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.

Donald Owens

PT-000014 · USC-900014 · EPI-2026-0014

PCM ActiveMedium riskMedicare AdvantageBladder Cancer

Specialist Post-SurgicalPost-Surgical SPOCSurgery ScheduleAI 51%Urology Post-Surgical RecoveryLongitudinalTCMDMEPost-Acute

NBA: Verify DME delivery + patient education

Reason codes: HIGH_RISK_PROC, HIGH_LOS

Outreach

PCM Min.

Paid $

Age / Sex

61 · M

ZIP

90011

Language

English

Payer

Humana Medicare Advantage

Procedure

Cystectomy

Surgeon

Dr. Henry Coltrane

Surgery Site

USC Pasadena Surgery Center

Surgery Date

Feb 13, 2026

Discharge

Feb 19, 2026

LOS

Status

PCM Active

Consent

On file

Episode Timeline

26 events

Program Assignment · DME · Pending Verification

2026-02-06 00:00

Not accepted (Pending payer check)

Order Set · DME Recovery Bundle · Activated

2026-02-06 00:00

4 orders

Intake Trigger · Surgery Schedule · USC Surgical Scheduling System

2026-02-06 09:30

Routed at 2026-02-07 00:00

AI Detection · AI score 51%

2026-02-06 09:30

HIGH_RISK_PROC, HIGH_LOS

Program Assignment · Post-Acute · Eligible

2026-02-07 00:00

Accepted (assigned by AI Engine)

Program Assignment · TCM · Eligible

2026-02-08 00:00

Accepted (assigned by STF-004)

Order Set · Post-Urology Discharge Bundle · Activated

2026-02-09 00:00

4 orders

Surgery · Cystectomy

2026-02-13

Dr. Henry Coltrane

DME Order · Pacific DME (mock) · 2 item(s) · Delivered

2026-02-18 00:00

E0143 Folding walker · E0163 Bedside commode chair

Discharge · LOS 6d

2026-02-19

Outreach · Attempt 2 · TCM Accepted

2026-02-21 11:15

Jamal Carter

Outreach · Attempt 1 · Wrong Number

2026-02-22 11:00

Felix Stone

Utilization · ED Visit · Anastomotic leak

2026-02-23 13:36

In-network

DME Fulfillment · Delivered via FedEx

2026-02-25

Exception: Delivery refused

TCM Encounter · In-Person · CPT 99495

2026-03-01

Note sent to USC

Billing · TCM Encounter · CPT 99495 · Submitted

2026-03-01

$0 / $179

Steerage · Procedure → USC

2026-03-01

USC Pasadena Surgery Center

Exception · Billing Defect · Medium · Open

2026-03-01 16:00

Carmen Ortiz

Satisfaction · Post-TCM · 4.5/5

2026-03-06

PCM Enrollment · Enrolled · consent signed

2026-03-11

PCM Activity · Med Reconciliation · 12m

2026-03-14 11:40

Carmen Ortiz

Billing · PCM Monthly · CPT 99426 · Draft

2026-03-15

$0 / $67

Satisfaction · PCM Monthly · 4.1/5

2026-03-22

PCM Activity · Med Reconciliation · 19m

2026-03-25 14:50

Naomi Reyes

PCM Activity · Phone Call · 15m

2026-04-09 15:30

Naomi Reyes

PCM Activity · Phone Call · 19m

2026-04-19 12:20

Brandon Lee

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0029	#1	2026-02-22 11:00	Wrong Number	Felix Stone	1
OUT-0030	#2	2026-02-21 11:15	TCM Accepted	Jamal Carter	10

TCM Encounters

ID	Encounter	Type	CPT	Doc Complete	Note → USC	Staff
TCM-0010	2026-03-01	In-Person	99495	Yes	Yes	Felix Stone

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.

Review exception: Billing Defect
Low
Medium severity · 33d open
Owner: MA
Backfill Utilization Outcomes RWE
Low
Utilization Outcomes only 44% complete
Owner: Ops Coordinator

Open Exceptions

Billing Defect
33d open · Open
Medium

Longitudinal Episode View

Donald Owens

Episode Timeline

Outreach Attempts

TCM Encounters

Actionable Chat

Chat QA Checklist

Next Best Actions

Open Exceptions