C09993940 / invoice 10000
Species:CANINE
Breed:Miniature Dachshund - Smooth Haired
Age (years):6
Diagnosis or signs:Consult for vaccination, Niramine inj due to past reaction
Consult notes
Consult for vaccination, Niramine inj due to past reaction
Previous claim history (15)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-11-14 | C9490505 | DENTAL (TOOTH) DISORDER |
| 2025-04-22 | C8614386 | INTERVERTEBRAL DISC DISORDER |
| 2025-02-10 | C8310112 | INTERVERTEBRAL DISC DISEASE |
| 2025-02-08 | C8305725 | INTERVERTEBRAL DISC DISEASE |
| 2025-02-06 | C8296938 | INTERVERTEBRAL DISC DISEASE |
| 2025-02-04 | C8296963 | INTERVERTEBRAL DISC DISEASE |
| 2024-12-30 | C8133710 | PODODERMATITIS |
| 2024-12-23 | C8112441 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-10-03 | C7778817 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-06-28 | C7402413 | TOOTH FRACTURE |
| 2024-06-28 | C7402413 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-06-19 | C7366306 | HYPOTHYROIDISM |
| 2023-02-02 | C5579582 | ALLERGY |
| 2023-01-11 | C5476384 | ALLERGY |
| 2021-03-05 | C5476338 | ALLERGIC REACTION |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 85.50 | 2026-03-06 | — |
| 20000 | tstarc_antihistamine | 2.30 | 2026-03-06 | — |
| 30000 | tstarc_procedure_fee | 23.30 | 2026-03-06 | — |
UPM+
- DG00138ADVERSE REACTION TO VACCINATIONDSTP_adverse_reaction_to_vaccination
Variant (sleepy_king)
ADVERSE REACTION TO VACCINATION
DSTP_adverse_reaction_to_vaccination
Conf: 0.680
Threshold: 0.90
Above: ✗
Correct?