C10031044 / invoice 10000
Species:CANINE
Breed:Jack Russell Terrier
Age (years):5
Diagnosis or signs:see hx
Consult notes
30 tabs of apoquel - JP
Previous claim history (10)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-12-29 | C09682373 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2025-11-07 | C9460398 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2025-10-23 | C9391749 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2025-10-22 | C9388741 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2025-10-15 | C9357630 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2024-10-28 | C7877140 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-03-12 | C6984211 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-02-14 | C6879386 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-01-15 | C6755182 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2023-09-26 | C6353067 | ALLERGY |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_skin_medication_-_apoquel | 123.61 | 2026-03-14 | — |
| 20000 | tstarc_procedure_fee | 27.99 | 2026-03-14 | — |
UPM+
- DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder
Variant (sleepy_king)
HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.990
Threshold: 0.38
Above: ✓
Correct?