Gold, golden identity
Natalie H Williams
3 source records from 2 feeds.
MBR-002986Verified3 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-401137 | CLM | 2026-01-10 | Natalie Williamsflagged | 1960-03-13 | — | 4678449886 | — | Scored | 1.00 | — |
| PRV-20356 | PRV | 2026-08-20 | Natalie Williamsflagged | 1960-03-13 | — | 4678449886 | — | Scored | 1.00 | — |
| CLM-401138 | CLM | 2026-09-12 | Natalie Williamsflagged | 1960-03-13 | UHC-27759-35 | 4678449886 | — | Scored | 1.00 | — |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶PRV-20356PRVCLM-401138CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-401137CLMPRV-20356PRV1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-401137CLMCLM-401138CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-401137 → UHC-27759-35 (Natalie Williams)ACT-001565, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically1b1ad49ed6scoring_agent, CLM-401138, identity id MBR-002986, confidence 1, method probabilistic, matched record PRV-20356, policy version 1
- 2026-10-19 19:54:38Record linked automatically8c3023c7b6scoring_agent, PRV-20356, identity id MBR-002986, confidence 1, method probabilistic, matched record CLM-401137, policy version 1
- 2026-10-19 19:54:38Record linked automatically4c3567a28escoring_agent, CLM-401137, identity id MBR-002986, confidence 1, method probabilistic, matched record PRV-20356, policy version 1
- 2026-10-19 19:52:08Record linked automatically0bca922444scoring_agent, CLM-401138, identity id MBR-002986, confidence 1, method probabilistic, matched record PRV-20356, policy version 1
- 2026-10-19 19:52:08Record linked automatically1dea9696e1scoring_agent, PRV-20356, identity id MBR-002986, confidence 1, method probabilistic, matched record CLM-401137, policy version 1
- 2026-10-19 19:52:08Record linked automatically4b9b7d7cc9scoring_agent, CLM-401137, identity id MBR-002986, confidence 1, method probabilistic, matched record PRV-20356, policy version 1
- 2026-10-19 19:45:41Record linked automaticallyb83a42db12scoring_agent, CLM-401138, identity id MBR-002986, confidence 1, method probabilistic, matched record PRV-20356, policy version 1
- 2026-10-19 19:45:41Record linked automaticallyec0516dd8dscoring_agent, PRV-20356, identity id MBR-002986, confidence 1, method probabilistic, matched record CLM-401137, policy version 1
- 2026-10-19 19:45:41Record linked automaticallya468b1ca43scoring_agent, CLM-401137, identity id MBR-002986, confidence 1, method probabilistic, matched record PRV-20356, policy version 1
- 2026-10-19 19:32:31Record linked automatically94e2273b3fscoring_agent, CLM-401138, identity id MBR-002986, confidence 1, method probabilistic, matched record PRV-20356, policy version 1
- 2026-10-19 19:32:31Record linked automatically95f232406dscoring_agent, PRV-20356, identity id MBR-002986, confidence 1, method probabilistic, matched record CLM-401137, policy version 1
- 2026-10-19 19:32:31Record linked automaticallya396898559scoring_agent, CLM-401137, identity id MBR-002986, confidence 1, method probabilistic, matched record PRV-20356, policy version 1
- 2026-10-19 19:31:28Record linked automatically87f0603553scoring_agent, CLM-401137, identity id MBR-023683, confidence 1, method probabilistic, matched record TPA-50476, policy version 1
- 2026-10-19 19:31:28Record linked automaticallybd209150b9matching_agent, PRV-20356, identity id MBR-013085, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101649
- 2026-10-19 19:31:28Record linked automatically387ab185b8matching_agent, CLM-401138, identity id MBR-006765, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401140
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-2026-012008 | 2026-08-08 | Northgate Reference Lab in network | 83036, 87086, 80053 | $216.00 | $0.00 | Approved | Approved |
| CLM-2026-000966 | 2025-12-30 | Valley Skin Care Associates out of network | 11403 | $419.00 | $138.55 | Approved | Approved |