Gold, golden identity
Priya Rogers
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-413311 | CLM | 2026-02-07 | Priya Rogersflagged | 1973-04-22 | UHC-59829-72 | — | — | Rule | 0.99 | D1 member id + dob exact |
| CLM-413312 | CLM | 2026-02-07 | Priya Rogersflagged | 1973-04-22 | UHC-59829-72 | — | — | Rule | 0.99 | D1 member id + dob exact |
Evidence
1 scored pair among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-413311CLMCLM-413312CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
No actions yet
Nothing downstream has consumed this identity.
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:54Record linked automatically7635cf85e7matching_agent, CLM-413312, identity id MBR-011275, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413311
- 2026-10-22 12:43:54Record linked automatically1302804d44matching_agent, CLM-413311, identity id MBR-011275, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413312
- 2026-10-19 19:54:38Record linked automaticallya493952c5ematching_agent, CLM-413312, identity id MBR-011275, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413311
- 2026-10-19 19:54:38Record linked automatically27ceeb3a66matching_agent, CLM-413311, identity id MBR-011275, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413312
- 2026-10-19 19:52:09Record linked automatically61f6d93900matching_agent, CLM-413312, identity id MBR-011275, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413311
- 2026-10-19 19:52:09Record linked automatically6d3e8eb3dbmatching_agent, CLM-413311, identity id MBR-011275, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413312
- 2026-10-19 19:45:42Record linked automaticallye324e244d7matching_agent, CLM-413312, identity id MBR-011275, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413311
- 2026-10-19 19:45:42Record linked automatically96b6322eeematching_agent, CLM-413311, identity id MBR-011275, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413312
- 2026-10-19 19:32:31Record linked automatically1c3686b16cmatching_agent, CLM-413312, identity id MBR-011275, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413311
- 2026-10-19 19:32:31Record linked automatically30c1dd228bmatching_agent, CLM-413311, identity id MBR-011275, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413312
- 2026-10-19 19:31:28Record linked automatically9a75519cf4scoring_agent, CLM-413311, identity id MBR-043660, confidence 1, method probabilistic, matched record ENR-117586, policy version 1
- 2026-10-19 19:31:28Record linked automatically922813b50ascoring_agent, CLM-413312, identity id MBR-009157, confidence 1, method probabilistic, matched record CLM-413313, 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-2026-026645 | 2026-01-11 | Heritage Primary Care Associates in network | 99395, 99214 | $569.00 | $332.78 | Approved | Approved |
| CLM-2026-009715 | 2025-12-28 | Mesa Clinical Laboratories out of network | 80053, 87086, 85025, 80061 | $193.00 | $0.00 | Approved | Approved |