Gold, golden identity
Betty T Peters
4 source records from 3 feeds.
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First namePRV
- Betty
- Middle nameCLM
- T
- Last namePRV
- Peters
- Date of birthPRV
- 1940-12-28
- GenderPRV
- M
- Member IDCLM
- UHC-02149-74
- SSN—
- —
- PhonePRV
- 9106580553
- Email—
- —
- AddressPRV
- 7521 Camelback Rd
- CityPRV
- Sacramento
- StatePRV
- CA
- ZIPPRV
- 95881
- GroupCLM
- GRP-9838
- PlanCLM
- MEDICARE-ADV-A
Min confidence
0.99
Sources
CLM ×2TPA ×1PRV ×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-401842 | CLM | 2026-01-24 | Betty Petersflagged | 1940-12-28 | UHC-02149-74 | — | — | Rule | 0.99 | D1 member id + dob exact |
| CLM-401841 | CLM | 2026-05-25 | Betty Petersflagged | 1940-12-28 | UHC-02149-74 | 9106580553 | 7521 Camelback Rd # 169, Sacramento, CA | Rule | 0.99 | D1 member id + dob exact |
| TPA-50805 | TPA | 2026-06-19 | Betty Petersflagged | 1940-12-28 | — | — | 7521 Camelback Rd, Sacramento, CA | Scored | 1.00 | — |
| PRV-20547 | PRV | 2026-10-17 | Betty Petersflagged | 1940-12-28 | — | 9106580553 | 7521 Camelback Rd, Sacramento, CA | 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-401842CLMCLM-401841CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-401841CLMPRV-20547PRV0.94Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-401841CLMTPA-50805TPA0.93Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-401842CLMPRV-20547PRV0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||
▶CLM-401842CLMTPA-50805TPA0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Eligibility conflict resolvedProposedBetty Peters: 2 plan codes across sources → canonical MEDICARE-ADV-AACT-000348, Eligibility engine
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically06d8253eb8scoring_agent, PRV-20547, identity id MBR-007279, confidence 1, method probabilistic, matched record TPA-50805, policy version 1
- 2026-10-19 19:54:38Record linked automaticallyc7d55fc621scoring_agent, TPA-50805, identity id MBR-007279, confidence 1, method probabilistic, matched record PRV-20547, policy version 1
- 2026-10-19 19:54:38Record linked automatically0244432d3bmatching_agent, CLM-401841, identity id MBR-007279, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401842
- 2026-10-19 19:54:38Record linked automaticallyf4232661ebmatching_agent, CLM-401842, identity id MBR-007279, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401841
- 2026-10-19 19:52:09Record linked automatically43f83a3a80scoring_agent, PRV-20547, identity id MBR-007279, confidence 1, method probabilistic, matched record TPA-50805, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyb4007f5f61scoring_agent, TPA-50805, identity id MBR-007279, confidence 1, method probabilistic, matched record PRV-20547, policy version 1
- 2026-10-19 19:52:09Record linked automatically26be451531matching_agent, CLM-401841, identity id MBR-007279, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401842
- 2026-10-19 19:52:09Record linked automaticallyb835b0936bmatching_agent, CLM-401842, identity id MBR-007279, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401841
- 2026-10-19 19:45:42Record linked automatically292b9983bescoring_agent, PRV-20547, identity id MBR-007279, confidence 1, method probabilistic, matched record TPA-50805, policy version 1
- 2026-10-19 19:45:42Record linked automaticallydbd618db9fscoring_agent, TPA-50805, identity id MBR-007279, confidence 1, method probabilistic, matched record PRV-20547, policy version 1
- 2026-10-19 19:45:42Record linked automatically4770f0ea2dmatching_agent, CLM-401841, identity id MBR-007279, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401842
- 2026-10-19 19:45:42Record linked automatically2c940a3c24matching_agent, CLM-401842, identity id MBR-007279, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401841
- 2026-10-19 19:32:31Record linked automatically4ea7589cf4scoring_agent, PRV-20547, identity id MBR-007279, confidence 1, method probabilistic, matched record TPA-50805, policy version 1
- 2026-10-19 19:32:31Record linked automaticallybf9ffb9aecscoring_agent, TPA-50805, identity id MBR-007279, confidence 1, method probabilistic, matched record PRV-20547, policy version 1
- 2026-10-19 19:32:31Record linked automatically531a51d730matching_agent, CLM-401841, identity id MBR-007279, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401842
- 2026-10-19 19:32:31Record linked automatically73119f8089matching_agent, CLM-401842, identity id MBR-007279, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401841
- 2026-10-19 19:31:28Record linked automaticallyc915c9ad49matching_agent, CLM-401842, identity id MBR-042864, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-102385
- 2026-10-19 19:31:28Record linked automatically8927966164matching_agent, CLM-401841, identity id MBR-020313, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102383
- 2026-10-19 19:31:28Record linked automatically688b2f1c4fscoring_agent, PRV-20547, identity id MBR-014392, confidence 1, method probabilistic, matched record ENR-102310, policy version 1
- 2026-10-19 19:31:28Record linked automatically1bdff29733scoring_agent, TPA-50805, identity id MBR-012908, confidence 1, method probabilistic, matched record TPA-50803, 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-2026-013208 | 2026-01-20 | Evergreen Family Practice in network | 99214 | $230.00 | — | Denied | Denied |
| CLM-2026-016295 | 2026-01-21 | Mesa Behavioral Health in network | 90834 | $167.00 | — | Needs review | Needs review |
| CLM-2026-016294 | 2026-01-21 | Mesa Behavioral Health in network | 90834 | $167.00 | $28.54 | Approved | Approved |