Self-serve — Zero PHI — Synthetic-only

Synthetic claims with the denial behavior real systems have.

Training and test data for healthcare AI, RCM automation, payer-behavior simulation, and workflow QA. Buy by pack, delivered by signed link. Synthetic-only. No PHI. No customer claims. Not observed payer fact.

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Zero PHI. Zero real-patient data.Buy by pack, signed-link delivery20 commercial packsPublic/paid boundary enforcedNot enterprise-certified or SLA-backed yetPart of Upstream Care Intelligence Platform

Built for three types of teams

AI / ML Training Data

Evaluate denial prediction, prior auth, and RCM automation workflows against synthetic replays before touching production data.

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RCM Tooling & Clearinghouses

Test claim scrubbing, eligibility, and clearinghouse workflows against synthetic payer-friction patterns before touching production data.

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Prior Auth Automation

Simulate authorization denial cycles, appeal outcomes, and source-informed auth assumptions to build and test PA automation systems safely.

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Featured packs

20 packs across 5 care settings

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Behavioral Health100K-500K+ records

ABA Claims

Authorization units, reauthorization drift, caregiver context, and clean-claim agent pressure.

Unit exhaustion mid-authorization

Reauthorization lag

Facility100K-500K+ records

SNF Medicare Advantage / Nursing Homes

MA payment variance, PDPM logic, authorization friction, and facility AR pressure.

Short-stay medical necessity dispute

PDPM case-mix challenge

Home Health100K-500K+ records

Home Health Claims

PDGM episodes, face-to-face documentation, NOA timing, and certification risk.

Late NOA penalty pressure

Face-to-face documentation gap

Outpatient100K-500K+ records

Imaging / Radiology Claims

RBM prior authorization, AUC signals, contrast logic, modality routing, and bundling.

RBM authorization denial

AUC documentation miss

Outpatient100K-500K+ records

Dialysis Claims

ESRD PPS, MA variance, TDAPA/TPNIES pressure, adequacy, and QIP friction.

Bundled item dispute

Add-on payment denial

Dental100K-500K+ records

Dental Claims

PPO underpayment, downcoding, bundling, frequency limits, and tooth-level context.

Frequency limit denial

CDT downcoding

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Zero PHI. Architectural guarantee.

Upstream Data synthesizes claims from statistical priors and payer-behavior rule models. No real patient records enter the pipeline — ever. The guarantee is contractual and architectural, not just a policy.

Synthesis source

Statistical priors + rule models only

Real data input

None. Zero. Architectural constraint.

Delivery

Signed links, 7-day expiry, synthetic-only attestation

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Buy synthetic-only packs by specialty, or start with a free sample. Delivered by signed link with a synthetic-only attestation and source manifest.

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