C10011253 / invoice 10000
Species:CANINE
Breed:Staffordshire Bull Terrier Cross
Age (years):14
Diagnosis or signs:Re-check eye
Consult notes
Animal clinical history (3 most recent)
2026-03-10T00:00:00Z 00:00 AM
Reason: Recheck Eyes EWAppointment Notes: Overdue remindersOn maxidex and tacrolimus twice dailyIf misses dose eye gets muckyLateral L elbow Vital Signs
Previous claim history (16)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-16 | C09906853 | KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE) |
| 2026-02-16 | C09906853 | MASS LESION - SKIN (CUTANEOUS) |
| 2021-05-09 | C3837021 | CORNEAL ULCER |
| 2020-05-21 | C2923370 | ALLERGIC REACTION |
| 2020-04-14 | C2851016 | MASS LESION - LIMB, LOWER |
| 2020-04-09 | C2835727 | MASS LESION - LIMB, LOWER |
| 2020-04-05 | C2825723 | MASS LESION - LIMB, LOWER |
| 2020-04-02 | C2825723 | MASS LESION - LIMB, LOWER |
| 2020-04-02 | C2848605 | Excess Re-imbursement |
| 2020-03-28 | C2809732 | CORNEAL ULCER |
| 2020-03-16 | C2808996 | CORNEAL ULCER |
| 2020-03-16 | C2808996 | HISTIOCYTOMA (CUTANEOUS, SKIN) |
| 2020-03-04 | C2808992 | Conditions |
| 2019-09-30 | C2481059 | CORNEAL ULCER |
| 2019-09-30 | C2495427 | CORNEAL ULCER |
| 2019-09-17 | C2466585 | CORNEAL ULCER |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_diagnostic_test_-_schirmer_tear_test | 5.00 | 2026-03-10 | — |
| 20000 | tstarc_diagnostic_test_-_schirmer_tear_test | 5.00 | 2026-03-10 | — |
| 30000 | tstarc_diagnostic_test_-_schirmer_tear_test | 22.50 | 2026-03-10 | — |
| 40000 | tstarc_diagnostic_test_-_schirmer_tear_test | 15.50 | 2026-03-10 | — |
| 50000 | tstarc_consultation-revisit | 2.00 | 2026-03-10 | — |
| 60000 | tstarc_consultation-revisit | 13.00 | 2026-03-10 | — |
| 70000 | tstarc_consultation-revisit | 67.50 | 2026-03-10 | — |
| 80000 | tstarc_diagnostic_test_-_cytology | 256.80 | 2026-03-10 | — |
UPM+
- DG02531KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE)DSTP_eye_-_dry_eye
Variant (sleepy_king)
KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE)
DSTP_eye_-_dry_eye
Conf: 0.690
Threshold: 0.20
Above: ✓
Correct?