AmeraStop-Loss
Member stop-loss workspace

R. Patel

Member M-04421 / Northern Logistics Co / 2026. Notices, threshold events, filing records, reimbursement, and activity stay scoped to this member within the group.

Open active filing
% of spec
188%
$188,000 paid
Spec deductible
$100,000
Cardiac Surgery
Filing records
2
1 open or draft
Outstanding
$88,000
$0 reimbursed
Printable filing summary

Submission-level view for carrier, client, or internal status questions.

SubmissionPaid periodRequestedReimbursedOutstandingStatus
Submission 2
SL-2026-0119-F02 / Supplemental filing
Apr 23, 2026 to May 15, 2026$0$0$0Watching
Submission 1
SL-2026-0119-F01 / Initial filing
Jan 1, 2026 to Apr 22, 2026$88,000$0$88,000Filed, awaiting carrier
Total$88,000$0$88,000
Member summary

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

Group
Northern Logistics Co

Tokio Marine HCC

Owner
James Torres

info-requested

Highest diagnosis
Cardiac 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
Feb 26, 2026

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

75% watch reached
Mar 14, 2026

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

Specific deductible crossed
Mar 28, 2026

$188,000 paid against $100,000 deductible.

Initial filing submitted
Apr 22, 2026

SL-2026-0119-F01, filed amount $88,000.

Subsequent filing threshold watch
May 15, 2026

SL-2026-0119-F02, $0 new eligible paid against $0 threshold.

Claim ledger

Paid claim lines that feed notice percentages and filing packets.

DateProviderDxCaseAmount
Mar 13, 2026Northwestern OutpatientI50.43SL-2026-0119$30,080
Feb 11, 2026Northwestern Cardiac RehabI50.43SL-2026-0119$41,360
Dec 28, 2025Northwestern Memorial — CardiacI50.43SL-2026-0119$116,560