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.

Ellen Greene

PT-000007 · USC-900007 · EPI-2026-0007

PCM ActiveLow riskCommercialStones

Office-Based ProviderSpecialty PanelSpecialist Panel UploadAI 71%PCP Chronic Disease APCMLongitudinalAPCMRPM

NBA: Ship RPM device + activate transmissions

Reason codes: AGE>=65, POLYPHARMACY, MULTI_CHRONIC, MISSING_PCP_FOLLOWUP

Outreach

PCM Min.

Paid $

Age / Sex

52 · F

ZIP

90086

Language

English

Payer

Anthem Blue Cross

Procedure

Ureteroscopy

Surgeon

Dr. Henry Coltrane

Surgery Site

USC Pasadena Surgery Center

Surgery Date

Feb 08, 2026

Discharge

Feb 08, 2026

LOS

Status

PCM Active

Consent

Missing

Episode Timeline

26 events

Order Set · PCP APCM Chronic Bundle · Partially Activated

2025-11-25 00:00

4 orders

Intake Trigger · Specialist Panel Upload · USC Specialty Panel CSV (synthetic)

2025-11-25 14:30

Routed at 2025-11-25 00:00

AI Detection · AI score 71%

2025-11-25 14:30

AGE>=65, POLYPHARMACY, MULTI_CHRONIC, MISSING_PCP_FOLLOWUP

Program Assignment · APCM · Eligible

2025-11-26 00:00

Accepted (assigned by STF-006)

Program Assignment · RPM · Ineligible - Out of Scope

2025-11-27 00:00

Not accepted (Pass payer check)

Surgery · Ureteroscopy

2026-02-08

Dr. Henry Coltrane

Discharge · LOS 0d

2026-02-08

Outreach · Attempt 1 · No Answer

2026-02-09 14:00

Liam Chen

Outreach · Attempt 2 · TCM Accepted

2026-02-11 16:15

Sofia Diaz

RPM Enrollment · Glucometer · CPT 99453/99454/99457

2026-02-14

21/30 transmission days

TCM Encounter · Telehealth · CPT 99495

2026-02-15

Note sent to USC

Billing · TCM Encounter · CPT 99495 · Draft

2026-02-15

$0 / $180

APCM Monthly · 2026-02 · L3 · G0558

2026-02-15

Min met · doc complete

Exception · Referral Leakage Risk · Medium · In Progress

2026-02-16 12:00

Jamal Carter

PCM Enrollment · Enrolled · consent signed

2026-02-20

Steerage · Follow-up → USC

2026-02-23

USC Norris Cancer Hospital

Satisfaction · PCM Monthly · 3.6/5

2026-03-02

Satisfaction · Post-TCM · 4.2/5

2026-03-04

APCM Monthly · 2026-03 · L3 · G0558

2026-03-15

Min met · doc complete

PCM Activity · Care Plan Review · 8m

2026-03-26 12:10

Brandon Lee

PCM Activity · Patient Education · 20m

2026-04-01 15:00

Elena Rivera

PCM Activity · Patient Education · 11m

2026-04-08 10:30

Elena Rivera

PCM Activity · Phone Call · 18m

2026-04-08 12:40

Brandon Lee

Billing · PCM Monthly · CPT 99426 · Draft

2026-04-15

$0 / $72

Billing · PCM Monthly · CPT 99426 · Denied

2026-04-15

$0 / $83

PCM Activity · Care Plan Review · 6m

2026-04-28 12:30

Elena Rivera

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0017	#1	2026-02-09 14:00	No Answer	Liam Chen	1
OUT-0018	#2	2026-02-11 16:15	TCM Accepted	Sofia Diaz	10

TCM Encounters

ID	Encounter	Type	CPT	Doc Complete	Note → USC	Staff
TCM-0006	2026-02-15	Telehealth	99495	Yes	Yes	Jamal 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
Review exception: Referral Leakage Risk
Low
Medium severity · 46d open
Owner: RN
Resolve eligibility for RPM
High
Ineligible - Out of Scope (payer check Pass)
Owner: Ops Coordinator
Backfill Satisfaction RWE
Low
Satisfaction only 40% complete
Owner: Ops Coordinator

Open Exceptions

Referral Leakage Risk
46d open · In Progress
Medium

Longitudinal Episode View

Ellen Greene

Episode Timeline

Outreach Attempts

TCM Encounters

Actionable Chat

Chat QA Checklist

Next Best Actions

Open Exceptions