H. Kim
Member M-03012 / Heartland Foods / 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 2 SL-2026-0064-F02 / Supplemental filing | Mar 19, 2026 to May 26, 2026 | $15,000 | $0 | $15,000 | Draft |
| Submission 1 SL-2026-0064-F01 / Initial filing | Jan 1, 2026 to Mar 18, 2026 | $22,000 | $22,000 | $0 | Full reimbursement |
| Total | $37,000 | $22,000 | $15,000 | ||
Current stop-loss position for this member in this group and policy year.
Sun Life Financial
ready-to-file
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 $100,000 specific deductible.
Member entered the year-end and pre-spec monitoring lane.
$137,000 paid against $100,000 deductible.
SL-2026-0064-F01, filed amount $22,000.
$22,000 reimbursed against SL-2026-0064-F01.
SL-2026-0064-F02, draft amount $15,000.
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.
Subsequent filing for $15,000 in new eligible paid claims since the last filed cumulative paid amount. Deductible already applied.
Initial filing applied the specific deductible and set the last filed cumulative paid amount for future filings.
Paid claim lines that feed notice percentages and filing packets.
| Date | Provider | Dx | Case | Amount |
|---|---|---|---|---|
| Jan 22, 2026 | BabySteps Pediatric Specialty | P07.25 | SL-2026-0064 | $16,440 |
| Dec 8, 2025 | UCSF Imaging | P07.25 | SL-2026-0064 | $21,920 |
| Nov 23, 2025 | UCSF Benioff Children's — NICU | P07.25 | SL-2026-0064 | $98,640 |
System, rep, carrier, notice, and filing events in one history.
Ready to send separate subsequent filing; deductible already applied on initial filing
$15K in new eligible paid claims since last filed cumulative paid; supplemental packet drafted
Initial filing reimbursed $22K above the specific deductible
SL-2026-0064-F01 for $22,000