C10030070 / invoice 10000
Species:CANINE
Breed:Maltese Cross
Age (years):4
Diagnosis or signs:GapOnly Claim Insurance Summary
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><em>The intention of the following template is to clarify the minimum requirements for veterinary notes. This should not be used if it is a first claim as it will likely go on hold for more information required<br></em> <p>.<strong>GapOnly claim Insurance Summary<br></strong>First Clinic Signs: ear ongoing nov 25<br>Summary: repeat otitis<br>Diagnosis: inhoise cytology again cocci and malazz<br>Treatment: await swab to lab<br><br>First Clinic Signs: few weeks <br>Summary: gen pruritis<br>Diagnosis: atopy<br>Treatment: cytopoint </p></html>
Animal clinical history (3 most recent)
2025-11-14T00:00:00Z 15:06:00
The intention of the following template is to clarify the minimum requirements for veterinary notes. This should not be used if it is a first claim as it will likely go on hold for more information required.GapOnly claim Insurance SummaryFirst Clinic Signs: few days Summary: bilat severe otitis Diagnosis:cytology plenty cocci amd malazzeziz Treatment:PoloxomerÂ
2025-01-31T00:00:00Z 13:40:00
The intention of the following template is to clarify the minimum requirements for veterinary notes. This should not be used if it is a first claim as it will likely go on hold for more information required.GapOnly claim Insurance SummaryFirst Clinic Signs: as prev claimSummary: have results from swab Diagnosis: Heavy growth ofOrg 1: Staphylococcus schleiferiOrg 2: Malassezia pachydermatisTreatment: meds as per invoiceÂ
2025-01-20T00:00:00Z 08:40:00
The intention of the following template is to clarify the minimum requirements for veterinary notes. This should not be used if it is a first claim as it will likely go on hold for more information required.GapOnly claim Insurance SummaryFirst Clinic Signs: few days agoSummary: bilat otitis and as soon after prev treatment adv swab and culture Diagnosis: await lab Treatment: anti inflam until resultsÂ
Previous claim history (7)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-11-22 | C9525297 | EAR INFECTION |
| 2025-01-31 | C8270456 | OTITIS EXTERNA |
| 2025-01-31 | C8270544 | EAR INFECTION |
| 2024-09-10 | C8225366 | EAR INFECTION |
| 2023-11-22 | C6554972 | PATELLA LUXATION |
| 2023-10-05 | C6382124 | PATELLA LUXATION |
| 2023-08-17 | C6397796 | PATELLA LUXATION |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 77.22 | 2026-03-14 | â |
| 20000 | tstarc_diagnostic_test_-_cytology | 77.22 | 2026-03-14 | â |
| 30000 | tstarc_diagnostic_test_-_culture_and_sensitivity | 264.60 | 2026-03-14 | â |
| 40000 | tstarc_skin_medication_-_cytopoint | 180.00 | 2026-03-14 | â |
UPM+
- DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa
Variant (sleepy_king)
HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.430
Threshold: 0.38
Above: â
Correct?
Reason (correct)