AmeraStop-Loss
Member stop-loss workspace

T. Wong

Member M-11975 / 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
268%
$268,000 paid
Spec deductible
$100,000
Transplant
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-2026-0180-F01 / Initial filing
Jan 1, 2026 to May 24, 2026$168,000$0$168,000Draft
Total$168,000$0$168,000
Member summary

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

Group
Northern Logistics Co

Berkley Accident & Health

Owner
James Torres

gathering-docs

Highest diagnosis
Transplant
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.

Specific deductible crossed
May 20, 2026

$268,000 paid against $100,000 deductible.

Initial filing staged
May 24, 2026

SL-2026-0180-F01, draft amount $168,000.

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
Apr 30, 2026Mayo Clinic — Follow-upC92.00SL-2026-0180$40,200
Mar 21, 2026Walgreens Specialty RxC92.00SL-2026-0180$32,160
Feb 14, 2026Mayo Clinic — OutpatientC92.00SL-2026-0180$48,240
Jan 30, 2026Mayo Clinic — RochesterC92.00SL-2026-0180$147,400