C10002707 / invoice 20000
Species:CANINE
Breed:Boston Terrier Cross
Age (years):4
Diagnosis or signs:seizure
Consult notes
Representing after having another seizure at home
Previous claim history (4)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-07 | C10000102 | SEIZURE DISORDER |
| 2026-03-06 | C10000007 | SEIZURE DISORDER |
| 2026-01-22 | C09794553 | GIARDIASIS |
| 2026-01-12 | C09743933 | GIARDIASIS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_anticonvulsant_medication_-_phenobarbitone | 1.91 | 2026-03-08 | — |
| 20000 | tstarc_procedure_fee | 30.00 | 2026-03-08 | — |
| 30000 | tstarc_anticonvulsant_medication_-_phenobarbitone | 1.91 | 2026-03-08 | — |
| 40000 | tstarc_procedure_fee | 30.00 | 2026-03-08 | — |
| 50000 | tstarc_midazolam | 11.29 | 2026-03-08 | — |
| 60000 | tstarc_procedure_fee | 30.00 | 2026-03-08 | — |
UPM+
- DG01589SEIZURE DISORDERDSTP_seizure_and_epilepsy
Variant (sleepy_king)
SEIZURE DISORDER
DSTP_seizure_and_epilepsy
Conf: 1.000
Threshold: 0.19
Above: ✓
Correct?