10 runnable scenarios. Run any of them in the hosted synthetic sandbox, or preview them in your browser without an account.
Routine care
Normal HC_ROUTINE_CARE
Everyday members with office visits, paid claims, fills and normal labs
Everyday, valid records: the baseline most tests expect. Children per parent record: 0–3.
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Claim denials
Rare HC_CLAIM_DENIALS
Denied claims with synthetic denial reasons and zero paid amounts
Valid but uncommon business situations that production samples often miss. Children per parent record: 1–3.
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Coordination of benefits
Rare HC_COORDINATION_OF_BENEFITS
Members with primary and secondary coverage (coordination of benefits)
Valid but uncommon business situations that production samples often miss. Children per parent record: 2–3.
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Chronic care
High volume HC_CHRONIC_CARE
Chronic-condition members with many encounters, claims and refills
Many children per entity (load, pagination and performance paths). Children per parent record: 3–6.
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Pharmacy refills
Normal HC_PHARMACY_REFILLS
Maintenance medication refills (refill numbers 1-5, 30/90-day supplies)
Everyday, valid records: the baseline most tests expect. Children per parent record: 0–3.
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Abnormal labs
Boundary HC_ABNORMAL_LABS
Critical and boundary laboratory values (HH/LL flags, values far outside reference ranges)
Values at the edges of valid ranges (limits, thresholds, extremes). Children per parent record: 1–3.
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Eligibility gaps
Rare HC_ELIGIBILITY_GAPS
Terminated coverages (eligibility gaps) and claims pended for eligibility review
Valid but uncommon business situations that production samples often miss. Children per parent record: 0–3.
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Denial resubmission
Rare HC_DENIAL_RESUBMISSION
Denied claims and their corrected resubmissions: the same member, service dates and billed amount, resubmitted 30-59 days after service and paid as ADJUSTED claims; one resubmission in five is denied again
Valid but uncommon business situations that production samples often miss. Children per parent record: 2.
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Coverage changes
Rare HC_COVERAGE_CHANGES
Members whose coverage changes mid-year: a terminated period from 1 January and a new active period starting the next day, or after a one-month lapse for one member in four
Valid but uncommon business situations that production samples often miss. Children per parent record: 2.
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Historical claims
Historical HC_HISTORICAL_CLAIMS
Claims history from past decades (archive and migration testing)
Old records for archive, migration and retention tests. Children per parent record: 0–3.
Run in sandbox: Historical claimsPreview in the browser demo: Historical claims