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.

Sandra Vargas

PT-000021 · USC-900021 · EPI-2026-0021

PCM ActiveLow riskCommercialReconstructive Urology

Office-Based ProviderPCP Service LinePCP Panel UploadAI 61%PCP Chronic Disease APCMLongitudinalAPCMRPM

NBA: Ship RPM device + activate transmissions

Reason codes: AGE>=65, MISSING_PCP_FOLLOWUP, ABNORMAL_LABS

Outreach

PCM Min.

Paid $

Age / Sex

79 · F

ZIP

90007

Language

Spanish

Payer

Anthem Blue Cross

Procedure

Urethroplasty

Surgeon

Dr. Sofia Marchetti

Surgery Site

USC Pasadena Surgery Center

Surgery Date

Jan 05, 2026

Discharge

Jan 06, 2026

LOS

Status

PCM Active

Consent

On file

Episode Timeline

24 events

Order Set · PCP APCM Chronic Bundle · Activated

2025-10-25 00:00

4 orders

Intake Trigger · PCP Panel Upload · USC PCP Panel CSV (synthetic)

2025-10-25 11:15

Routed at 2025-10-26 00:00

Program Assignment · APCM · Eligible

2025-10-26 00:00

Accepted (assigned by STF-010)

Program Assignment · RPM · Eligible

2025-10-26 00:00

Accepted (assigned by AI Engine)

Workflow Task · Initiate APCM · Done

2025-10-31 00:00

APCM · RN

Surgery · Urethroplasty

2026-01-05

Dr. Sofia Marchetti

Discharge · LOS 1d

2026-01-06

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

2026-01-07

24/30 transmission days

RPM Alert · 3 alert(s) in last 30d

2026-01-07

Pulse oximeter

Outreach · Attempt 2 · TCM Accepted

2026-01-07 11:15

Jamal Carter

Outreach · Attempt 1 · No Answer

2026-01-08 11:15

Felix Stone

TCM Encounter · Phone · CPT 99495

2026-01-17

Note pending

Billing · TCM Encounter · CPT 99495 · Denied

2026-01-17

$0 / $209

PCM Enrollment · Enrolled · consent signed

2026-01-21

Satisfaction · Post-TCM · 4.8/5

2026-01-24

PCM Activity · Phone Call · 9m

2026-02-06 09:00

Naomi Reyes

APCM Monthly · 2026-02 · L3 · G0558

2026-02-15

Min met · doc complete

PCM Activity · Med Reconciliation · 22m

2026-03-02 13:40

Brandon Lee

Steerage · Lab → USC

2026-03-11

USC Urology Beverly Hills

Billing · PCM Monthly · CPT 99426 · Submitted

2026-03-15

$0 / $68

APCM Monthly · 2026-03 · L3 · G0558

2026-03-15

Min met · doc missing

PCM Activity · Care Plan Review · 10m

2026-03-16 17:20

Elena Rivera

PCM Activity · Patient Education · 5m

2026-03-19 08:50

Elena Rivera

PCM Activity · Phone Call · 14m

2026-03-23 11:50

Carmen Ortiz

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0046	#1	2026-01-08 11:15	No Answer	Felix Stone	1
OUT-0047	#2	2026-01-07 11:15	TCM Accepted	Jamal Carter	13

TCM Encounters

ID	Encounter	Type	CPT	Doc Complete	Note → USC	Staff
TCM-0015	2026-01-17	Phone	99495	Yes	No	Jamal Carter

1 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.

Send TCM note to USC EHR
High
Documentation completed but note not transmitted
Owner: RN
Log additional PCM time this month
Medium
Current month at 0m; need 30m more to bill 99426
Owner: RN
Rework denied claim(s)
Medium
$209 in denials across 1 claim(s)
Owner: Ops Coordinator
Resolve RPM alert(s)
High
3 unresolved Pulse oximeter alert(s) in last 30d
Owner: RN
Complete APCM documentation
Medium
2026-03 G0558 L3 documentation incomplete
Owner: RN
Backfill PROMs RWE
Low
PROMs only 36% complete
Owner: Ops Coordinator