AmeraStop-Loss
Member stop-loss workspace

C. Wilson

Member M-04113 / Heartland Foods / 2026. Notices, threshold events, filing records, reimbursement, and activity stay scoped to this member within the group.

Open active filing
% of spec
80%
$80,000 paid
Spec deductible
$100,000
Spinal Surgery
Filing records
1
0 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-WL-15-F01 / Initial filing
Jan 1, 2026 to May 24, 2026$0$0$0Watching
Total$0$0$0
Member summary

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

Group
Heartland Foods

Sun Life Financial

Owner
Sarah Park

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 20, 2026

Estimated from current paid claims against $100,000 specific deductible.

75% watch reached
May 6, 2026

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

Initial filing threshold watch
May 24, 2026

SL-2026-WL-15-F01, $0 new eligible paid against $500 threshold.

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 5, 2026Walgreens PharmacyM48.062SL-2026-WL-15$12,800
Apr 5, 2026Mayo Outpatient PTM48.062SL-2026-WL-15$17,600
Feb 19, 2026Mayo Clinic — NeurosurgeryM48.062SL-2026-WL-15$49,600