Patient 360
Longitudinal Episode View
Search a synthetic patient or episode to inspect discharge → TCM → PCM → billing → outcomes end-to-end.
George Flores
PT-000006 · USC-900006 · EPI-2026-0006
NBA: Ship RPM device + activate transmissions
Reason codes: PRIOR_COMPLICATION, HIGH_RISK_PROC
Outreach
3
PCM Min.
36
Paid $
$0
Age / Sex
66 · M
ZIP
90014
Language
English
Payer
Humana Medicare Advantage
Procedure
Robotic Prostatectomy
Surgeon
Dr. Janet Okafor
Surgery Site
USC Pasadena Surgery Center
Surgery Date
Jan 23, 2026
Discharge
Jan 26, 2026
LOS
3d
Status
PCM Active
Consent
On file
Episode Timeline
32 eventsSurgery · Robotic Prostatectomy
2026-01-23Dr. Janet Okafor
Discharge · LOS 3d
2026-01-26Program Assignment · TCM · Eligible
2026-01-26 00:00Not accepted (Pass payer check)
Program Assignment · RPM · Pending Verification
2026-01-26 00:00Not accepted (Pending payer check)
Program Assignment · IPC · Eligible
2026-01-26 00:00Accepted (assigned by AI Engine)
Program Assignment · Specialist Referral · Eligible
2026-01-26 00:00Accepted (assigned by AI Engine)
Order Set · Syncope Monitoring Bundle · Pending Review
2026-01-26 00:003 orders · review pending
Intake Trigger · ADT Discharge · Keck Discharge ADT Feed
2026-01-26 18:30Routed at 2026-01-26 00:00
AI Detection · AI score 55%
2026-01-26 18:30PRIOR_COMPLICATION, HIGH_RISK_PROC
Outreach · Attempt 1 · No Answer
2026-01-27 10:00Liam Chen
Workflow Task · Initiate IPC · Done
2026-01-28 00:00IPC · NP
Workflow Task · Initiate Specialist Referral · Done
2026-01-30 00:00Intake · NP
Outreach · Attempt 3 · TCM Accepted
2026-01-30 09:00Jamal Carter
Outreach · Attempt 2 · Left Voicemail
2026-01-30 13:00Liam Chen
RPM Enrollment · Pulse oximeter · CPT 99453/99454/99457
2026-01-3117/30 transmission days
Utilization · Readmission · Wound infection
2026-02-05 15:43In-network
TCM Encounter · In-Person · CPT 99495
2026-02-07Note sent to USC
Billing · TCM Encounter · CPT 99495 · Denied
2026-02-07$0 / $209
IPC Consult · Endocrinology · CPT 99445
2026-02-08 00:00Report complete
PCM Enrollment · Enrolled · consent signed
2026-02-09Exception · Billing Defect · High · Resolved
2026-02-12 12:00Derek Mensah
Satisfaction · PCM Monthly · 4.3/5
2026-02-13PCM Activity · Symptom Check · 18m
2026-02-16 16:20Naomi Reyes
PCM Activity · Phone Call · 10m
2026-02-21 17:00Elena Rivera
Steerage · Lab → USC
2026-02-24Keck Hospital of USC
Satisfaction · Post-TCM · 4.9/5
2026-02-26PCM Activity · Phone Call · 19m
2026-03-08 09:30Naomi Reyes
PCM Activity · Symptom Check · 6m
2026-03-18 10:40Brandon Lee
PCM Activity · Patient Education · 16m
2026-04-14 10:20Naomi Reyes
Billing · PCM Monthly · CPT 99426 · Submitted
2026-04-15$0 / $72
Billing · PCM Monthly · CPT 99426 · Pending
2026-04-15$0 / $71
PCM Activity · Med Reconciliation · 20m
2026-04-17 17:20Naomi Reyes
Outreach Attempts
| ID | Attempt | Datetime | Outcome | Staff | Min |
|---|---|---|---|---|---|
| OUT-0014 | #1 | 2026-01-27 10:00 | No Answer | Liam Chen | 1 |
| OUT-0015 | #2 | 2026-01-30 13:00 | Left Voicemail | Liam Chen | 2 |
| OUT-0016 | #3 | 2026-01-30 09:00 | TCM Accepted | Jamal Carter | 11 |
TCM Encounters
| ID | Encounter | Type | CPT | Doc Complete | Note → USC | Staff |
|---|---|---|---|---|---|---|
| TCM-0005 | 2026-02-07 | In-Person | 99495 | Yes | Yes | Naomi Reyes |
2 satisfaction survey(s) on file — see timeline.
Actionable Chat
SyntheticNext Best Actions
Rule-based recommendations derived from the patient's current state.
Rework denied claim(s)
Medium$209 in denials across 1 claim(s)
Owner: Ops Coordinator
Complete clinical review for order set
HighOrder set OS-002 pending NP/MD review
Owner: NP
Backfill Steerage History RWE
LowSteerage History only 29% complete
Owner: Ops Coordinator