Gold, golden identity
Theresa Fowler
2 source records from 1 feed.
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-401815 | CLM | 2026-01-14 | Theresa Fowlerflagged | 1979-04-14 | — | — | 6465 Broadway, Las Vegas, NV | Scored | 1.00 | — |
| CLM-401814 | CLM | 2026-04-23 | Theresa Fowlerflagged | 1979-04-14 | UHC-19141-31 | 3996298696 | 6465 Broadway Apt 2, Las Vegas, NV | Scored | 1.00 | — |
Evidence
1 scored pair among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-401815CLMCLM-401814CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-401815 → UHC-19141-31 (Theresa Fowler)ACT-009314, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:53Record linked automatically4229dc01cescoring_agent, CLM-401814, identity id MBR-004374, confidence 1, method probabilistic, matched record CLM-401815, policy version 1
- 2026-10-22 12:43:53Record linked automaticallye2f85c5524scoring_agent, CLM-401815, identity id MBR-004374, confidence 1, method probabilistic, matched record CLM-401814, policy version 1
- 2026-10-19 19:54:38Record linked automatically37f8d493d9scoring_agent, CLM-401814, identity id MBR-004374, confidence 1, method probabilistic, matched record CLM-401815, policy version 1
- 2026-10-19 19:54:38Record linked automatically9892507dcdscoring_agent, CLM-401815, identity id MBR-004374, confidence 1, method probabilistic, matched record CLM-401814, policy version 1
- 2026-10-19 19:52:08Record linked automatically08df9174a9scoring_agent, CLM-401814, identity id MBR-004374, confidence 1, method probabilistic, matched record CLM-401815, policy version 1
- 2026-10-19 19:52:08Record linked automaticallyf2f265c889scoring_agent, CLM-401815, identity id MBR-004374, confidence 1, method probabilistic, matched record CLM-401814, policy version 1
- 2026-10-19 19:45:42Record linked automatically08ea2e2a92scoring_agent, CLM-401814, identity id MBR-004374, confidence 1, method probabilistic, matched record CLM-401815, policy version 1
- 2026-10-19 19:45:42Record linked automatically4d9815240bscoring_agent, CLM-401815, identity id MBR-004374, confidence 1, method probabilistic, matched record CLM-401814, policy version 1
- 2026-10-19 19:32:31Record linked automatically85c258df07scoring_agent, CLM-401814, identity id MBR-004374, confidence 1, method probabilistic, matched record CLM-401815, policy version 1
- 2026-10-19 19:32:31Record linked automatically2ff690e33bscoring_agent, CLM-401815, identity id MBR-004374, confidence 1, method probabilistic, matched record CLM-401814, policy version 1
- 2026-10-19 19:31:28Record linked automatically22431bf338matching_agent, CLM-401815, identity id MBR-030109, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102345
- 2026-10-19 19:31:28Record linked automaticallyc85ac91833scoring_agent, CLM-401814, identity id MBR-006359, confidence 1, method probabilistic, matched record PRV-20560, policy version 1
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-2026-033906 | 2026-04-01 | Riverside Medical Group in network | 36415, 99203 | $233.00 | $130.82 | Approved | Approved |
| CLM-2026-030400 | 2026-01-05 | Summit Family Practice in network | 99203, 99213 | $374.00 | $211.88 | Approved | Approved |