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.

Janet Foster

PT-000031 · USC-900031 · EPI-2026-0031

PCM ActiveMedium riskCommercialBPH

Outreach

PCM Min.

Paid $

$67

Age / Sex

66 · F

ZIP

90083

Language

English

Payer

Aetna

Procedure

TURP

Surgeon

Dr. Priya Ramaswamy

Surgery Site

USC Pasadena Surgery Center

Surgery Date

Mar 06, 2026

Discharge

Mar 08, 2026

LOS

Status

PCM Active

Consent

On file

Episode Timeline

19 events

Surgery · TURP

2026-03-06

Dr. Priya Ramaswamy

Discharge · LOS 2d

2026-03-08

Outreach · Attempt 2 · No Answer

2026-03-10 17:45

Jamal Carter

Outreach · Attempt 1 · TCM Accepted

2026-03-11 11:30

Sofia Diaz

Outreach · Attempt 2 · Left Voicemail

2026-03-12 15:45

Liam Chen

Outreach · Attempt 1 · Left Voicemail

2026-03-14 16:45

Liam Chen

TCM Encounter · Telehealth · CPT 99495

2026-03-18

Note sent to USC

Billing · TCM Encounter · CPT 99495 · Draft

2026-03-18

$0 / $183

PCM Enrollment · Enrolled · consent signed

2026-03-25

Utilization · ED Visit · Acute pain

2026-03-26 17:19

In-network

PCM Activity · Phone Call · 7m

2026-03-31 14:30

Naomi Reyes

PCM Activity · Patient Education · 21m

2026-04-01 13:30

Naomi Reyes

Satisfaction · Post-TCM · 4.1/5

2026-04-07

Long wait to reach someone after hours.

PCM Activity · Med Reconciliation · 11m

2026-04-11 15:00

Carmen Ortiz

PCM Activity · Phone Call · 21m

2026-04-14 13:50

Brandon Lee

Billing · PCM Monthly · CPT 99426 · Paid

2026-04-15

$67 / $67

Billing · PCM Monthly · CPT 99426 · Denied

2026-04-15

$0 / $83

PCM Activity · Care Plan Review · 12m

2026-04-28 09:00

Brandon Lee

PCM Activity · Phone Call · 14m

2026-04-28 13:40

Elena Rivera

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0068	#1	2026-03-11 11:30	TCM Accepted	Sofia Diaz	14
OUT-0069	#2	2026-03-10 17:45	No Answer	Jamal Carter	1
OUT-0107	#2	2026-03-12 15:45	Left Voicemail	Liam Chen	2
OUT-0119	#1	2026-03-14 16:45	Left Voicemail	Liam Chen	6

TCM Encounters

ID	Encounter	Type	CPT	Doc Complete	Note → USC	Staff
TCM-0021	2026-03-18	Telehealth	99495	Yes	Yes	Felix Stone

1 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
$83 in denials across 1 claim(s)
Owner: Ops Coordinator