Gold, golden identity
Paul S Butler
2 source records from 1 feed.
MBR-000745Verified2 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
Identity graph
Source records linked to this identity and the confidence of each link
Golden identityEnrollmentClaimsProvider networkThird-party administratorAuto link (at or above 0.85)Below thresholdSteward link
Linked source records
Silver values for each record in the cluster, and how it was attached
| Record | Source | Received | Name | DOB | Member ID | Phone | Address | Method | Confidence | Rule |
|---|---|---|---|---|---|---|---|---|---|---|
| CLM-420828 | CLM | 2026-01-03 | Pauul Butlerflagged | 1962-03-16 | — | — | 528 Mesa Dr, Seattle, WA | Rule | 0.97 | D2 ssn4 + dob + last name |
| CLM-420829 | CLM | 2026-07-26 | Paul Butlerflagged | 1962-03-16 | UHC-87262-31 | — | 528 Mesa Dr, Seattle, WA | Rule | 0.97 | D2 ssn4 + dob + last name |
Evidence
1 scored pair among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-420828CLMCLM-420829CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-420828 → UHC-87262-31 (Paul Butler)ACT-009213, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:52Record linked automatically4cca361d48matching_agent, CLM-420829, identity id MBR-000745, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420828
- 2026-10-22 12:43:52Record linked automatically9caa123bdamatching_agent, CLM-420828, identity id MBR-000745, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420829
- 2026-10-19 19:54:38Record linked automaticallyc8e0aae475matching_agent, CLM-420829, identity id MBR-000745, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420828
- 2026-10-19 19:54:38Record linked automatically85df7b8ef0matching_agent, CLM-420828, identity id MBR-000745, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420829
- 2026-10-19 19:52:08Record linked automatically87983f0850matching_agent, CLM-420829, identity id MBR-000745, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420828
- 2026-10-19 19:52:08Record linked automatically1c2ca45576matching_agent, CLM-420828, identity id MBR-000745, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420829
- 2026-10-19 19:45:41Record linked automatically3f07e77fdcmatching_agent, CLM-420829, identity id MBR-000745, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420828
- 2026-10-19 19:45:41Record linked automaticallyd5495c43dfmatching_agent, CLM-420828, identity id MBR-000745, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420829
- 2026-10-19 19:32:31Record linked automatically946f8e3bfdmatching_agent, CLM-420829, identity id MBR-000745, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420828
- 2026-10-19 19:32:31Record linked automatically3358923c76matching_agent, CLM-420828, identity id MBR-000745, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420829
- 2026-10-19 19:31:28Record linked automatically914a5bd1c5scoring_agent, CLM-420828, identity id MBR-014038, confidence 1, method probabilistic, matched record ENR-127341, policy version 1
- 2026-10-19 19:31:28Record linked automatically2b7e527584matching_agent, CLM-420829, identity id MBR-012540, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-127343
Claims for this member
Claims attached through the identity graph; holds follow open steward cases automatically
| Claim | Service | Provider | Procedures | Billed | Plan paid | Rules | Status |
|---|---|---|---|---|---|---|---|
| CLM-2026-013024 | 2026-07-17 | Pinecrest Reference Lab in network | 85025, 80061, 87086 | $136.00 | $0.00 | Approved | Approved |
| CLM-2026-029935 | 2025-12-30 | Unity Medical Group in network | 99215, 99214 | $530.00 | — | Needs review | Needs review |
| CLM-2026-029934 | 2025-12-30 | Unity Medical Group in network | 99215, 99214 | $530.00 | $298.60 | Approved | Approved |