SPOC-CO
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.

TB

Thomas Bennett

PT-000002 · USC-900002 · EPI-2026-0002

PCM ActiveHigh riskCommercialStones
Specialist Post-SurgicalPost-Surgical SPOCSurgery ScheduleAI 84%Urology Post-Surgical RecoveryLongitudinalTCMDMEPost-Acute

NBA: Verify DME delivery + patient education

Reason codes: PRIOR_COMPLICATION, ABNORMAL_LABS

Outreach

1

PCM Min.

34

Paid $

$74

Age / Sex

54 · M

ZIP

90042

Language

English

Payer

United Healthcare

Procedure

Stone Removal

Surgeon

Dr. Sofia Marchetti

Surgery Site

USC Norris Cancer Hospital

Surgery Date

Mar 03, 2026

Discharge

Mar 03, 2026

LOS

0d

Status

PCM Active

Consent

Missing

Episode Timeline

24 events

Program Assignment · Post-Acute · Eligible

2026-02-16 00:00

Accepted (assigned by STF-001)

Intake Trigger · Surgery Schedule · USC Surgical Scheduling System

2026-02-16 13:15

Routed at 2026-02-16 00:00

AI Detection · AI score 84%

2026-02-16 13:15

PRIOR_COMPLICATION, ABNORMAL_LABS

Program Assignment · TCM · Eligible

2026-02-18 00:00

Accepted (assigned by AI Engine)

Program Assignment · DME · Pending Verification

2026-02-18 00:00

Not accepted (Pending payer check)

Order Set · Post-Urology Discharge Bundle · Activated

2026-02-19 00:00

4 orders

DME Order · Synthetic Medical Supply Co · 2 item(s) · Delivered

2026-03-02 00:00

A6531 Compression stockings, knee-high · E0114 Crutches, underarm, pair

Surgery · Stone Removal

2026-03-03

Dr. Sofia Marchetti

Discharge · LOS 0d

2026-03-03

Outreach · Attempt 1 · TCM Accepted

2026-03-05 12:15

Liam Chen

DME Fulfillment · Delivered via Local Courier

2026-03-06

Patient education complete

Steerage · PT → USC

2026-03-07

Keck Hospital of USC

Exception · Billing Defect · Medium · Resolved

2026-03-13 11:00

Carmen Ortiz

TCM Encounter · Telehealth · CPT 99496

2026-03-17

Note sent to USC

Billing · TCM Encounter · CPT 99496 · Submitted

2026-03-17

$0 / $220

PCM Enrollment · Enrolled · consent signed

2026-03-21

PCM Activity · Phone Call · 21m

2026-03-22 11:20

Brandon Lee

PCM Activity · Phone Call · 17m

2026-03-29 17:00

Brandon Lee

Satisfaction · Post-TCM · 4.3/5

2026-04-01

PCM Activity · Care Plan Review · 17m

2026-04-03 08:30

Naomi Reyes

Satisfaction · PCM Monthly · 4.7/5

2026-04-10

Billing · PCM Monthly · CPT 99426 · Denied

2026-04-15

$0 / $83

Billing · PCM Monthly · CPT 99426 · Paid

2026-04-15

$74 / $74

PCM Activity · Care Plan Review · 17m

2026-04-25 10:20

Brandon Lee

Outreach Attempts

IDAttemptDatetimeOutcomeStaffMin
OUT-0004#12026-03-05 12:15TCM AcceptedLiam Chen10

TCM Encounters

IDEncounterTypeCPTDoc CompleteNote → USCStaff
TCM-00022026-03-17Telehealth99496YesYesJamal Carter

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.

  • Rework denied claim(s)

    Medium

    $83 in denials across 1 claim(s)

    Owner: Ops Coordinator

  • Backfill Satisfaction RWE

    Low

    Satisfaction only 33% complete

    Owner: Ops Coordinator