C09987289 / invoice 10000
Species:CANINE
Breed:Jack Russell Terrier
Age (years):7
Diagnosis or signs:repeat meds
Consult notes
Apoquel 3.6mgs auto refill ce
Previous claim history (16)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-11-18 | C9519114 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2025-09-12 | C9214800 | GASTROINTESTINAL PROBLEMS |
| 2025-08-16 | C9101297 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2025-08-04 | C9058197 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2025-04-28 | C8638372 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2025-01-21 | C8228114 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-10-12 | C7814540 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-08-21 | C7609267 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-07-02 | C7419626 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2024-05-28 | C7284057 | ALLERGY |
| 2024-05-14 | C7229519 | ALLERGY |
| 2024-03-30 | C7055656 | ALLERGY |
| 2024-03-21 | C7024126 | ALLERGY |
| 2023-11-21 | C6553183 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2023-11-15 | C6529278 | ALLERGY |
| 2021-04-06 | C3734357 | ALLERGY |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_skin_medication_-_apoquel | 399.64 | 2026-03-03 | — |
| 20000 | tstarc_procedure_fee | 28.01 | 2026-03-03 | — |
UPM+
- DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder
Variant (sleepy_king)
HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.990
Threshold: 0.38
Above: ✓
Correct?