Gold, golden identity
Sophia Fox
5 source records from 2 feeds.
MBR-001845Verified5 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Sophia
- Middle name—
- —
- Last nameENR
- Fox
- Date of birthENR
- 1973-06-20
- GenderCLM
- M
- Member IDENR
- UHC-96989-32
- SSNCLM
- •••-••-8210
- PhoneENR
- 4989404410
- EmailENR
- sophia.fox@icloud.com
- AddressENR
- 5249 Sage Ct
- CityENR
- Houston
- StateENR
- TX
- ZIPCLM
- 77012
- GroupENR
- GRP-8155
- PlanENR
- MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×4ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e
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-401618 | CLM | 2026-01-06 | Sophia Foxflagged | 1973-06-20 | UHC-96989-32 | — | 5249 Sage Ct, Houston, TX | Rule | 0.99 | D1 member id + dob exact |
| CLM-401616 | CLM | 2026-03-27 | Sophia Foxflagged | 1973-06-20 | — | 4989404410 | 5249 Sage Ct, Houston, TX | Scored | 1.00 | — |
| ENR-102111 | ENR | 2026-08-10 | Sophia Foxflagged | 1973-06-20 | UHC-96989-32 | 4989404410 | 5249 Sage Ct, Houston, TX | Rule | 0.99 | D1 member id + dob exact |
| CLM-401617 | CLM | 2026-09-18 | Sophia Foxflagged | 1973-06-20 | UHC-96989-32 | — | 5249 Sage Ct, Houston, TX | Rule | 0.99 | D1 member id + dob exact |
| CLM-401619 | CLM | 2026-10-09 | Sophia Foxflagged | 1973-06-20 | UHC-96989-32 | — | 5249 Sage Ct, Houston, TX | Scored | 1.00 | — |
Evidence
10 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-401616CLMCLM-401619CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-401618CLMCLM-401617CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-102111ENRCLM-401617CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-401618CLMCLM-401619CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-102111ENRCLM-401619CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-401617CLMCLM-401619CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-401618CLMENR-102111ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-401618CLMCLM-401616CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-401616CLMCLM-401617CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-401616CLMENR-102111ENR0.94Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-401616 → UHC-96989-32 (Sophia Fox)ACT-008915, Claims processor
- Care coordination outreachProposedSophia Fox: 4 claims, no attributed providerACT-017914, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically86d14a369cscoring_agent, CLM-401619, identity id MBR-001845, confidence 1, method probabilistic, matched record CLM-401616, policy version 1
- 2026-10-19 19:54:38Record linked automatically920c004adfmatching_agent, CLM-401617, identity id MBR-001845, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401618
- 2026-10-19 19:54:38Record linked automatically0919a5534amatching_agent, ENR-102111, identity id MBR-001845, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401618
- 2026-10-19 19:54:38Record linked automatically2b4be382dascoring_agent, CLM-401616, identity id MBR-001845, confidence 1, method probabilistic, matched record CLM-401619, policy version 1
- 2026-10-19 19:54:38Record linked automatically77563ea3e7matching_agent, CLM-401618, identity id MBR-001845, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102111
- 2026-10-19 19:52:08Record linked automaticallyd544e5fc7bscoring_agent, CLM-401619, identity id MBR-001845, confidence 1, method probabilistic, matched record CLM-401616, policy version 1
- 2026-10-19 19:52:08Record linked automatically6039e78279matching_agent, CLM-401617, identity id MBR-001845, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401618
- 2026-10-19 19:52:08Record linked automatically8823f73c6bmatching_agent, ENR-102111, identity id MBR-001845, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401618
- 2026-10-19 19:52:08Record linked automaticallya37a96bf9ascoring_agent, CLM-401616, identity id MBR-001845, confidence 1, method probabilistic, matched record CLM-401619, policy version 1
- 2026-10-19 19:52:08Record linked automatically7d0227ee3fmatching_agent, CLM-401618, identity id MBR-001845, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102111
- 2026-10-19 19:45:41Record linked automaticallyfd0c266d29scoring_agent, CLM-401619, identity id MBR-001845, confidence 1, method probabilistic, matched record CLM-401616, policy version 1
- 2026-10-19 19:45:41Record linked automaticallyb6111da105matching_agent, CLM-401617, identity id MBR-001845, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401618
- 2026-10-19 19:45:41Record linked automaticallya94f5f7cafmatching_agent, ENR-102111, identity id MBR-001845, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401618
- 2026-10-19 19:45:41Record linked automatically076678ac25scoring_agent, CLM-401616, identity id MBR-001845, confidence 1, method probabilistic, matched record CLM-401619, policy version 1
- 2026-10-19 19:45:41Record linked automatically6eef2f4bcamatching_agent, CLM-401618, identity id MBR-001845, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102111
- 2026-10-19 19:32:31Record linked automaticallya58a6e3779scoring_agent, CLM-401619, identity id MBR-001845, confidence 1, method probabilistic, matched record CLM-401616, policy version 1
- 2026-10-19 19:32:31Record linked automaticallycb919e3a9cmatching_agent, CLM-401617, identity id MBR-001845, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401618
- 2026-10-19 19:32:31Record linked automatically21b881d5f7matching_agent, ENR-102111, identity id MBR-001845, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401618
- 2026-10-19 19:32:31Record linked automaticallydc25efcc99scoring_agent, CLM-401616, identity id MBR-001845, confidence 1, method probabilistic, matched record CLM-401619, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyefe53053b5matching_agent, CLM-401618, identity id MBR-001845, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102111
- 2026-10-19 19:31:28Record linked automaticallye8ac1e6cb9matching_agent, ENR-102111, identity id MBR-035175, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401598
- 2026-10-19 19:31:28Record linked automatically52c04b68a2matching_agent, CLM-401617, identity id MBR-006873, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401618
- 2026-10-19 19:31:28Record linked automaticallyee25fde374matching_agent, CLM-401619, identity id MBR-006873, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401618
- 2026-10-19 19:31:28Record linked automatically6888e0f2famatching_agent, CLM-401618, identity id MBR-006873, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401619
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-2026-010471 | 2026-09-25 | Canyon Cardiovascular Associates in network | 99214 | $231.00 | $68.22 | Approved | Approved |
| CLM-2026-029531 | 2026-08-26 | Evergreen Internal Medicine Associates in network | 99215 | $351.00 | — | Denied | Denied |
| CLM-2026-029530 | 2026-08-26 | Evergreen Internal Medicine Associates in network | 99215 | $351.00 | $197.62 | Approved | Approved |
| CLM-2026-028670 | 2026-02-23 | Cornerstone Internal Medicine Associates in network | 99214, 93000 | $331.00 | $185.22 | Approved | Approved |
| CLM-2026-021522 | 2025-12-31 | Unity Physical Therapy in network | 97110 | $280.00 | $153.60 | Approved | Approved |