Gold, golden identity
Amy I Torres
5 source records from 3 feeds.
MBR-005067Verified5 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Amy
- Middle nameENR
- I
- Last nameENR
- Torres
- Date of birthENR
- 1959-05-04
- GenderENR
- M
- Member IDENR
- UHC-10546-53
- SSNCLM
- •••-••-6092
- PhoneENR
- 7654556388
- Email—
- —
- AddressENR
- 5688 Cedar Ln
- CityENR
- Austin
- StateENR
- TX
- ZIPENR
- 78783
- GroupENR
- GRP-2219
- PlanENR
- OPTIONS-PPO
Min confidence
0.98
Sources
CLM ×3TPA ×1ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb
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-400946 | CLM | 2026-01-16 | Amy Toorresflagged | 1959-05-04 | UHC-10546-53 | 7654556388 | — | Rule | 0.99 | D1 member id + dob exact |
| CLM-400947 | CLM | 2026-03-05 | Torres Amyflagged | 1959-05-04 | — | 7654556388 | 5688 Cedar Ln, Austin, TX | Scored | 0.98 | — |
| TPA-50433 | TPA | 2026-03-15 | Amy Torresflagged | 1959-05-04 | — | — | 5688 Cedar Ln, Austin, TX | Scored | 1.00 | — |
| CLM-400945 | CLM | 2026-06-18 | Amy Torresflagged | 1959-05-04 | UHC-10546-53 | 7654556388 | 5688 Cedar Ln, Austin, TX | Rule | 0.99 | D1 member id + dob exact |
| ENR-101253 | ENR | 2026-10-03 | Amy Torresflagged | 1959-05-04 | UHC-10546-53 | 7654556388 | 5688 Cedar Ln, Austin, TX | Scored | 1.00 | — |
Evidence
9 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶TPA-50433TPAENR-101253ENR1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-400946CLMCLM-400945CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-400946CLMENR-101253ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-400945CLMENR-101253ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-400947CLMCLM-400945CLM0.98Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-400947CLMENR-101253ENR0.98Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-400946CLMCLM-400947CLM0.97Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶TPA-50433TPACLM-400945CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-400946CLMTPA-50433TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-400947 → UHC-10546-53 (Amy Torres)ACT-004755, Claims processor
- Care coordination outreachProposedAmy Torres: 3 claims, no attributed providerACT-018175, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:53Record linked automaticallya0d9067d17scoring_agent, ENR-101253, identity id MBR-005067, confidence 1, method probabilistic, matched record TPA-50433, policy version 1
- 2026-10-22 12:43:53Record linked automatically3ea09040cfmatching_agent, CLM-400945, identity id MBR-005067, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400946
- 2026-10-22 12:43:53Record linked automatically818b8fc032scoring_agent, TPA-50433, identity id MBR-005067, confidence 1, method probabilistic, matched record ENR-101253, policy version 1
- 2026-10-22 12:43:53Record linked automatically4d722629b9scoring_agent, CLM-400947, identity id MBR-005067, confidence 0.98, method probabilistic, matched record CLM-400945, policy version 1
- 2026-10-22 12:43:53Record linked automatically4ec6f5307amatching_agent, CLM-400946, identity id MBR-005067, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400945
- 2026-10-19 19:54:38Record linked automatically8b014d50d6scoring_agent, ENR-101253, identity id MBR-005067, confidence 1, method probabilistic, matched record TPA-50433, policy version 1
- 2026-10-19 19:54:38Record linked automaticallyac729543c5matching_agent, CLM-400945, identity id MBR-005067, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400946
- 2026-10-19 19:54:38Record linked automatically8942f73193scoring_agent, TPA-50433, identity id MBR-005067, confidence 1, method probabilistic, matched record ENR-101253, policy version 1
- 2026-10-19 19:54:38Record linked automatically9dc003e5ddscoring_agent, CLM-400947, identity id MBR-005067, confidence 0.98, method probabilistic, matched record CLM-400945, policy version 1
- 2026-10-19 19:54:38Record linked automatically4eba24ecfamatching_agent, CLM-400946, identity id MBR-005067, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400945
