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.

Barbara Lawson

PT-000011 · USC-900011 · EPI-2026-0011

PCM ActiveLow riskCommercialStones

Specialist Post-SurgicalPost-Surgical SPOCDischarge ListAI 69%Urology Post-Surgical RecoveryLongitudinalTCMDMEPost-Acute

NBA: Verify DME delivery + patient education

Reason codes: PRIOR_COMPLICATION, MULTI_CHRONIC, ABNORMAL_LABS

Outreach

PCM Min.

Paid $

Age / Sex

76 · F

ZIP

90049

Language

English

Payer

Anthem Blue Cross

Procedure

Stone Removal

Surgeon

Dr. Janet Okafor

Surgery Site

USC Pasadena Surgery Center

Surgery Date

Feb 16, 2026

Discharge

Feb 18, 2026

LOS

Status

PCM Active

Consent

On file

Episode Timeline

22 events

Program Assignment · TCM · Eligible

2026-02-06 00:00

Not accepted (Pass payer check)

Order Set · Post-Urology Discharge Bundle · Partially Activated

2026-02-06 00:00

4 orders

Intake Trigger · Discharge List · USC Discharge Planner

2026-02-06 11:45

Not yet routed

Program Assignment · Post-Acute · Eligible

2026-02-07 00:00

Accepted (assigned by STF-004)

Program Assignment · DME · Eligible

2026-02-08 00:00

Accepted (assigned by STF-009)

Surgery · Stone Removal

2026-02-16

Dr. Janet Okafor

Discharge · LOS 2d

2026-02-18

DME Order · Acme Care Equipment · 3 item(s) · Shipped

2026-02-18 00:00

E0114 Crutches, underarm, pair · A4338 Foley catheter, 2-way, 30d supply · E0163 Bedside commode chair

Outreach · Attempt 5 · TCM Accepted

2026-02-20 15:45

Felix Stone

Outreach · Attempt 1 · Left Voicemail

2026-02-20 16:00

Sofia Diaz

Outreach · Attempt 2 · Wrong Number

2026-02-22 08:00

Jamal Carter

Outreach · Attempt 3 · TCM Accepted

2026-02-22 17:45

Felix Stone

TCM Encounter · In-Person · CPT 99496

2026-03-01

Note sent to USC

Billing · TCM Encounter · CPT 99496 · Submitted

2026-03-01

$0 / $251

Satisfaction · Post-TCM · 3.9/5

2026-03-07

Scheduling follow-up was easy.

PCM Enrollment · Enrolled · consent signed

2026-03-11

Steerage · Imaging → USC

2026-03-12

USC Urology Beverly Hills

PCM Activity · Phone Call · 18m

2026-03-12 12:50

Brandon Lee

Exception · Billing Defect · High · Open

2026-03-24 12:00

Carmen Ortiz

Satisfaction · PCM Monthly · 4.1/5

2026-03-29

PCM Activity · Med Reconciliation · 18m

2026-04-20 15:30

Naomi Reyes

PCM Activity · Phone Call · 6m

2026-04-22 11:00

Elena Rivera

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0023	#1	2026-02-20 16:00	Left Voicemail	Sofia Diaz	2
OUT-0024	#2	2026-02-22 08:00	Wrong Number	Jamal Carter	2
OUT-0025	#3	2026-02-22 17:45	TCM Accepted	Felix Stone	10
OUT-0117	#5	2026-02-20 15:45	TCM Accepted	Felix Stone	4

TCM Encounters

ID	Encounter	Type	CPT	Doc Complete	Note → USC	Staff
TCM-0008	2026-03-01	In-Person	99496	Yes	Yes	Naomi Reyes

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.

Resolve exception: Billing Defect
Critical
Open 10d, assigned to Carmen Ortiz
Owner: MA
Log additional PCM time this month
Medium
Current month at 24m; need 6m more to bill 99426
Owner: RN
Route intake trigger
High
Discharge List from USC Discharge Planner not yet routed
Owner: Ops Coordinator

Open Exceptions

Billing Defect
10d open · Open
High