C09979686 / invoice 10000
Species:CANINE
Breed:French Bulldog
Age (years):2
Diagnosis or signs:GapOnly Claim Insurance Summary
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><em>The intention of the following template is to clarify the minimum requirements for veterinary notes. This should not be used if it is a first claim as it will likely go on hold for more information required.<br></em><br><strong>GapOnly claim Insurance Summary</strong><br> <p>First Clinic Signs:<br>Last few weeks irritated skin, now itchy ears with dark discharge.<br><br>Summary:<br>Mild dermatitis with marked otitis externa with mixed bacterial and fungal infection<br><br>Diagnosis:<br><span style="color: #626262; background-color: #ffffff;">Otitis externa, secondary to skin allergies/atopic dermatitis</span><br><br>Treatment:<br>Ear cleaning, topical ear medication, and systemic anti-inflammatories.<br>Review in 10 days</p></html>
Previous claim history (2)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-01-27 | C09813051 | DIETARY INDISCRETION - OTHER - PRESENTING COMPLAINT |
| 2026-01-26 | C09812643 | DIETARY INDISCRETION - OTHER - PRESENTING COMPLAINT |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 118.00 | 2026-03-03 | — |
| 20000 | tstarc_diagnostic_test_-_cytology | 105.00 | 2026-03-03 | — |
| 30000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 71.45 | 2026-03-03 | — |
| 40000 | tstarc_corticosteroids | 41.00 | 2026-03-03 | — |
UPM+
- DG01185OTITIS EXTERNADSTP_otitis_externa
Variant (sleepy_king)
HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.530
Threshold: 0.38
Above: ✓
Correct?
Reason (correct)