AmeraStop-Loss
Member stop-loss workspace

T. Choi

Member M-07655 / 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
145%
$145,000 paid
Spec deductible
$100,000
Cardiac 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-2026-0166-F01 / Initial filing
Jan 1, 2026 to May 26, 2026$45,000$0$45,000Draft
Total$45,000$0$45,000
Member summary

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

Group
Northern Logistics Co

Berkley Accident & Health

Owner
Aisha Robinson

gathering-docs

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
Apr 19, 2026

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

75% watch reached
May 5, 2026

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

Specific deductible crossed
May 19, 2026

$145,000 paid against $100,000 deductible.

Initial filing staged
May 26, 2026

SL-2026-0166-F01, draft amount $45,000.

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 4, 2026Northwestern OutpatientI50.43SL-2026-0166$23,200
Apr 4, 2026Northwestern Cardiac RehabI50.43SL-2026-0166$31,900
Feb 18, 2026Northwestern Memorial — CardiacI50.43SL-2026-0166$89,900