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.

Helen Reyes

PT-000017 · USC-900017 · EPI-2026-0017

PCM ActiveMedium riskCommercialProstate Cancer

Outreach

PCM Min.

Paid $

$235

Age / Sex

64 · F

ZIP

90001

Language

English

Payer

United Healthcare

Procedure

Robotic Prostatectomy

Surgeon

Dr. Priya Ramaswamy

Surgery Site

Keck Hospital of USC

Surgery Date

Feb 08, 2026

Discharge

Feb 11, 2026

LOS

Status

PCM Active

Consent

On file

Episode Timeline

17 events

Surgery · Robotic Prostatectomy

2026-02-08

Dr. Priya Ramaswamy

Discharge · LOS 3d

2026-02-11

Outreach · Attempt 2 · TCM Accepted

2026-02-12 17:15

Felix Stone

Outreach · Attempt 1 · No Answer

2026-02-13 15:30

Liam Chen

Steerage · Follow-up → External

2026-02-16

Pacific Imaging (External)

TCM Encounter · Telehealth · CPT 99495

2026-02-20

Note sent to USC

Billing · TCM Encounter · CPT 99495 · Paid

2026-02-20

$168 / $168

PCM Enrollment · Enrolled · consent signed

2026-02-25

PCM Activity · Med Reconciliation · 12m

2026-02-27 17:40

Elena Rivera

Utilization · Readmission · Hematuria

2026-03-03 22:57

In-network

Exception · Referral Leakage Risk · Medium · In Progress

2026-03-07 11:00

Carmen Ortiz

Satisfaction · Post-TCM · 4.4/5

2026-03-09

PCM Activity · Specialist Coordination · 16m

2026-04-05 15:50

Naomi Reyes

Billing · PCM Monthly · CPT 99426 · Paid

2026-04-15

$67 / $67

Billing · PCM Monthly · CPT 99426 · Pending

2026-04-15

$0 / $73

PCM Activity · Symptom Check · 11m

2026-04-16 15:30

Naomi Reyes

PCM Activity · Specialist Coordination · 9m

2026-04-21 09:10

Naomi Reyes

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0038	#1	2026-02-13 15:30	No Answer	Liam Chen	4
OUT-0039	#2	2026-02-12 17:15	TCM Accepted	Felix Stone	8

TCM Encounters

ID	Encounter	Type	CPT	Doc Complete	Note → USC	Staff
TCM-0013	2026-02-20	Telehealth	99495	Yes	Yes	Jamal Carter

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

Next Best Actions

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

Review exception: Referral Leakage Risk
Low
Medium severity · 27d open
Owner: MA

Open Exceptions

Referral Leakage Risk
27d open · In Progress
Medium