- 2026-10-19 19:52:08Record linked automatically27fd2f2a1cscoring_agent, ENR-101253, identity id MBR-005067, confidence 1, method probabilistic, matched record TPA-50433, policy version 1
- 2026-10-19 19:52:08Record linked automatically652b5aed68matching_agent, CLM-400945, identity id MBR-005067, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400946
- 2026-10-19 19:52:08Record linked automatically0ec4bc1559scoring_agent, TPA-50433, identity id MBR-005067, confidence 1, method probabilistic, matched record ENR-101253, policy version 1
- 2026-10-19 19:52:08Record linked automatically21b39ef7e5scoring_agent, CLM-400947, identity id MBR-005067, confidence 0.98, method probabilistic, matched record CLM-400945, policy version 1
- 2026-10-19 19:52:08Record linked automatically05120dcfa7matching_agent, CLM-400946, identity id MBR-005067, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400945
- 2026-10-19 19:45:42Record linked automatically2a5d497dd3scoring_agent, ENR-101253, identity id MBR-005067, confidence 1, method probabilistic, matched record TPA-50433, policy version 1
- 2026-10-19 19:45:42Record linked automatically6c0d0c1d29matching_agent, CLM-400945, identity id MBR-005067, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400946
- 2026-10-19 19:45:42Record linked automaticallyc5c5bab998scoring_agent, TPA-50433, identity id MBR-005067, confidence 1, method probabilistic, matched record ENR-101253, policy version 1
- 2026-10-19 19:45:42Record linked automaticallybe5aad894bscoring_agent, CLM-400947, identity id MBR-005067, confidence 0.98, method probabilistic, matched record CLM-400945, policy version 1
- 2026-10-19 19:45:42Record linked automatically8a4ef18ae6matching_agent, CLM-400946, identity id MBR-005067, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400945
- 2026-10-19 19:32:31Record linked automatically5486ca0571scoring_agent, ENR-101253, identity id MBR-005067, confidence 1, method probabilistic, matched record TPA-50433, policy version 1
- 2026-10-19 19:32:31Record linked automaticallye46c8bbc54matching_agent, CLM-400945, identity id MBR-005067, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400946
- 2026-10-19 19:32:31Record linked automatically4fcc9f7152scoring_agent, TPA-50433, identity id MBR-005067, confidence 1, method probabilistic, matched record ENR-101253, policy version 1
- 2026-10-19 19:32:31Record linked automatically11bc34bdeescoring_agent, CLM-400947, identity id MBR-005067, confidence 0.98, method probabilistic, matched record CLM-400945, policy version 1
- 2026-10-19 19:32:31Record linked automatically314b7f1c46matching_agent, CLM-400946, identity id MBR-005067, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400945
- 2026-10-19 19:31:28Record linked automatically20a7a05060matching_agent, CLM-400947, identity id MBR-028203, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-20277
- 2026-10-19 19:31:28Record linked automatically05f5b006cescoring_agent, CLM-400945, identity id MBR-028203, confidence 1, method probabilistic, matched record CLM-400946, policy version 1
- 2026-10-19 19:31:28Record linked automatically3685449c97scoring_agent, CLM-400946, identity id MBR-028203, confidence 1, method probabilistic, matched record PRV-20277, policy version 1
- 2026-10-19 19:31:28Record linked automatically68eb22c515matching_agent, ENR-101253, identity id MBR-017143, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400902
- 2026-10-19 19:31:28Record linked automaticallyaa97b67b58matching_agent, TPA-50433, identity id MBR-003672, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50432
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-2026-017974 | 2026-05-18 | Sunrise Clinical Laboratories in network | 85025, 80053 | $121.00 | $0.00 | Approved | Approved |
| CLM-2026-012982 | 2026-02-25 | Canyon Clinical Laboratories in network | 80061, 83036 | $91.00 | $0.00 | Approved | Approved |
| CLM-2026-018632 | 2025-12-03 | Riverside Digestive Health Center in network | 99214 | $229.00 | $81.98 | Approved | Approved |