Health Insurance Claims

Fake health insurance claims, including a marked set of fraudulent ones.

Rows
120
Region
India
Labeled PII
Yes
Fraud labels
Yes

What you can test with it

  • Score a DLP, redaction or PII-detection system against the ground-truth answer key — every sensitive field is already labeled.
  • Evaluate fraud detection: a labeled fraudulent subset is included, so precision and recall are measurable rather than estimated.
  • Test health-insurance claims processing and fraud detection on India-shaped data rather than US-shaped placeholders.
  • Populate a lower environment, demo or training set without touching real customer data.

Fields

  • claim_ref
  • policy_ref
  • insurer_name
  • patient_ref
  • treating_doctor_ref
  • claims_processor_ref
  • hospital_name
  • hospital_city
  • hospital_state
  • admission_date
  • discharge_date
  • diagnosis
  • claim_type
  • hospitalization_reason
  • injury_cause
  • medico_legal
  • police_report_filed
  • fir_number
  • other_insurance_details
  • prior_hospitalization_disclosed
  • is_network_hospital
  • pre_authorization_obtained
  • pre_authorization_number
  • doctor_registration_number
  • discharge_status
  • claimed_amount_minor
  • approved_amount_minor
  • status
  • is_fraud
  • fraud_signal
  • fraud_evidence
  • sum_insured_minor
  • premium_minor
  • policy_status
  • region_code
  • country_code

Related datasets

Is this data safe to use?

Yes. Every record is generated, never derived from or masked from real people, and every identifier is non-issuable by construction — correctly formatted, but failing checksum validation or using a reserved range so it can never match a real person or institution.