C09989067 / invoice 10000
Species:CANINE
Breed:Jack Russell Terrier
Age (years):6
Diagnosis or signs:medication
Consult notes
More Optimmune please
Previous claim history (6)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-17 | C09913788 | KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE) |
| 2026-01-30 | C09829182 | KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE) |
| 2026-01-08 | C09728875 | KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE) |
| 2025-12-15 | C09630891 | KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE) |
| 2025-11-20 | C9515297 | KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE) |
| 2025-10-23 | C9392080 | KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE) |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_eye_medication_-_cyclosporin_(optimmune) | 171.53 | 2026-03-05 | — |
| 20000 | tstarc_procedure_fee | 42.00 | 2026-03-05 | — |
UPM+
- DG02531KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE)DSTP_eye_-_dry_eye
Variant (sleepy_king)
KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE)
DSTP_eye_-_dry_eye
Conf: 0.980
Threshold: 0.20
Above: ✓
Correct?