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.

Susan Nguyen

PT-000013 · USC-900013 · EPI-2026-0013

PCM ActiveLow riskMedicareBladder Cancer

Specialist Post-SurgicalPost-Surgical SPOCManual ReferralAI 95%Urology Post-Surgical RecoveryLongitudinalTCMDMEPost-Acute

NBA: Verify DME delivery + patient education

Reason codes: AGE>=65, PRIOR_COMPLICATION, PRIOR_READMIT_30D

Outreach

PCM Min.

Paid $

$69

Age / Sex

63 · F

ZIP

90039

Language

English

Payer

Medicare FFS

Procedure

Cystectomy

Surgeon

Dr. Rebecca Lim

Surgery Site

USC Norris Cancer Hospital

Surgery Date

Feb 28, 2026

Discharge

Mar 07, 2026

LOS

Status

PCM Active

Consent

On file

Episode Timeline

25 events

Program Assignment · Post-Acute · Eligible

2026-02-23 00:00

Accepted (assigned by AI Engine)

Intake Trigger · Manual Referral · Manual entry by Ops Coordinator

2026-02-23 18:30

Routed at 2026-02-24 00:00

Program Assignment · TCM · Eligible

2026-02-24 00:00

Accepted (assigned by AI Engine)

Program Assignment · DME · Eligible

2026-02-24 00:00

Accepted (assigned by STF-001)

Order Set · Post-Urology Discharge Bundle · Activated

2026-02-25 00:00

4 orders

Workflow Task · Initiate TCM · Done

2026-02-26 00:00

TCM · NP

Surgery · Cystectomy

2026-02-28

Dr. Rebecca Lim

DME Order · Acme Care Equipment · 1 item(s) · Delivered

2026-03-06 00:00

E0114 Crutches, underarm, pair

Discharge · LOS 7d

2026-03-07

Outreach · Attempt 1 · Left Voicemail

2026-03-07 15:00

Sofia Diaz

DME Fulfillment · Delivered via Local Courier

2026-03-09

Patient education complete

Outreach · Attempt 2 · TCM Accepted

2026-03-10 08:00

Liam Chen

Outreach · Attempt 4 · No Answer

2026-03-13 08:30

Jamal Carter

Exception · Referral Leakage Risk · High · In Progress

2026-03-19 16:00

Elena Rivera

TCM Encounter · In-Person · CPT 99496

2026-03-20

Note sent to USC

Billing · TCM Encounter · CPT 99496 · Denied

2026-03-20

$0 / $281

Satisfaction · Post-TCM · 4.9/5

2026-03-28

PCM Enrollment · Enrolled · consent signed

2026-03-30

Steerage · PT → USC

2026-04-06

USC Urology Beverly Hills

Satisfaction · PCM Monthly · 5/5

2026-04-10

PCM Activity · Phone Call · 16m

2026-04-11 17:30

Brandon Lee

Billing · PCM Monthly · CPT 99426 · Submitted

2026-04-15

$0 / $70

Billing · PCM Monthly · CPT 99426 · Paid

2026-04-15

$69 / $69

PCM Activity · Specialist Coordination · 7m

2026-04-29 09:00

Brandon Lee

PCM Activity · Symptom Check · 21m

2026-04-29 16:40

Naomi Reyes

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0027	#1	2026-03-07 15:00	Left Voicemail	Sofia Diaz	4
OUT-0028	#2	2026-03-10 08:00	TCM Accepted	Liam Chen	11
OUT-0116	#4	2026-03-13 08:30	No Answer	Jamal Carter	6

TCM Encounters

ID	Encounter	Type	CPT	Doc Complete	Note → USC	Staff
TCM-0009	2026-03-20	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: Referral Leakage Risk
Critical
Open 15d, assigned to Elena Rivera
Owner: NP
Rework denied claim(s)
Medium
$281 in denials across 1 claim(s)
Owner: Ops Coordinator
Backfill PCM Monthly Activity RWE
Low
PCM Monthly Activity only 39% complete
Owner: Ops Coordinator

Open Exceptions

Referral Leakage Risk
15d open · In Progress
High