C09989636 / invoice 10000
Species:CANINE
Breed:Cavoodle
Age (years):13
Diagnosis or signs:see notes
Consult notes
12 week RV, SC
Previous claim history (18)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2022-11-08 | C5270901 | ALLERGY |
| 2022-09-23 | C5148558 | ALLERGY |
| 2022-09-09 | C5099012 | ALLERGY |
| 2022-09-07 | C5085294 | ALLERGY |
| 2022-08-25 | C5045679 | ALLERGY |
| 2022-08-15 | C5014256 | ALLERGY |
| 2022-08-01 | C4973558 | ALLERGY |
| 2022-06-24 | C4863239 | ALLERGY |
| 2022-05-28 | C4793068 | ALLERGY |
| 2022-05-28 | C4793068 | Preventative/Elective Procedure |
| 2022-05-10 | C4734608 | ALLERGY |
| 2022-04-30 | C4703764 | SKIN (CUTANEOUS) DISORDER |
| 2022-04-16 | C4665458 | SKIN (CUTANEOUS) DISORDER |
| 2022-04-12 | C4661108 | SKIN (CUTANEOUS) DISORDER |
| 2022-04-02 | C4627788 | EAR (AURAL) DISEASE |
| 2022-03-16 | C4576173 | SKIN (CUTANEOUS) DISORDER |
| 2022-03-16 | C4576173 | EAR (AURAL) DISEASE, CHRONIC |
| 2022-03-16 | C4576173 | SKIN (CUTANEOUS) DISORDER |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 170.00 | 2026-03-05 | — |
| 20000 | tstarc_anti-fungal_medication | 106.26 | 2026-03-05 | — |
| 30000 | tstarc_procedure_fee | 48.00 | 2026-03-05 | — |
| 40000 | tstarc_prescription_fee | 46.85 | 2026-03-05 | — |
UPM+
- DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.300
Threshold: 0.07
Above: ✓
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description