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.

Zachary Velasco

PT-000046 · USC-900046 · EPI-2026-0046

TCM CompleteMedium riskMedicare AdvantageBPH

Office-Based ProviderSpecialty PanelManual ReferralAI 98%Specialty PCM PathwayCare Plan ActivePCMIPC

NBA: Confirm PCM consent + enroll

Reason codes: HIGH_RISK_PROC, RECENT_FALL, ED_INDEX_VISIT, ABNORMAL_LABS

Outreach

PCM Min.

Paid $

Age / Sex

50 · M

ZIP

90060

Language

English

Payer

Humana Medicare Advantage

Procedure

TURP

Surgeon

Dr. Priya Ramaswamy

Surgery Site

Keck Hospital of USC

Surgery Date

Jan 14, 2026

Discharge

Jan 16, 2026

LOS

Status

TCM Complete

Consent

Missing

Episode Timeline

10 events

Program Assignment · IPC · Eligible

2025-12-11 00:00

Accepted (assigned by AI Engine)

Intake Trigger · Manual Referral · Manual entry by Ops Coordinator

2025-12-11 09:15

Routed at 2025-12-11 00:00

AI Detection · AI score 98%

2025-12-11 09:15

HIGH_RISK_PROC, RECENT_FALL, ED_INDEX_VISIT, ABNORMAL_LABS

Program Assignment · PCM · Ineligible - Clinical

2025-12-12 00:00

Not accepted (Pass payer check)

Surgery · TURP

2026-01-14

Dr. Priya Ramaswamy

Discharge · LOS 2d

2026-01-16

Outreach · Attempt 1 · TCM Accepted

2026-01-18 10:30

Jamal Carter

TCM Encounter · Telehealth · CPT 99496

2026-01-24

Note sent to USC

IPC Consult · Nephrology · CPT 99445

2026-01-24 00:00

Report complete

Satisfaction · Post-TCM · 4.1/5

2026-02-03

Wish I had received clearer medication instructions.

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0095	#1	2026-01-18 10:30	TCM Accepted	Jamal Carter	17

TCM Encounters

ID	Encounter	Type	CPT	Doc Complete	Note → USC	Staff
TCM-0027	2026-01-24	Telehealth	99496	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.

Offer PCM enrollment
Medium
TCM completed; patient not yet enrolled in PCM
Owner: NP
Resolve eligibility for PCM
High
Ineligible - Clinical (payer check Pass)
Owner: Ops Coordinator
Backfill Utilization Outcomes RWE
Low
Utilization Outcomes only 29% complete
Owner: Ops Coordinator
Backfill PROMs RWE
Low
PROMs only 43% complete
Owner: Ops Coordinator