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Scenario 1 - Raya (Retake Test)

Lemonade

Created on October 6, 2025

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Transcript

Scenario 1

Raya

Start

Policy Overview

  • Raya is a 7 month old, female Pitbull mix.
  • See below for Claim Overview information.
  • See the following link for the policy PDF.

Claim Lifecycle

Play me!

Policy Coverages

Voice To Text (verbatim unless noted in brackets): I first noticed something wrong when Raya was peeing on the 2nd {of December}, she was peeing more frequently than usual and not very much. And then, um, early in the morning on the third, she had an accident in the house and I noticed some blood in her urine and I looked up those symptoms realized it was probably a urinary tract infection and called the vet to book an appointment. I also noticed that her feet were very red. And when I talked to the vet, they said that's a sign that she was licking her feet. And after the vet visit, they let me know that she does have a lot of bacteria in her urine indicating a UTI.

Claim History

Pre-Existing

Next

Invoice Details

Quick Glance:Claim Info

Quick Glance:Policy Info

  • The invoice was submitted at the time of the claim submission.
  • The Claim Advocate indicated that the invoice is legible, complete, and for the insured pet.
  • See the following link for the invoice:

Next

Evidence Evaluation

Quick Glance:Policy Info

Quick Glance:Claim Info

  • See below for screenshots. No visit notes were uploaded by the policyholder.
Linda Belcher

Next

Medical Records & Timeline

Quick Glance:Policy Info

Quick Glance:Claim Info

  • Complete medical records were requested and obtained. An MRR was performed by the Claim Advocate. Medical records were considered complete and the MRR status was marked "Completed."
  • See the following link for medical records (2 attachments).
  • See below for the Pre-Existing Conditions table and Medical Timeline.
    • No Pre-Existing Conditions were identified, nothing was filled out in the Medical Timeline.

Next

Quick Glance:Policy Info

Claim Determination

Quick Glance:Claim Info

  • The Claim Advocate determined the claimed conditions were eligible for coverage. See below for the conditions and Final Claim Determination.

Next

Item Review & Payment

  • The claim was settled. No auth review was required.
  • It was marked that there were no grouped items and there wer no taxes/biohazard fees applied to any items.
  • To see reject reasons, hover of the infographic next to the line item.

Quick Glance:Claim Info

Quick Glance:Policy Info

Cost Breakdown Here

Invoice Found Here

End

Raya has NO add-ons.
This claim