C10004339 / invoice 10000
Species:CANINE
Breed:Jack Russell Terrier
Age (years):6
Diagnosis or signs:KCS - long term medication script
Consult notes
Script for optimmune please, put through insurance
Previous claim history (7)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-05 | C09989067 | KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE) |
| 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_prescription_fee | 36.00 | 2026-03-09 | — |
UPM+
- DG02531KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE)DSTP_eye_-_dry_eye
Variant (sleepy_king)
KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE)
DSTP_eye_-_dry_eye
Conf: 0.990
Threshold: 0.20
Above: ✓
Correct?