upstream-data catalog
37 private preview packs. One governed synthetic operating catalog.
Every pack exposes teaser metadata for synthetic CARC/RARC patterns, authorization failure modes, documents, remits, and workflow replays. Private preview access is manually approved, revocable, and synthetic-only.
ABA
Train and test denial, auth, and clean-claim agents for ABA RCM.
· Therapy Sessions synthetic workflow pressure
· Authorization Units synthetic workflow pressure
+2 more patterns
Behavioral Health - Mental Health
Benchmark session-limit, parity, telehealth, and documentation denials.
· Therapy Visits synthetic workflow pressure
· Psych Testing synthetic workflow pressure
+2 more patterns
Behavioral Health - SUD
Simulate ASAM mismatch, MAT billing, UDS clustering, and SUD auth friction.
· Asam Levels synthetic workflow pressure
· Mat Billing synthetic workflow pressure
+2 more patterns
SNF Medicare Advantage / Nursing Homes
Model MA payment variance, PDPM logic, authorization friction, and facility AR.
· Pdpm Stays synthetic workflow pressure
· Census synthetic workflow pressure
+2 more patterns
ASC / Ambulatory Surgery
Model ASC authorization, implant/device, multiple-procedure, and clean-claim risk.
· Same Day Surgery synthetic workflow pressure
· Device Pass Through synthetic workflow pressure
+2 more patterns
Rural Hospital
Model rural hospital outpatient, swing-bed, transfer, and payer-mix reimbursement pressure.
· Swing Bed synthetic workflow pressure
· Outpatient Facility synthetic workflow pressure
+2 more patterns
FQHC / RHC
Simulate FQHC/RHC all-inclusive visits, care-management billing, behavioral health, and payer edits.
· All Inclusive Visits synthetic workflow pressure
· Behavioral Health synthetic workflow pressure
+2 more patterns
Emergency Medicine
Model ED facility/professional splits, observation routing, triage acuity, and downgrade risk.
· Ed Visits synthetic workflow pressure
· Observation synthetic workflow pressure
+2 more patterns
Home Health
Forecast home-health authorization, certification, NOA, and PDGM denial risk.
· Pdgm Episodes synthetic workflow pressure
· F2F Documentation synthetic workflow pressure
+2 more patterns
Home Infusion / Hospice
Extend home-health intelligence into infusion, hospice, supplies, and certification.
· Infusion Episodes synthetic workflow pressure
· Hospice Certification synthetic workflow pressure
+2 more patterns
PT/OT/Rehab
Train visit-limit, KX-threshold, therapy-unit, and documentation checks.
· Therapy Visits synthetic workflow pressure
· 8 Minute Rule synthetic workflow pressure
+2 more patterns
Dialysis
Model ESRD PPS, MA variance, TDAPA/TPNIES, adequacy, and QIP friction.
· Esrd Pps synthetic workflow pressure
· Ma Variance synthetic workflow pressure
+2 more patterns
Imaging / Radiology
Simulate RBM prior-auth, AUC, modality-level routing, and imaging denials.
· Rbm Prior Auth synthetic workflow pressure
· Auc synthetic workflow pressure
+2 more patterns
DME
Benchmark DME documentation, rental, replacement, and medical-necessity risk.
· Equipment Rental synthetic workflow pressure
· Medical Necessity synthetic workflow pressure
+2 more patterns
Lab / Pathology
Model lab medical-necessity edits, panel bundling, and pathology documentation.
· Lab Orders synthetic workflow pressure
· Pathology synthetic workflow pressure
+2 more patterns
Oncology
Simulate infusion, specialty-drug authorization, cycle timing, and oncology AR.
· Infusion synthetic workflow pressure
· Drug Authorization synthetic workflow pressure
+2 more patterns
Cardiology
Model cardiology diagnostics, procedure paths, and payer authorization friction.
· Office Visits synthetic workflow pressure
· Diagnostics synthetic workflow pressure
+2 more patterns
Ophthalmology
Benchmark ophthalmology diagnostics, injection cadence, and surgical routing.
· Office Visits synthetic workflow pressure
· Diagnostics synthetic workflow pressure
+2 more patterns
Orthopedics / MSK
Model MSK imaging, procedure, referral, and post-acute therapy leakage.
