healthsim-membersim

Community

Generate realistic synthetic health data.

Authormark64oswald
Version1.0.0
Installs0

System Documentation

What problem does it solve?

This Skill automates the generation of realistic synthetic health plan data for testing claims systems, enabling end-to-end scenario validation without using real PHI.

Core Features & Use Cases

  • Enrollment, eligibility, and enrollment verification: seed realistic member panels, coverage start/end dates, and eligibility results for testing 834/270/271 workflows.
  • Claims & adjudication workloads: generate professional and facility claims, implement standard adjudication paths, and model CARC/adjustment scenarios.
  • Cross-domain integration: align MemberSim outputs with PatientSim or RxMemberSim data to enable end-to-end population health testing.

Quick Start

Use the healthsim-membersim skill to generate a representative panel of synthetic members and a sample set of claims for test environment.

Dependency Matrix

Required Modules

None required

Components

references

💻 Claude Code Installation

Recommended: Let Claude install automatically. Simply copy and paste the text below to Claude Code.

Please help me install this Skill:
Name: healthsim-membersim
Download link: https://github.com/mark64oswald/healthsim-agent/archive/main.zip#healthsim-membersim

Please download this .zip file, extract it, and install it in the .claude/skills/ directory.
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