Synthetic data prototype — no PHI. Numbers, names, and IDs are fabricated for design review only.

Patient 360

Longitudinal Episode View

Search a synthetic patient or episode to inspect discharge → TCM → PCM → billing → outcomes end-to-end.

Maria Alvarez

PT-000001 · USC-900001 · EPI-2026-0001

PCM ActiveLow riskMedicareStones

Specialist Post-SurgicalPost-Surgical SPOCDischarge ListAI 87%Urology Post-Surgical RecoveryLongitudinalTCMDMEPost-Acute

NBA: Verify DME delivery + patient education

Reason codes: RECENT_FALL, HIGH_RISK_PROC, MISSING_PCP_FOLLOWUP, PRIOR_READMIT_30D

Outreach

PCM Min.

Paid $

$168

Age / Sex

51 · F

ZIP

90008

Language

Mandarin

Payer

Medicare FFS

Procedure

Ureteroscopy

Surgeon

Dr. Eliot Kashani

Surgery Site

USC Pasadena Surgery Center

Surgery Date

Jan 21, 2026

Discharge

Jan 23, 2026

LOS

Status

PCM Active

Consent

On file

Episode Timeline

26 events

Order Set · DME Recovery Bundle · Cancelled

2026-01-07 00:00

4 orders

Intake Trigger · Discharge List · USC Discharge Planner

2026-01-07 10:30

Routed at 2026-01-08 00:00

Program Assignment · TCM · Eligible

2026-01-09 00:00

Accepted (assigned by STF-003)

Program Assignment · DME · Eligible

2026-01-09 00:00

Accepted (assigned by STF-007)

Program Assignment · Post-Acute · Eligible

2026-01-09 00:00

Accepted (assigned by AI Engine)

Order Set · Post-Urology Discharge Bundle · Activated

2026-01-10 00:00

4 orders

Surgery · Ureteroscopy

2026-01-21

Dr. Eliot Kashani

DME Order · Pacific DME (mock) · 1 item(s) · Delivered

2026-01-22 00:00

A6531 Compression stockings, knee-high

Discharge · LOS 2d

2026-01-23

Outreach · Attempt 1 · Left Voicemail

2026-01-23 10:00

Jamal Carter

Outreach · Attempt 2 · No Answer

2026-01-24 10:00

Liam Chen

Outreach · Attempt 3 · TCM Accepted

2026-01-25 17:45

Sofia Diaz

DME Fulfillment · Delivered via FedEx

2026-01-26

Patient education complete

TCM Encounter · Phone · CPT 99495

2026-02-04

Note sent to USC

Billing · TCM Encounter · CPT 99495 · Paid

2026-02-04

$168 / $168

Exception · Billing Defect · Low · In Progress

2026-02-11 17:00

Aisha Patel

PCM Enrollment · Enrolled · consent signed

2026-02-14

Satisfaction · Post-TCM · 4.9/5

2026-02-18

PCM Activity · Symptom Check · 6m

2026-02-18 14:50

Carmen Ortiz

Steerage · Procedure → USC

2026-02-21

Keck Hospital of USC

PCM Activity · Patient Education · 10m

2026-02-21 10:20

Naomi Reyes

Satisfaction · PCM Monthly · 4.1/5

2026-02-26

Long wait to reach someone after hours.

PCM Activity · Phone Call · 13m

2026-03-22 15:40

Naomi Reyes

PCM Activity · Phone Call · 18m

2026-03-28 15:30

Elena Rivera

PCM Activity · Care Plan Review · 19m

2026-04-08 16:50

Elena Rivera

PCM Activity · Med Reconciliation · 10m

2026-04-15 13:40

Naomi Reyes

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0001	#1	2026-01-23 10:00	Left Voicemail	Jamal Carter	2
OUT-0002	#2	2026-01-24 10:00	No Answer	Liam Chen	2
OUT-0003	#3	2026-01-25 17:45	TCM Accepted	Sofia Diaz	15

TCM Encounters

ID	Encounter	Type	CPT	Doc Complete	Note → USC	Staff
TCM-0001	2026-02-04	Phone	99495	Yes	Yes	Sofia Diaz

2 satisfaction survey(s) on file — see timeline.

Actionable Chat

Synthetic

I can answer questions about this patient's EPIC workflow, intake trigger, pathway, programs, order set, tasks, and billing evidence. Try one of the suggested prompts below.

Next Best Actions

Rule-based recommendations derived from the patient's current state.

Log additional PCM time this month
Medium
Current month at 29m; need 1m more to bill 99426
Owner: RN
Review exception: Billing Defect
Low
Low severity · 51d open
Owner: Ops Coordinator
Backfill Satisfaction RWE
Low
Satisfaction only 43% complete
Owner: Ops Coordinator

Open Exceptions

Billing Defect
51d open · In Progress
Low

Longitudinal Episode View

Maria Alvarez

Episode Timeline

Outreach Attempts

TCM Encounters

Actionable Chat

Chat QA Checklist

Next Best Actions

Open Exceptions