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.

Mark Iverson

PT-000034 · USC-900034 · EPI-2026-0034

PCM ActiveHigh riskMedicare AdvantageBPH

Generalist Hospital-InitiatedGeneralist Acute CareADT DischargeAI 82%UTI / Infection PathwayLongitudinalTCM

NBA: Continue care plan; no urgent action

Reason codes: AGE>=65, PRIOR_READMIT_30D, HIGH_RISK_PROC, ABNORMAL_LABS

Outreach

PCM Min.

Paid $

Age / Sex

59 · M

ZIP

90046

Language

Spanish

Payer

Humana Medicare Advantage

Procedure

TURP

Surgeon

Dr. Priya Ramaswamy

Surgery Site

USC Norris Cancer Hospital

Surgery Date

Jan 25, 2026

Discharge

Jan 27, 2026

LOS

Status

PCM Active

Consent

On file

Episode Timeline

13 events

Program Assignment · TCM · Eligible

2026-01-24 00:00

Accepted (assigned by STF-010)

Intake Trigger · ADT Discharge · Keck Discharge ADT Feed

2026-01-24 14:00

Routed at 2026-01-24 00:00

Surgery · TURP

2026-01-25

Dr. Priya Ramaswamy

Discharge · LOS 2d

2026-01-27

Outreach · Attempt 1 · Left Voicemail

2026-01-27 10:45

Felix Stone

Outreach · Attempt 2 · TCM Accepted

2026-01-31 10:00

Liam Chen

TCM Encounter · Telehealth · CPT 99496

2026-02-09

Note sent to USC

Billing · TCM Encounter · CPT 99496 · Submitted

2026-02-09

$0 / $224

PCM Enrollment · Enrolled · consent signed

2026-02-12

Satisfaction · Post-TCM · 4/5

2026-02-27

PCM Activity · Phone Call · 17m

2026-03-06 08:50

Brandon Lee

PCM Activity · Phone Call · 8m

2026-03-06 11:20

Elena Rivera

PCM Activity · Phone Call · 10m

2026-04-10 10:10

Carmen Ortiz

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0072	#1	2026-01-27 10:45	Left Voicemail	Felix Stone	1
OUT-0073	#2	2026-01-31 10:00	TCM Accepted	Liam Chen	17

TCM Encounters

ID	Encounter	Type	CPT	Doc Complete	Note → USC	Staff
TCM-0022	2026-02-09	Telehealth	99496	Yes	Yes	Sofia Diaz

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 10m; need 20m more to bill 99426
Owner: RN
Backfill Steerage History RWE
Low
Steerage History only 33% complete
Owner: Ops Coordinator