AmeraStop-Loss
Member stop-loss workspace

B. Patel

Member M-13002 / Heartland Foods / 2026. Notices, threshold events, filing records, reimbursement, and activity stay scoped to this member within the group.

Open active filing
% of spec
119%
$119,000 paid
Spec deductible
$100,000
Oncology
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-2026-0185-F01 / Initial filing
Jan 1, 2026 to May 27, 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
Heartland Foods

Sun Life Financial

Owner
Sarah Park

gathering-docs

Highest diagnosis
Oncology
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 $100,000 specific deductible.

75% watch reached
May 11, 2026

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

Specific deductible crossed
May 25, 2026

$119,000 paid against $100,000 deductible.

Initial filing staged
May 27, 2026

SL-2026-0185-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 10, 2026CVS SpecialtyC50.912SL-2026-0185$19,040
Apr 10, 2026MD Anderson InfusionC50.912SL-2026-0185$26,180
Feb 24, 2026MD Anderson Cancer CenterC50.912SL-2026-0185$73,780
Activity

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