ABA Claims
Synthetic ABA claims for training and testing denial, authorization, and clean-claim agents across unit exhaustion, documentation gaps, modifier friction, and appeal trajectories.
100K-500K+ records available
Denial behavior patterns
Unit exhaustion mid-authorization
Reauthorization lag
Credential or modifier mismatch
Medical necessity documentation gap
Schema highlights
{
"claim_id": ...,
"payer_archetype": ...,
"primary_cpt_code": ...,
"preauth_required": ...,
"denial_carc_code": ...,
"appeal_outcome": ...,
"authorization_friction_score": ...,
"cash_flow_pressure_score": ...
}Full schema + data dictionary included with Starter tier and above.
Free sample available
Get a 1K-row CSV sample of this pack — schema, source manifest, and synthetic-only attestation included. No PHI. CC BY 4.0.
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Using this for denial prevention in production? The Upstream Care Intelligence Platform monitors operational payer-friction signals before they become denial backlogs.
upstream.cx ↗100K rows
- CSV + Parquet delivery
- Source manifest and synthetic-only attestation
- Quality and claim-realism reports
- Signed URL fulfillment
500K rows
- CSV + Parquet delivery
- Transaction, event, and adjudication trace artifacts
- Scenario manifests and readiness reports
- Model training and regression-suite license
Custom volume
- Custom payer archetypes and scenarios
- All-pack or specialty bundle licensing
- Dedicated delivery workflow
- Legal, security, and procurement review
Synthetic-only data, no PHI. Delivered by signed link.