C10007745 / invoice 10000
Species:CANINE
Breed:Cavoodle
Age (years):12
Diagnosis or signs:allergy meds
Consult notes
Refill apoquel #30 gives 1/2 sid
Previous claim history (15)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-01-19 | C09780276 | CUSHINGS DISEASE |
| 2026-01-13 | C09750988 | DIABETES MELLITUS |
| 2026-01-06 | C09716184 | CUSHINGS DISEASE |
| 2026-01-06 | C09716184 | DIABETES MELLITUS |
| 2026-01-06 | C09716184 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2025-12-22 | C09660876 | CUSHINGS DISEASE |
| 2025-12-22 | C09660876 | DIABETES MELLITUS |
| 2025-12-16 | C09634139 | DIABETES MELLITUS |
| 2025-12-15 | C09629655 | DIABETES MELLITUS |
| 2025-12-03 | C09574238 | CUSHINGS DISEASE |
| 2025-12-03 | C09574238 | DIABETES MELLITUS |
| 2015-03-31 | C0508152 | FRACTURE OF THORACIC LIMB - RADIUS AND ULNA |
| 2015-03-13 | C0500954 | FRACTURE OF THORACIC LIMB - RADIUS AND ULNA |
| 2015-03-04 | C0500954 | FRACTURE OF THORACIC LIMB - RADIUS AND ULNA |
| 2015-03-01 | C0542433 | FRACTURE OF THORACIC LIMB - RADIUS AND ULNA |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_prescription_diet | 108.08 | 2026-03-10 | upstreamDSTP_prescription_diets |
| 20000 | tstarc_skin_medication_-_apoquel | 133.38 | 2026-03-10 | — |
| 30000 | tstarc_procedure_fee | 32.00 | 2026-03-10 | — |
UPM+
- DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder
Variant (sleepy_king)
HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.950
Threshold: 0.38
Above: ✓
Correct?