upstream-data private preview · 37 commercial packs · Zero PHI

Synthetic RCM workflow previews with the denial behavior real systems have.

Controlled private preview access for selected design partners building healthcare AI, RCM automation, payer-behavior simulation, and workflow QA. Synthetic-only. No PHI. No customer claims. Not observed payer fact.

Browse all 37 packs Request private preview access

Zero PHI. Zero real-patient data.Synthesis from statistical priors + rule-based models only.Private preview access is manually approved and revocable.Not certified for enterprise procurement yet.

Who uses upstream-data

Built for teams that build healthcare systems.

AI/ML Training

Your model learns on the denial patterns your deployed system actually hits.

Generic synthetic data has clean claims. Production payers have patterns: CO-197 spikes, auth exhaustion, modifier drift. Our datasets bake in the realistic failure modes your model needs to see before it goes live.

Browse behavioral health packs

RCM Tooling & Clearinghouses

Test your scrubber or rules engine against realistic claim failure modes, not textbook edge cases.

Real-world RCM tools fail on the claims that look correct but have CO-4, 8-minute rule violations, or NCCI PTP pairs. Our packs include those patterns. Regression test before your customer does.

Browse outpatient packs

Prior Auth Automation

Train your auth prediction model on authorization patterns that match payer behavior in the wild.

CO-197 is the most expensive denial. Our synthetic prior auth datasets include authorization unit exhaustion, retro-auth attempt patterns, and payer-specific approval/denial rates by CPT code and specialty.

Browse facility packs

Sample packs

37 commercial packs. 5 care-setting buckets.

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Behavioral Health100,000 synthetic rows in paid starter delivery

ABA

Train and test denial, auth, and clean-claim agents for ABA RCM.

4 denial patterns included

Home Health100,000 synthetic rows in paid starter delivery

Home Health

Forecast home-health authorization, certification, NOA, and PDGM denial risk.

4 denial patterns included

Outpatient100,000 synthetic rows in paid starter delivery

Dialysis

Model ESRD PPS, MA variance, TDAPA/TPNIES, adequacy, and QIP friction.

4 denial patterns included

Outpatient100,000 synthetic rows in paid starter delivery

Imaging / Radiology

Simulate RBM prior-auth, AUC, modality-level routing, and imaging denials.

4 denial patterns included

View all 37 packs

Zero PHI. Architectural guarantee.

upstream-data synthesizes from statistical priors and rule-based models only. No real customer data. No real patients. No real claims. Ever. Contractual and architectural guarantee, not a policy.

Statistical priors onlyNo real patient recordsNo Upstream customer dataPublication-gated samplesCommercial license available

upstream-data

Start with controlled preview access. Ship later with production terms.

Request private preview access to synthetic-only packs, workflow replays, and scorecards. Production certification, enterprise SLAs, and broad redistribution rights are reserved for a later commercial release.

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Built by the team behind Upstream Care Intelligence · upstream.cx