Gold, golden identity
Sophia Lee
3 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
- Sophia
- Middle name—
- —
- Last namePRV
- Lee
- Date of birthPRV
- 2003-03-11
- GenderPRV
- M
- Member ID—
- —
- SSNCLM
- •••-••-2609
- PhonePRV
- 5425709844
- Email—
- —
- AddressPRV
- 528 Ocean Ave
- CityPRV
- Gilbert
- StatePRV
- AZ
- ZIPPRV
- 85227
- GroupCLM
- GRP-5546
- PlanPRV
- MEDICARE-ADV-A
Min confidence
1.00
Sources
CLM ×2PRV ×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-415683 | CLM | 2026-02-09 | Sophia Leeflagged | 2003-03-11 | — | 5425709844 | — | Scored | 1.00 | — |
| PRV-24636 | PRV | 2026-05-29 | Sophia Leeflagged | 2003-03-11 | — | 5425709844 | 528 Ocean Ave, Gilbert, AZ | Scored | 1.00 | — |
| CLM-415685 | CLM | 2026-08-19 | Sophia Leeflagged | 2003-03-11 | — | — | 528 Ocean Ave, Gilbert, AZ | Scored | 1.00 | — |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶PRV-24636PRVCLM-415685CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
▶CLM-415683CLMPRV-24636PRV1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
▶CLM-415683CLMCLM-415685CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Eligibility conflict resolvedProposedSophia Lee: 2 plan codes across sources → canonical MEDICARE-ADV-AACT-000531, Eligibility engine
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically052dadc87bscoring_agent, CLM-415685, identity id MBR-011789, confidence 1, method probabilistic, matched record PRV-24636, policy version 1
- 2026-10-19 19:54:38Record linked automatically09c81217c7scoring_agent, PRV-24636, identity id MBR-011789, confidence 1, method probabilistic, matched record CLM-415683, policy version 1
- 2026-10-19 19:54:38Record linked automaticallyfffac66c26scoring_agent, CLM-415683, identity id MBR-011789, confidence 1, method probabilistic, matched record PRV-24636, policy version 1
- 2026-10-19 19:52:09Record linked automatically352bdfd5a5scoring_agent, CLM-415685, identity id MBR-011789, confidence 1, method probabilistic, matched record PRV-24636, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyde516c4231scoring_agent, PRV-24636, identity id MBR-011789, confidence 1, method probabilistic, matched record CLM-415683, policy version 1
- 2026-10-19 19:52:09Record linked automatically9a4d2dfc8dscoring_agent, CLM-415683, identity id MBR-011789, confidence 1, method probabilistic, matched record PRV-24636, policy version 1
- 2026-10-19 19:45:42Record linked automatically708661539fscoring_agent, CLM-415685, identity id MBR-011789, confidence 1, method probabilistic, matched record PRV-24636, policy version 1
- 2026-10-19 19:45:42Record linked automatically1dc8026713scoring_agent, PRV-24636, identity id MBR-011789, confidence 1, method probabilistic, matched record CLM-415683, policy version 1
- 2026-10-19 19:45:42Record linked automatically9e0c208df1scoring_agent, CLM-415683, identity id MBR-011789, confidence 1, method probabilistic, matched record PRV-24636, policy version 1
- 2026-10-19 19:32:31Record linked automatically486fe20d9ascoring_agent, CLM-415685, identity id MBR-011789, confidence 1, method probabilistic, matched record PRV-24636, policy version 1
- 2026-10-19 19:32:31Record linked automatically7d57871c2cscoring_agent, PRV-24636, identity id MBR-011789, confidence 1, method probabilistic, matched record CLM-415683, policy version 1
- 2026-10-19 19:32:31Record linked automatically32273c9b9dscoring_agent, CLM-415683, identity id MBR-011789, confidence 1, method probabilistic, matched record PRV-24636, policy version 1
- 2026-10-19 19:31:28Record linked automatically764855c44dscoring_agent, PRV-24636, identity id MBR-019020, confidence 1, method probabilistic, matched record PRV-24635, policy version 1
- 2026-10-19 19:31:28Record linked automatically8cfdf9829dmatching_agent, CLM-415685, identity id MBR-010687, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-120536
- 2026-10-19 19:31:28Record linked automatically9261e89485matching_agent, CLM-415683, identity id MBR-006872, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-120531
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-2026-010489 | 2026-08-11 | Meadow Family Practice in network | 99203 | $241.00 | — | Pended | Pended |
| CLM-2026-010488 | 2026-08-11 | Lakeside Medical Group in network | 99203 | $241.00 | — | Pended | Pended |
| CLM-2026-032968 | 2026-01-19 | Evergreen Primary Care Associates in network | 99214 | $299.00 | — | Pended | Pended |