Gold, golden identity
Sophia Hill
4 source records from 2 feeds.
MBR-002649Verified4 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
- Hill
- Date of birthENR
- 1960-12-15
- GenderENR
- F
- Member IDENR
- UHC-87798-97
- SSNENR
- •••-••-6183
- PhoneENR
- 6692955019
- EmailENR
- sophia.hill@hotmail.com
- AddressENR
- 3946 Elm St
- CityENR
- Minneapolis
- StateENR
- MN
- ZIPENR
- 55401
- GroupENR
- GRP-2421
- PlanENR
- CORE-HMO
Min confidence
0.97
Sources
CLM ×3ENR ×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-404675 | CLM | 2026-01-09 | Sophia Hillflagged | 1960-12-15 | — | 6692955019 | 3946 Elm St, Minneapolis, MN | Scored | 1.00 | — |
| ENR-106155 | ENR | 2026-05-12 | Sophia Hillflagged | 1960-12-15 | UHC-87798-97 | 6692955019 | 3946 Elm St, Minneapolis, MN | Scored | 1.00 | — |
| CLM-404674 | CLM | 2026-06-15 | Sophia Hillflagged | 1960-12-15 | — | — | — | Rule | 0.97 | D2 ssn4 + dob + last name |
| CLM-404676 | CLM | 2026-10-01 | Sophia Hillflagged | 1960-12-15 | — | 6692955019 | 3946 Elm St, Minneapolis, MN | Scored | 1.00 | — |
Evidence
6 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-404675CLMCLM-404676CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-404675CLMENR-106155ENR1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-106155ENRCLM-404674CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-106155ENRCLM-404676CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-404674CLMCLM-404676CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-404675CLMCLM-404674CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-404674 → UHC-87798-97 (Sophia Hill)ACT-003290, Claims processor
- Orphan claim re-pointedExecutedCLM-404675 → UHC-87798-97 (Sophia Hill)ACT-009768, Claims processor
- Orphan claim re-pointedExecutedCLM-404676 → UHC-87798-97 (Sophia Hill)ACT-010093, Claims processor
- Care coordination outreachProposedSophia Hill: 3 claims, no attributed providerACT-017973, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically632f4aea8escoring_agent, CLM-404676, identity id MBR-002649, confidence 1, method probabilistic, matched record CLM-404675, policy version 1
- 2026-10-19 19:54:38Record linked automatically3d81f346a5matching_agent, CLM-404674, identity id MBR-002649, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-106155
- 2026-10-19 19:54:38Record linked automatically54fd85a152scoring_agent, ENR-106155, identity id MBR-002649, confidence 1, method probabilistic, matched record CLM-404675, policy version 1
- 2026-10-19 19:54:38Record linked automatically43980fb0b1scoring_agent, CLM-404675, identity id MBR-002649, confidence 1, method probabilistic, matched record ENR-106155, policy version 1
- 2026-10-19 19:52:08Record linked automaticallye0646d40e4scoring_agent, CLM-404676, identity id MBR-002649, confidence 1, method probabilistic, matched record CLM-404675, policy version 1
- 2026-10-19 19:52:08Record linked automaticallyf5f3263c5ematching_agent, CLM-404674, identity id MBR-002649, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-106155
- 2026-10-19 19:52:08Record linked automatically3f095c30a1scoring_agent, ENR-106155, identity id MBR-002649, confidence 1, method probabilistic, matched record CLM-404675, policy version 1
- 2026-10-19 19:52:08Record linked automaticallyd374667669scoring_agent, CLM-404675, identity id MBR-002649, confidence 1, method probabilistic, matched record ENR-106155, policy version 1
- 2026-10-19 19:45:41Record linked automaticallyb2f98e99fcscoring_agent, CLM-404676, identity id MBR-002649, confidence 1, method probabilistic, matched record CLM-404675, policy version 1
- 2026-10-19 19:45:41Record linked automaticallyeda2a78aa1matching_agent, CLM-404674, identity id MBR-002649, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-106155
- 2026-10-19 19:45:41Record linked automaticallya0dd905bfbscoring_agent, ENR-106155, identity id MBR-002649, confidence 1, method probabilistic, matched record CLM-404675, policy version 1
- 2026-10-19 19:45:41Record linked automaticallye6facf4753scoring_agent, CLM-404675, identity id MBR-002649, confidence 1, method probabilistic, matched record ENR-106155, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyf2a0db0d20scoring_agent, CLM-404676, identity id MBR-002649, confidence 1, method probabilistic, matched record CLM-404675, policy version 1
- 2026-10-19 19:32:31Record linked automatically5c74ff1d22matching_agent, CLM-404674, identity id MBR-002649, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-106155
- 2026-10-19 19:32:31Record linked automatically8ce1986998scoring_agent, ENR-106155, identity id MBR-002649, confidence 1, method probabilistic, matched record CLM-404675, policy version 1
- 2026-10-19 19:32:31Record linked automatically4f6f6d6a37scoring_agent, CLM-404675, identity id MBR-002649, confidence 1, method probabilistic, matched record ENR-106155, policy version 1
- 2026-10-19 19:31:28Record linked automatically2ee17e9783scoring_agent, CLM-404674, identity id MBR-029449, confidence 1, method probabilistic, matched record CLM-404676, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyd3abe82e54scoring_agent, CLM-404675, identity id MBR-029449, confidence 1, method probabilistic, matched record CLM-404673, policy version 1
- 2026-10-19 19:31:28Record linked automatically4330778e02scoring_agent, CLM-404676, identity id MBR-029449, confidence 1, method probabilistic, matched record CLM-404673, policy version 1
- 2026-10-19 19:31:28Record linked automatically6c1ea0987fmatching_agent, ENR-106155, identity id MBR-026576, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404711
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-2026-033311 | 2026-09-07 | Canyon Regional Medical Center in network | 71046, 99283 | $1,134.00 | $526.35 | Approved | Approved |
| CLM-2026-007418 | 2026-06-07 | Unity Imaging Center out of network | 74177, 70553, 77067 | $4,349.00 | — | Denied | Denied |
| CLM-2026-032063 | 2025-12-14 | Pinecrest Physical Therapy in network | 97110, 97161 | $425.00 | $233.50 | Approved | Approved |