Gold, golden identity
Luis W Wallace
5 source records from 2 feeds.
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First namePRV
- Luis
- Middle nameCLM
- W
- Last namePRV
- Wallace
- Date of birthPRV
- 1939-02-04
- GenderPRV
- F
- Member IDPRV
- UHC-03439-03
- SSN—
- —
- PhonePRV
- 4455931112
- EmailCLM
- luis.wallace88@outlook.com
- AddressPRV
- 6713 Main St
- CityPRV
- Columbus
- StatePRV
- OH
- ZIPPRV
- 43232
- GroupCLM
- GRP-1558
- PlanCLM
- CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×4PRV ×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-402786 | CLM | 2026-02-04 | Luis Wallaceflagged | 1939-02-04 | UHC-03439-03 | 4455931112 | 6713 Main St, Columbus, OH | Scored | 1.00 | — |
| CLM-402787 | CLM | 2026-03-13 | Luis Wallaceflagged | 1939-02-04 | — | — | 6713 Main St, Columbus, OH | Scored | 1.00 | — |
| PRV-20797 | PRV | 2026-05-06 | Luis Wallaceflagged | 1939-02-04 | UHC-03439-03 | 4455931112 | 6713 Main St, Columbus, OH | Scored | 1.00 | — |
| CLM-402788 | CLM | 2026-08-10 | Luis Wallaceflagged | 1939-02-04 | UHC-03439-03 | — | — | Rule | 0.99 | D1 member id + dob exact |
| CLM-402789 | CLM | 2026-08-10 | Luis Wallaceflagged | 1939-02-04 | UHC-03439-03 | — | — | Rule | 0.99 | D1 member id + dob exact |
Evidence
10 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-402786CLMCLM-402787CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-402787CLMPRV-20797PRV1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-402786CLMCLM-402788CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶PRV-20797PRVCLM-402788CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-402786CLMCLM-402789CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶PRV-20797PRVCLM-402789CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-402788CLMCLM-402789CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-402786CLMPRV-20797PRV0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-402787CLMCLM-402788CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||
▶CLM-402787CLMCLM-402789CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-402787 → UHC-03439-03 (Luis Wallace)ACT-007040, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically6986b278damatching_agent, CLM-402789, identity id MBR-010455, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402786
- 2026-10-19 19:54:38Record linked automatically1e7836921bmatching_agent, CLM-402788, identity id MBR-010455, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402786
- 2026-10-19 19:54:38Record linked automaticallybdd9202984scoring_agent, PRV-20797, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402787, policy version 1
- 2026-10-19 19:54:38Record linked automatically25585eca58scoring_agent, CLM-402787, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402786, policy version 1
- 2026-10-19 19:54:38Record linked automatically4fb8010110scoring_agent, CLM-402786, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402787, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyd68b62ede1matching_agent, CLM-402789, identity id MBR-010455, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402786
- 2026-10-19 19:52:09Record linked automaticallya147acbf58matching_agent, CLM-402788, identity id MBR-010455, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402786
- 2026-10-19 19:52:09Record linked automaticallyf41e537ec9scoring_agent, PRV-20797, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402787, policy version 1
- 2026-10-19 19:52:09Record linked automatically6e32ce508cscoring_agent, CLM-402787, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402786, policy version 1
- 2026-10-19 19:52:09Record linked automatically2216cb7a81scoring_agent, CLM-402786, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402787, policy version 1
- 2026-10-19 19:45:42Record linked automatically1028c9410fmatching_agent, CLM-402789, identity id MBR-010455, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402786
- 2026-10-19 19:45:42Record linked automatically1f48444468matching_agent, CLM-402788, identity id MBR-010455, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402786
- 2026-10-19 19:45:42Record linked automaticallyda6e13aebdscoring_agent, PRV-20797, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402787, policy version 1
- 2026-10-19 19:45:42Record linked automatically2e99410afascoring_agent, CLM-402787, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402786, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyaad8cec1abscoring_agent, CLM-402786, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402787, policy version 1
- 2026-10-19 19:32:31Record linked automatically4bb7a1a3c5matching_agent, CLM-402789, identity id MBR-010455, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402786
- 2026-10-19 19:32:31Record linked automaticallyd911de6871matching_agent, CLM-402788, identity id MBR-010455, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402786
- 2026-10-19 19:32:31Record linked automatically4f9b5d4d1ascoring_agent, PRV-20797, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402787, policy version 1
- 2026-10-19 19:32:31Record linked automatically9e5fc79438scoring_agent, CLM-402787, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402786, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyc00c7805e3scoring_agent, CLM-402786, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402787, policy version 1
- 2026-10-19 19:31:28Record linked automatically91e94e6393matching_agent, CLM-402789, identity id MBR-025533, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103650
- 2026-10-19 19:31:28Record linked automatically964618ded9scoring_agent, CLM-402786, identity id MBR-019505, confidence 1, method probabilistic, matched record CLM-402785, policy version 1
- 2026-10-19 19:31:28Record linked automatically4799e14805scoring_agent, PRV-20797, identity id MBR-005514, confidence 1, method probabilistic, matched record ENR-103405, policy version 1
- 2026-10-19 19:31:28Record linked automatically9a2b1843bdmatching_agent, CLM-402788, identity id MBR-000686, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-103648
- 2026-10-19 19:31:28Record linked automatically894052a6a3matching_agent, CLM-402787, identity id MBR-000686, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-103648
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-2026-019989 | 2026-07-03 | Mesa Dermatology Clinic in network | 17110 | $220.00 | $96.40 | Approved | Approved |
| CLM-2026-018928 | 2026-07-10 | Meadow Family Practice in network | 99395, 36415 | $326.00 | $162.12 | Approved | Approved |
| CLM-2026-021468 | 2026-02-27 | Sunrise Community Hospital out of network | 71046, 99283 | $778.00 | — | Needs review | Needs review |
| CLM-2026-022993 | 2025-12-25 | Evergreen Medical Group in network | 99214, 99213, 36415 | $512.00 | $277.44 | Approved | Approved |