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.

George Flores

PT-000006 · USC-900006 · EPI-2026-0006

PCM ActiveMedium riskMedicare AdvantageProstate Cancer

Outreach

PCM Min.

Paid $

Age / Sex

66 · M

ZIP

90014

Language

English

Payer

Humana Medicare Advantage

Procedure

Robotic Prostatectomy

Surgeon

Dr. Janet Okafor

Surgery Site

USC Pasadena Surgery Center

Surgery Date

Jan 23, 2026

Discharge

Jan 26, 2026

LOS

Status

PCM Active

Consent

On file

Episode Timeline

21 events

Surgery · Robotic Prostatectomy

2026-01-23

Dr. Janet Okafor

Discharge · LOS 3d

2026-01-26

Outreach · Attempt 1 · No Answer

2026-01-27 10:00

Liam Chen

Outreach · Attempt 3 · TCM Accepted

2026-01-30 09:00

Jamal Carter

Outreach · Attempt 2 · Left Voicemail

2026-01-30 13:00

Liam Chen

Utilization · Readmission · Wound infection

2026-02-05 15:43

In-network

TCM Encounter · In-Person · CPT 99495

2026-02-07

Note sent to USC

Billing · TCM Encounter · CPT 99495 · Denied

2026-02-07

$0 / $209

PCM Enrollment · Enrolled · consent signed

2026-02-09

Exception · Billing Defect · High · Resolved

2026-02-12 12:00

Derek Mensah

Satisfaction · PCM Monthly · 4.3/5

2026-02-13

PCM Activity · Symptom Check · 18m

2026-02-16 16:20

Naomi Reyes

PCM Activity · Phone Call · 10m

2026-02-21 17:00

Elena Rivera

Steerage · Lab → USC

2026-02-24

Keck Hospital of USC

Satisfaction · Post-TCM · 4.9/5

2026-02-26

PCM Activity · Phone Call · 19m

2026-03-08 09:30

Naomi Reyes

PCM Activity · Symptom Check · 6m

2026-03-18 10:40

Brandon Lee

PCM Activity · Patient Education · 16m

2026-04-14 10:20

Naomi Reyes

Billing · PCM Monthly · CPT 99426 · Submitted

2026-04-15

$0 / $72

Billing · PCM Monthly · CPT 99426 · Pending

2026-04-15

$0 / $71

PCM Activity · Med Reconciliation · 20m

2026-04-17 17:20

Naomi Reyes

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0014	#1	2026-01-27 10:00	No Answer	Liam Chen	1
OUT-0015	#2	2026-01-30 13:00	Left Voicemail	Liam Chen	2
OUT-0016	#3	2026-01-30 09:00	TCM Accepted	Jamal Carter	11

TCM Encounters

ID	Encounter	Type	CPT	Doc Complete	Note → USC	Staff
TCM-0005	2026-02-07	In-Person	99495	Yes	Yes	Naomi Reyes

2 satisfaction survey(s) on file — see timeline.

Next Best Actions

Rule-based recommendations derived from the patient's current state.

Rework denied claim(s)
Medium
$209 in denials across 1 claim(s)
Owner: Ops Coordinator