SNF Medicare Advantage / Nursing Homes
Synthetic skilled-nursing and nursing-home claims for modeling Medicare Advantage payment variance, PDPM case-mix pressure, authorization friction, short-stay disputes, and AR aging drift.
100K-500K+ records available
Denial behavior patterns
Short-stay medical necessity dispute
PDPM case-mix challenge
Authorization extension denial
MA payment variance
Schema highlights
{
"claim_id": ...,
"type_of_bill_code": ...,
"facility_claim_indicator": ...,
"service_end_date": ...,
"adjudication_date": ...,
"total_allowed_cents": ...,
"reimbursement_delay_risk": ...,
"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.
Request free sampleUsing 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.