C10015941 / invoice 10000
Species:CANINE
Breed:Border Collie Cross
Age (years):2
Diagnosis or signs:see notes on file
Consult notes
Animal clinical history (3 most recent)
2026-03-11T00:00:00Z 3:28 PM
RECEPTIONIST TO COMPLETE:. HZClient requested to claim the visits for the period ? to ?: 13.03.26Amount to be claimed: $141Insurer: on file Policy Number: on file VET TO COMPLETE:AYCondition claiming for:Date when the first clinical signs were seen?Is the history ok to be sent to the insurer?***Please once completed place "insurance online claim" clipboard. Thank you.*** --- 11/03/2026 3:29:43 PM HEZ:Claim submitted on line as no need to get hx approval as GPHZ Vital Signs Weight: 21.2;
2026-03-11T00:00:00Z 3:20 PM
Reason: Have his ears checkedAppointment Notes: Web Booking Vital Signs
2026-03-11T00:00:00Z 3:19 PM
Reason: Have his ears checkedAppointment Notes: Web Booking Vital Signs Weight: 21.2;
Previous claim history (3)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-07-14 | C8959590 | EAR INFECTION |
| 2025-07-14 | C8959590 | GASTROINTESTINAL PROBLEMS |
| 2025-05-16 | C8722261 | VOMITING - OTHER - PRESENTING COMPLAINT |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 141.00 | 2026-03-11 | — |
UPM+
- DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.970
Threshold: 0.07
Above: ✓
Correct?