Lab / Pathology Claims
Synthetic lab and pathology claims for modeling medical-necessity edits, panel bundling, reflex testing, molecular diagnostic documentation, pathology routing, and reimbursement delay.
100K-500K+ records available
Denial behavior patterns
Medical necessity diagnosis mismatch
Panel bundling denial
Reflex test documentation gap
Pathology documentation sensitivity
Schema highlights
{
"claim_id": ...,
"diagnosis_codes": ...,
"primary_cpt_code": ...,
"denial_scope": ...,
"denial_adjustment_group_code": ...,
"appeal_success_likelihood": ...,
"scenario_label": ...,
"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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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.