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.

Howard Carter

PT-000028 · USC-900028 · EPI-2026-0028

PCM ActiveMedium riskMedicare AdvantageBPH

Office-Based ProviderPCP Service LineSpecialist Panel UploadAI 65%Specialty PCM PathwayLongitudinalPCMIPC

NBA: Continue care plan; no urgent action

Reason codes: MISSING_PCP_FOLLOWUP, ABNORMAL_LABS

Outreach

PCM Min.

Paid $

$181

Age / Sex

53 · M

ZIP

90007

Language

English

Payer

Humana Medicare Advantage

Procedure

TURP

Surgeon

Dr. Henry Coltrane

Surgery Site

USC Norris Cancer Hospital

Surgery Date

Feb 01, 2026

Discharge

Feb 02, 2026

LOS

Status

PCM Active

Consent

On file

Episode Timeline

16 events

Program Assignment · PCM · Eligible

2025-11-08 00:00

Accepted (assigned by AI Engine)

Program Assignment · IPC · Pending Verification

2025-11-08 00:00

Not accepted (Pending payer check)

Intake Trigger · Specialist Panel Upload · USC Specialty Panel CSV (synthetic)

2025-11-08 09:30

Not yet routed

Surgery · TURP

2026-02-01

Dr. Henry Coltrane

Discharge · LOS 1d

2026-02-02

Outreach · Attempt 1 · TCM Accepted

2026-02-05 11:30

Liam Chen

IPC Consult · Cardiology · CPT 99445

2026-02-11 00:00

Report complete

TCM Encounter · In-Person · CPT 99495

2026-02-16

Note sent to USC

Billing · TCM Encounter · CPT 99495 · Paid

2026-02-16

$181 / $181

PCM Enrollment · Enrolled · consent signed

2026-02-18

Steerage · PT → USC

2026-02-22

USC Pasadena Surgery Center

PCM Activity · Patient Education · 12m

2026-03-02 11:00

Carmen Ortiz

Satisfaction · Post-TCM · 5/5

2026-03-03

Wish I had received clearer medication instructions.

PCM Activity · Patient Education · 18m

2026-03-04 10:00

Naomi Reyes

PCM Activity · Phone Call · 17m

2026-03-28 10:30

Naomi Reyes

PCM Activity · Care Plan Review · 22m

2026-04-25 11:30

Carmen Ortiz

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0064	#1	2026-02-05 11:30	TCM Accepted	Liam Chen	10

TCM Encounters

ID	Encounter	Type	CPT	Doc Complete	Note → USC	Staff
TCM-0019	2026-02-16	In-Person	99495	Yes	Yes	Felix Stone

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.

Log additional PCM time this month
Medium
Current month at 22m; need 8m more to bill 99426
Owner: RN
Route intake trigger
High
Specialist Panel Upload from USC Specialty Panel CSV (synthetic) not yet routed
Owner: Ops Coordinator
Backfill PCM Monthly Activity RWE
Low
PCM Monthly Activity only 31% complete
Owner: Ops Coordinator