinal 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-2026-0186-F01 / Initial filing
Jan 1, 2026 to May 27, 2026$2,000$0$2,000Draft
Total$2,000$0$2,000
Member summary

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

Group
Cascade Manufacturing

Tokio Marine HCC

Owner
Aisha Robinson

gathering-docs

Highest diagnosis
Spinal 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 25, 2026

Estimated from current paid claims against $150,000 specific deductible.

75% watch reached
May 11, 2026

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

Specific deductible crossed
May 25, 2026

$152,000 paid against $150,000 deductible.

Initial filing staged
May 27, 2026

SL-2026-0186-F01, draft amount $2,000.

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 10, 2026CVS PharmacyM48.062SL-2026-0186$24,320
Apr 10, 2026Cleveland Clinic RehabM48.062SL-2026-0186$33,440
Feb 24, 2026Cleveland Clinic — NeurosurgeryM48.062SL-2026-0186$94,240
Activity

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