SUD Claims
Synthetic substance-use-disorder claims for simulating ASAM mismatch, medication-assisted-treatment billing, urine-drug-screen clustering, authorization windows, and appeal deterioration.
100K-500K+ records available
Denial behavior patterns
Level-of-care mismatch
Concurrent review gap
UDS frequency cluster denial
MAT documentation sensitivity
Schema highlights
{
"claim_id": ...,
"provider_specialty": ...,
"claim_family": ...,
"preauth_required": ...,
"denial_probability": ...,
"appeal_round_number": ...,
"scenario_label": ...,
"payer_behavior_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.