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.

Karen Park

PT-000015 · USC-900015 · EPI-2026-0015

PCM ActiveLow riskMedicare AdvantageStones

Generalist Hospital-InitiatedGeneralist Acute CareEHR Diagnosis SignalAI 53%Syncope / Arrhythmia PathwayLongitudinalTCMRPMIPCSpecialist Referral

NBA: Ship RPM device + activate transmissions

Reason codes: MISSING_PCP_FOLLOWUP, ED_INDEX_VISIT

Outreach

PCM Min.

Paid $

Age / Sex

80 · F

ZIP

90042

Language

Spanish

Payer

Humana Medicare Advantage

Procedure

Stone Removal

Surgeon

Dr. Sofia Marchetti

Surgery Site

Keck Hospital of USC

Surgery Date

Mar 08, 2026

Discharge

Mar 10, 2026

LOS

Status

PCM Active

Consent

Missing

Episode Timeline

28 events

Surgery · Stone Removal

2026-03-08

Dr. Sofia Marchetti

Program Assignment · IPC · Pending Verification

2026-03-08 00:00

Not accepted (Pending payer check)

Intake Trigger · EHR Diagnosis Signal · USC EHR Problem List Watcher

2026-03-08 14:15

Routed at 2026-03-09 00:00

AI Detection · AI score 53%

2026-03-08 14:15

MISSING_PCP_FOLLOWUP, ED_INDEX_VISIT

Program Assignment · TCM · Eligible

2026-03-09 00:00

Accepted (assigned by STF-001)

Order Set · Syncope Monitoring Bundle · Pending Review

2026-03-09 00:00

3 orders · review pending

Discharge · LOS 2d

2026-03-10

Program Assignment · RPM · Eligible

2026-03-10 00:00

Accepted (assigned by STF-007)

Program Assignment · Specialist Referral · Eligible

2026-03-10 00:00

Accepted (assigned by AI Engine)

Outreach · Attempt 1 · Wrong Number

2026-03-10 12:30

Jamal Carter

RPM Enrollment · Pulse oximeter · CPT 99453/99454/99457/99470

2026-03-11

29/30 transmission days

RPM Alert · 3 alert(s) in last 30d

2026-03-11

Pulse oximeter

Outreach · Attempt 2 · Call Back Requested

2026-03-12 15:45

Felix Stone

Workflow Task · Initiate Specialist Referral · Done

2026-03-15 00:00

Intake · NP

Outreach · Attempt 3 · TCM Accepted

2026-03-15 12:15

Jamal Carter

Exception · Monthly Minutes Not Met · Medium · Open

2026-03-20 12:00

Naomi Reyes

Steerage · Pharmacy → USC

2026-03-21

USC Norris Cancer Hospital

IPC Consult · Nephrology · CPT 99445

2026-03-21 00:00

Report complete

TCM Encounter · Telehealth · CPT 99495

2026-03-24

Note sent to USC

Billing · TCM Encounter · CPT 99495 · Submitted

2026-03-24

$0 / $185

PCM Enrollment · Enrolled · consent signed

2026-03-26

PCM Activity · Med Reconciliation · 22m

2026-03-28 17:50

Elena Rivera

Satisfaction · Post-TCM · 3.9/5

2026-04-02

Long wait to reach someone after hours.

PCM Activity · Phone Call · 17m

2026-04-02 12:50

Elena Rivera

Satisfaction · PCM Monthly · 4.5/5

2026-04-05

PCM Activity · Phone Call · 22m

2026-04-07 17:00

Brandon Lee

PCM Activity · Med Reconciliation · 7m

2026-04-10 09:30

Naomi Reyes

Billing · PCM Monthly · CPT 99426 · Denied

2026-04-15

$0 / $83

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0031	#1	2026-03-10 12:30	Wrong Number	Jamal Carter	4
OUT-0032	#2	2026-03-12 15:45	Call Back Requested	Felix Stone	2
OUT-0033	#3	2026-03-15 12:15	TCM Accepted	Jamal Carter	18

TCM Encounters

ID	Encounter	Type	CPT	Doc Complete	Note → USC	Staff
TCM-0011	2026-03-24	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: Monthly Minutes Not Met
Low
Medium severity · 14d open
Owner: NP
Complete clinical review for order set
High
Order set OS-002 pending NP/MD review
Owner: NP
Resolve RPM alert(s)
High
3 unresolved Pulse oximeter alert(s) in last 30d
Owner: RN

Open Exceptions

Monthly Minutes Not Met
14d open · Open
Medium