Maksim Topchilo
25policy 001-169-215235/26 · expat EXP-003739 · Tbilisi, Georgia
Approvedstep 2 of 9
Structure
step 2 of 9 · expense_items · documents · normalized_pdfs · 1:46 · structured extraction
Approved
Every document becomes fields. This is where the claim stops being pictures.
Case assembled from the documents
gemini-3-pro · 7 calls
Diagnoses
Unspecified tachycardia · Dyslipidemia · Unspecified tachycardia (R00.0) · Dyslipidemia (E78.0) · General weakness and fatigue (R53) · Unspecified anemia (D64.9) · Vitamin D deficiency (E55.9)
ICD-10
R00.0 · E78.0 · R53 · D64.9 · E55.9
Symptoms
Palpitations · Pulse felt in the neck · Rapid fatigue · General weakness
Treatments
Cardiology consultation · ECG · Echocardiography · Holter monitoring · Laboratory panel
Provider
Medical Center Cito LLC, Tbilisi · Tbilisi, Georgia
Patient
MAKSIM TOPCHILO
2 items structured
Item 1 · 2026-07-25medical expenses90.00 GEL ≈ 34.24 USD
Cardiology consultation, ECG
source: invoice · receipt · medical report
Item 2 · 2026-07-28medical expenses1 005.00 GEL ≈ 382.35 USD
Echocardiography, Holter monitoring, Laboratory panel
source: receipt · invoice · lab result · medical report · prescription
The itemised bill
Item 1invoice · receipt · medical report0 line(s) · 0.00 GEL
no itemised breakdown in the documents
Item 2receipt · invoice · lab result · medical report · prescription7 line(s) · 1 005.00 GEL
Cardiology follow-up consultation60.00 GEL
Echocardiography240.00 GEL
Holter monitoring, 24 h300.00 GEL
ECG, 12-lead90.00 GEL
Lipid panel105.00 GEL
25-OH vitamin D120.00 GEL
Complete blood count90.00 GEL
What was pulled out of each document
invoice
Invoice1 pp. · gemini-3-pro
invoice_numberCT-2026-04417
issue_date2026-07-25
issuer_nameMedical Center Cito LLC
issuer_address8 Kavtaradze St, Tbilisi 0186, Georgia
issuer_tax_idGE 405 231 884
patient_nameTopchilo Maksim
total_amount90.00
currencyGEL
Invoice3 pp. · gemini-3-pro
invoice_numberCT-2026-04512
issue_date2026-07-28
issuer_nameMedical Center Cito LLC
issuer_address8 Kavtaradze St, Tbilisi 0186, Georgia
issuer_tax_idGE 405 231 884
patient_nameTopchilo Maksim
total_amount1 005.00
currencyGEL
receipt
Receipt1 pp. · gemini-3-pro
receipt_number9041-2207
payment_date2026-07-25
amount90.00
currencyGEL
payer_nameTopchilo Maksim
paid_toMedical Center Cito LLC
payment_methodcard
card_last_44419
Receipt1 pp. · gemini-3-pro
receipt_number9088-3140
payment_date2026-07-28
amount1 005.00
currencyGEL
payer_nameTopchilo Maksim
paid_toMedical Center Cito LLC
payment_methodcard, two authorisations
card_last_44419
medical report
Medical report1 pp. · gemini-3-pro
patient_nameTopchilo Maksim
patient_dob2001-07-14
patient_gendermale
residence_cityTbilisi
residence_countryGeorgia
consultation_date2026-07-25
complaintPalpitations, pulse felt in the neck, rapid fatigue
diagnosisR00.0 unspecified tachycardia; R53 weakness and fatigue
Medical report1 pp. · gemini-3-pro
patient_nameTopchilo Maksim
patient_dob2001-07-14
patient_gendermale
residence_cityTbilisi
residence_countryGeorgia
consultation_date2026-07-28
proceduresEchocardiography; Holter 24 h; 12-lead ECG
diagnosisE78.0 dyslipidemia; E55.9 vitamin D deficiency; R00.0 tachycardia
lab result
Lab result4 pp. · gemini-3-pro
date2026-07-28
patient_nameTopchilo Maksim
lab_nameCito Laboratory
lab_address8 Kavtaradze St, Tbilisi
test_typecardiac and metabolic panel
test_nameLipid panel · 25-OH vitamin D · complete blood count
ordered_byDr T. Gogichaishvili, cardiology
prescription
Prescription1 pp. · gemini-3-pro
issue_date2026-07-28
patient_nameTopchilo Maksim
prescriberDr T. Gogichaishvili
medicationsOrthomol Vital M · Vagostabil
pharmacy_receipt_attachedno
application
Application1 pp. · gemini-3-pro
policy_numberEXP-003739
insured_nameMaksim Topchilo
incident_date2026-07-25
incident_countryGeorgia
incident_citynot stated
symptom_onset_datenot stated
signature_presentyes
bank details
Bank details1 pp. · gemini-3-pro
account_holderTopchilo Maksim
ibanGE29 TB72 5013 6080 1000 04
bank_nameTBC Bank
currencyEUR
signature_presentyes
passport
Passport1 pp. · gemini-3-pro
document_number76 4413902
surnameTOPCHILO
given_namesMAKSIM VITALYEVICH
birth_date2001-07-14
nationalityRUS
mrz_validyes
Names on the left, values on the right. A field list without values proves nothing was read.
Amounts reconcile
Claimed in the application
416.59 USD
Extracted from documents
416.59 USD
Rate applied
GEL 2.6285 · EUR 0.879660166 · rate dated 2026-07-25
By item type
medical_expenses ×2 416.59 USD no line inherited or guessed its currency
No flag was raised at this step — expense_items · documents · normalized_pdfs was written and the run continued.