Patient 360
Longitudinal Episode View
Search a synthetic patient or episode to inspect discharge → TCM → PCM → billing → outcomes end-to-end.
Teresa Pruitt
PT-000041 · USC-900041 · EPI-2026-0041
NBA: Verify DME delivery + patient education
Reason codes: MULTI_CHRONIC, PAYER_TCM_ELIGIBLE, PAYER_PCM_ELIGIBLE, ED_INDEX_VISIT
Outreach
4
PCM Min.
11
Paid $
$0
Age / Sex
82 · F
ZIP
90036
Language
Spanish
Payer
Medicare FFS
Procedure
Urethroplasty
Surgeon
Dr. Sofia Marchetti
Surgery Site
USC Pasadena Surgery Center
Surgery Date
Jan 26, 2026
Discharge
Jan 29, 2026
LOS
3d
Status
Closed
Consent
On file
Episode Timeline
21 eventsProgram Assignment · TCM · Eligible
2026-01-17 00:00Accepted (assigned by AI Engine)
Intake Trigger · Discharge List · USC Discharge Planner
2026-01-17 19:45Routed at 2026-01-18 00:00
Program Assignment · DME · Eligible
2026-01-18 00:00Accepted (assigned by AI Engine)
Order Set · Post-Urology Discharge Bundle · Activated
2026-01-18 00:004 orders
Program Assignment · Post-Acute · Eligible
2026-01-19 00:00Accepted (assigned by STF-006)
Workflow Task · Initiate Post-Acute · Done
2026-01-24 00:00Post-Acute · NP
Surgery · Urethroplasty
2026-01-26Dr. Sofia Marchetti
Workflow Task · Initiate TCM · Done
2026-01-27 00:00TCM · NP
Workflow Task · Initiate DME · Done
2026-01-28 00:00DME · Ops Coordinator
Discharge · LOS 3d
2026-01-29DME Order · Pacific DME (mock) · 1 item(s) · Cancelled
2026-01-29 00:00A6531 Compression stockings, knee-high
Outreach · Attempt 1 · TCM Accepted
2026-01-30 12:15Liam Chen
Outreach · Attempt 2 · TCM Accepted
2026-01-31 16:00Jamal Carter
Outreach · Attempt 3 · TCM Declined
2026-02-02 14:00Liam Chen
Outreach · Attempt 4 · TCM Accepted
2026-02-04 09:00Liam Chen
TCM Encounter · Telehealth · CPT 99495
2026-02-06Note sent to USC
Billing · TCM Encounter · CPT 99495 · Pending
2026-02-06$0 / $186
PCM Enrollment · Enrolled · consent signed
2026-02-12Satisfaction · Post-TCM · 3.9/5
2026-02-21Nurse was responsive and reassuring.
PCM Activity · Phone Call · 11m
2026-03-20 16:40Carmen Ortiz
PCM Activity · Phone Call · 11m
2026-04-13 13:40Carmen Ortiz
Outreach Attempts
| ID | Attempt | Datetime | Outcome | Staff | Min |
|---|---|---|---|---|---|
| OUT-0087 | #1 | 2026-01-30 12:15 | TCM Accepted | Liam Chen | 14 |
| OUT-0088 | #2 | 2026-01-31 16:00 | TCM Accepted | Jamal Carter | 17 |
| OUT-0089 | #3 | 2026-02-02 14:00 | TCM Declined | Liam Chen | 14 |
| OUT-0090 | #4 | 2026-02-04 09:00 | TCM Accepted | Liam Chen | 18 |
TCM Encounters
| ID | Encounter | Type | CPT | Doc Complete | Note → USC | Staff |
|---|---|---|---|---|---|---|
| TCM-0025 | 2026-02-06 | Telehealth | 99495 | Yes | Yes | Jamal Carter |
1 satisfaction survey(s) on file — see timeline.
Actionable Chat
SyntheticNext Best Actions
Rule-based recommendations derived from the patient's current state.
All caught up — nothing urgent.