Gold, golden identity
Patricia M Payne
4 source records from 2 feeds.
MBR-005332Verified4 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameCLM
- Patricia
- Middle nameENR
- M
- Last nameENR
- Payne
- Date of birthENR
- 2003-11-14
- GenderENR
- M
- Member IDENR
- UHC-57067-49
- SSNENR
- •••-••-2606
- PhoneENR
- 2064393479
- EmailCLM
- patricia.payne@icloud.com
- AddressENR
- 4502 Cedar Ln
- CityENR
- Minneapolis
- StateENR
- MN
- ZIP—
- —
- GroupENR
- GRP-1583
- PlanENR
- OPTIONS-PPO
Min confidence
0.99
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-415818 | CLM | 2026-01-17 | Patricia Payneflagged | 2003-11-14 | — | 2064393479 | 4502 Cedar Ln # 467, Minneapolis, MN | Scored | 1.00 | — |
| ENR-120824 | ENR | 2026-02-07 | Pat Payneflagged | 2003-11-14 | UHC-57067-49 | 2064393479 | 4502 Cedar Ln, Minneapolis, MN | Rule | 0.99 | D1 member id + dob exact |
| CLM-415816 | CLM | 2026-08-29 | Patricia Payneflagged | 2003-11-14 | UHC-57067-49 | — | 4502 Cedar Ln, Minneapolis, MN | Scored | 1.00 | — |
| CLM-415817 | CLM | 2026-09-06 | Patricia Payneflagged | 2003-11-14 | UHC-57067-49 | — | 4502 Cedar Ln, Minneapolis, MN | Rule | 0.99 | D1 member id + dob exact |
Evidence
6 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-415818CLMCLM-415816CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-120824ENRCLM-415816CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-120824ENRCLM-415817CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-415816CLMCLM-415817CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-415818CLMENR-120824ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-415818CLMCLM-415817CLM0.93Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-415818 → UHC-57067-49 (Patricia Payne)ACT-008011, Claims processor
- Care coordination outreachProposedPatricia Payne: 3 claims, no attributed providerACT-018192, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically8321206f0fmatching_agent, CLM-415817, identity id MBR-005332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120824
- 2026-10-19 19:54:38Record linked automatically17f848fb1fscoring_agent, CLM-415816, identity id MBR-005332, confidence 1, method probabilistic, matched record CLM-415818, policy version 1
- 2026-10-19 19:54:38Record linked automatically43a16d48dcmatching_agent, ENR-120824, identity id MBR-005332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415816
- 2026-10-19 19:54:38Record linked automaticallyd423af8c31scoring_agent, CLM-415818, identity id MBR-005332, confidence 1, method probabilistic, matched record CLM-415816, policy version 1
- 2026-10-19 19:52:08Record linked automatically25a81c6b3bmatching_agent, CLM-415817, identity id MBR-005332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120824
- 2026-10-19 19:52:08Record linked automatically6fc5c2020escoring_agent, CLM-415816, identity id MBR-005332, confidence 1, method probabilistic, matched record CLM-415818, policy version 1
- 2026-10-19 19:52:08Record linked automatically5fa004d5edmatching_agent, ENR-120824, identity id MBR-005332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415816
- 2026-10-19 19:52:08Record linked automaticallyf3a22a5837scoring_agent, CLM-415818, identity id MBR-005332, confidence 1, method probabilistic, matched record CLM-415816, policy version 1
- 2026-10-19 19:45:42Record linked automatically138ba4e961matching_agent, CLM-415817, identity id MBR-005332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120824
- 2026-10-19 19:45:42Record linked automatically01b1ecb773scoring_agent, CLM-415816, identity id MBR-005332, confidence 1, method probabilistic, matched record CLM-415818, policy version 1
- 2026-10-19 19:45:42Record linked automatically74f9531eddmatching_agent, ENR-120824, identity id MBR-005332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415816
- 2026-10-19 19:45:42Record linked automatically1f00951fc8scoring_agent, CLM-415818, identity id MBR-005332, confidence 1, method probabilistic, matched record CLM-415816, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyb3125db06dmatching_agent, CLM-415817, identity id MBR-005332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120824
- 2026-10-19 19:32:31Record linked automatically84c44f6d24scoring_agent, CLM-415816, identity id MBR-005332, confidence 1, method probabilistic, matched record CLM-415818, policy version 1
- 2026-10-19 19:32:31Record linked automatically1cf27ba73cmatching_agent, ENR-120824, identity id MBR-005332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415816
- 2026-10-19 19:32:31Record linked automatically6171d33f4ascoring_agent, CLM-415818, identity id MBR-005332, confidence 1, method probabilistic, matched record CLM-415816, policy version 1
- 2026-10-19 19:31:28Record linked automatically39e4629cb8scoring_agent, CLM-415817, identity id MBR-024893, confidence 0.99, method probabilistic, matched record TPA-56879, policy version 1
- 2026-10-19 19:31:28Record linked automatically45f050092dscoring_agent, CLM-415816, identity id MBR-023965, confidence 0.99, method probabilistic, matched record ENR-120712, policy version 1
- 2026-10-19 19:31:28Record linked automatically42b590aaa9matching_agent, CLM-415818, identity id MBR-017815, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120714
- 2026-10-19 19:31:28Record linked automaticallyfd8e0d86f1scoring_agent, ENR-120824, identity id MBR-012714, confidence 1, method probabilistic, matched record PRV-24659, 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-2026-026189 | 2026-08-18 | Harbor Reference Lab in network | 80053 | $44.00 | $0.00 | Approved | Approved |
| CLM-2026-009752 | 2026-07-27 | Canyon Diagnostic Imaging in network | 71046, 74177, 70553 | $5,173.00 | $1,129.33 | Approved | Approved |
| CLM-2026-025293 | 2025-10-11 | Heritage Imaging Center in network | 76700 | $635.00 | — | Denied | Denied |