· Office Visits synthetic workflow pressure
· Imaging Referrals synthetic workflow pressure
+2 more patterns
Pain Management
Simulate pain-procedure authorization, documentation, and medical-necessity risk.
· Injections synthetic workflow pressure
· Procedures synthetic workflow pressure
+2 more patterns
Physician Practice / General Outpatient
Provide a general outpatient benchmark layer across E/M, referrals, and diagnostics.
· Evaluation Management synthetic workflow pressure
· Referrals synthetic workflow pressure
+2 more patterns
Telehealth
Model telehealth modifier, site-of-service, documentation, and payer-policy drift.
· Virtual Visits synthetic workflow pressure
· Originating Site synthetic workflow pressure
+2 more patterns
Urgent Care
Simulate walk-in E/M, urgent procedure, lab, x-ray, and payer routing friction.
· Walk In Visits synthetic workflow pressure
· Minor Procedures synthetic workflow pressure
+2 more patterns
Dermatology
Model dermatology biopsy, excision, modifier, frequency, and cosmetic-policy risk.
· Office Visits synthetic workflow pressure
· Biopsies synthetic workflow pressure
+2 more patterns
Gastroenterology
Simulate GI endoscopy authorization, screening-vs-diagnostic edits, and pathology linkage.
· Endoscopy synthetic workflow pressure
· Colonoscopy synthetic workflow pressure
+2 more patterns
Urology
Model urology procedure authorization, bundled testing, implant, and site-of-service risk.
· Office Visits synthetic workflow pressure
· Cystoscopy synthetic workflow pressure
+2 more patterns
OBGYN
Simulate global maternity, preventive, ultrasound, modifier, and timing edits.
· Global Maternity synthetic workflow pressure
· Ultrasound synthetic workflow pressure
+2 more patterns
Endocrinology
Model chronic endocrine visits, CGM/pump documentation, lab linkage, and prior-auth friction.
· Diabetes Management synthetic workflow pressure
· Thyroid synthetic workflow pressure
+2 more patterns
Nephrology Beyond Dialysis
Simulate CKD longitudinal management, lab surveillance, transplant follow-up, and infusion routing.
· Ckd Management synthetic workflow pressure
· Transplant Followup synthetic workflow pressure
+2 more patterns
Speech Therapy
Model SLP visit caps, therapy plan documentation, dysphagia testing, and modifier risk.
· Evaluations synthetic workflow pressure
· Therapy Visits synthetic workflow pressure
+2 more patterns
Chiropractic
Simulate chiropractic medical-necessity, maintenance-care, modifier, and visit-limit edits.
· Spinal Manipulation synthetic workflow pressure
· Maintenance Care synthetic workflow pressure
+2 more patterns
Wound Care
Model serial wound care, debridement depth, skin-substitute auth, and documentation risk.
· Debridement synthetic workflow pressure
· Skin Substitutes synthetic workflow pressure
+2 more patterns
Infusion Centers
Simulate infusion drug auth, wastage, biosimilar policy, and buy-and-bill underpayment.
· Drug Infusion synthetic workflow pressure
· Biosimilars synthetic workflow pressure
+2 more patterns
Anesthesia
Simulate anesthesia modifier, time-unit, medical-direction, and surgical linkage risk.
· Base Units synthetic workflow pressure
· Time Units synthetic workflow pressure
+2 more patterns
Specialty Pharmacy
Model specialty pharmacy benefit investigation, step therapy, prior auth, and dispense friction.
· Prior Auth synthetic workflow pressure
· Step Therapy synthetic workflow pressure
+2 more patterns
Dental
Model PPO underpayment, downcoding, bundling, and frequency-limit behavior.
· Procedure Claims synthetic workflow pressure
· Tooth Surface Context synthetic workflow pressure
+2 more patterns
Dental Subspecialties
Deepen dental into oral surgery, orthodontics, periodontics, and cross-billing.
· Oral Surgery synthetic workflow pressure
· Orthodontics synthetic workflow pressure
+2 more patterns
Need a custom dataset or enterprise license?
All 37 packs with governed refreshes, custom scenario tuning, release locks, and schema extensions available under enterprise license.
Get enterprise pricing