Telehealth Claims
Synthetic telehealth claims for modeling modifier compliance, originating-site and place-of-service policy, cross-state friction, documentation sensitivity, and payer-policy drift.
100K-500K+ records available
Denial behavior patterns
Modifier compliance denial
Place-of-service mismatch
Cross-state policy friction
Documentation specificity review
Schema highlights
{
"claim_id": ...,
"place_of_service": ...,
"claim_filing_indicator_code": ...,
"network_status": ...,
"denial_carc_code": ...,
"scenario_label": ...,
"authorization_friction_score": ...,
"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.
Request free sampleMore Outpatient packs
PT/OT/Rehab Claims
Visit caps, KX threshold pressure, timed-unit logic, and functional-documentation checks.
ViewDialysis Claims
ESRD PPS, MA variance, TDAPA/TPNIES pressure, adequacy, and QIP friction.
ViewImaging / Radiology Claims
RBM prior authorization, AUC signals, contrast logic, modality routing, and bundling.
ViewUsing 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.