C10023851 / invoice 10000
Species:CANINE
Breed:Jack Russell Terrier Cross
Age (years):9
Diagnosis or signs:General
Consult notes
Animal clinical history (3 most recent)
2026-03-12T00:00:00Z 7:11 PM
Reason: PTS - Fyl Doing Preapproval GapAppointment Notes: See latests notes - SN$270 quotedReason: Owners have elected and consented for euthanasia. Treatment: the animal was injected with pentobarbitone until consciousness was lost, and cardiac and respiratory arrest was achieved. Vital Signs
2026-03-12T00:00:00Z 2:47 PM
--- 12/03/2026 14:54:03 SN:Pricing up as Juliette was comparing pricing to another clinic charging $160 and asked if we could price match - said no this is our pricing. Confirmed it was a Euthanasia as she kept saying "Cookie will be going home and come to clinic to put to sleep".Juliette said Cookie is not well right now - hence booking appt, though if better will cancel.Specifially asked for 6:30pm spot with PCB.O would like to take dog home after for home burial.--- 12/03/2026 17:31:56 FL:To the Practice Manager, Regarding the pre-approval request for Cookie. Pet’s Name: CookieDOB: 16/10/2016Customer Name: Cedric LootveetCustomer Address: 5 Savaii Cl PALM COVE QLD 4879 The expected gap amount to be paid by the client (based on the estimate submitted) is: $81.00. Please note that the gap amount is an estimate and may vary from the pre-approval if the benefit amounts available under the policy change before the claim is submitted or if the finalised invoice for the treatment submitted differs from the estimate previously supplied. We reserve our rights to apply the applicable pet insurance policy terms and conditions to the claim in the event that further relevant information becomes available. The policyholder has been provided with a letter regarding this pre-approval outcome. Should the policyholder require further information, the details for contacting us have been provided to them in that letter. Thank you. Yours sincerely,RoxanneVeterinary Claims Advisor The issuer of your policy, which is stated after the contact details below, is providing confirmation of the attached outcome.For a secure, easy way to make claims and manage your policy, register for your HYPERLINK "https://portal.petsure.com.au/medibank/login" Pet Portal today. ( 132 3317 1300 367 229* HYPERLINK "mailto:medibank@petsure.com.au" medibank@petsure.com.au: HYPERLINK "http://www.medibank.com.au" www.medibank.com.au Medibank Pet Insurance is issued by The Hollard Insurance Company Pty Ltd ABN 78 090 584 473, AFSL 241436, arranged and administered by PetSure (Australia) Pty Ltd ABN 95 075 949 923, AFSL 420183 (PetSure) and promoted and distributed by PetSure’s Authorised Representative (AR) Medibank Private Limited ABN 47 080 890 259, AR 286089. Any advice provided is general only and does not take into account your individual objectives, financial situation or needs. Please consider the Product Disclosure Statement (PDS) to ensure this product meets your needs before purchasing, or choosing to continue with the product. PDS and Target Market Determination available at medibank.com.au/pet-insurance. Disclaimer & Legal Notice: This email is sent by PetSure (Australia) Pty Ltd ABN 95 075 949 923. The contents of this email and/or its attachments may be private and confidential and may be privileged or otherwise protected from disclosure to persons to whom it is not addressed. If you are not the intended recipient of this email please notify the sender, delete the email and attachments from your system and destroy any copies you have taken of the email and attachments. Before taking any action based upon advice and/or information contained in this email, you should carefully consider the advice and information and consider obtaining relevant independent advice. Please note that any views or opinions presented in this email are solely those of the author and do not necessarily represent those of PetSure (Australia) Pty Ltd. PetSure (Australia) Pty Ltd takes no responsibility for any virus attributable to the transmission. Vital Signs
2026-03-12T00:00:00Z 10:38 AM
--- 12/03/2026 10:38:55 BM:Email recceived below. Hi MCV team,Could we please have hx sent over for a mutual patient?P: Cookie, 9yo F Jack Russell x chihuahua x papillonO: Juliette Lootvoet 0450608070We request that you also please send all lab results, imaging, etc.Kind Regards, Ally Smithfield Veterinary Services4/2 Cumberland Avenue,Smithfield Qld 4878Ph: (07) 4038 1666 Vital Signs
Previous claim history (8)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-11 | C10014884 | HEPATOPATHY |
| 2026-03-06 | C09998475 | TREMORS/SHAKING/TREMBLING - PRESENTING COMPLAINT |
| 2026-03-05 | C09992479 | TREMORS/SHAKING/TREMBLING - PRESENTING COMPLAINT |
| 2026-03-05 | C10003384 | TREMORS/SHAKING/TREMBLING - PRESENTING COMPLAINT |
| 2026-03-02 | C09975179 | FAECAL APPEARANCE ABNORMAL - DIARRHOEA - PRESENTING COMPLAINT |
| 2026-01-20 | C09785717 | WOUND - LACERATION |
| 2026-01-13 | C09756161 | WOUND - PRESENTING COMPLAINT |
| 2023-02-22 | C09756161 | WOUND - PRESENTING COMPLAINT |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_euthanasia | 270.00 | 2026-03-12 | — |
UPM+
- DG02244HEPATOPATHY (LIVER DISORDER)DSTP_liver_disorder
Variant (sleepy_king)
TREMORS/SHAKING/TREMBLING - PRESENTING COMPLAINT
DSTP_clinical_signs_-_tremor
Conf: 0.530
Threshold: 0.90
Above: ✗
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description