Gold, golden identity
Wayne Ward
4 source records from 2 feeds.
MBR-012868Verified4 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Wayne
- Middle name—
- —
- Last nameENR
- Ward
- Date of birthENR
- 1940-05-22
- GenderENR
- F
- Member IDENR
- UHC-86507-79
- SSNENR
- •••-••-8555
- PhoneENR
- 7225820567
- EmailENR
- wayne.ward@icloud.com
- AddressENR
- 8946 Apache Blvd
- CityENR
- Plano
- StateENR
- TX
- ZIPENR
- 75025
- GroupENR
- GRP-5557
- PlanENR
- SELECT-EPO
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-424938 | CLM | 2026-02-13 | Wayne Wardflagged | 1940-05-22 | UHC-86507-79 | — | 8946 Apache Blvd, Plano, TX | Rule | 0.99 | D1 member id + dob exact |
| ENR-132586 | ENR | 2026-07-18 | Wayne Wardflagged | 1940-05-22 | UHC-86507-79 | 7225820567 | 8946 Apache Blvd, Plano, TX | Rule | 0.99 | D1 member id + dob exact |
| CLM-424937 | CLM | 2026-09-11 | Wayne Wardflagged | 1940-05-22 | — | — | 8946 Apache Blvd, Plano, TX | Scored | 1.00 | — |
| CLM-424936 | CLM | 2026-10-18 | Wayne Wardflagged | 1940-05-22 | UHC-86507-79 | — | 8946 Apache Blvd, Plano, TX | 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-424937CLMCLM-424936CLM 1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-424938CLMCLM-424936CLM 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-132586ENRCLM-424936CLM 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-424938CLMENR-132586ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-424938CLMCLM-424937CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-132586ENRCLM-424937CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-424937 → UHC-86507-79 (Wayne Ward)ACT-008299, Claims processor
- Care coordination outreachProposedWayne Ward: 3 claims, no attributed providerACT-018707, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically6f83b52a79scoring_agent, CLM-424936, identity id MBR-012868, confidence 1, method probabilistic, matched record CLM-424937, policy version 1
- 2026-10-19 19:54:38Record linked automaticallybd752e078fscoring_agent, CLM-424937, identity id MBR-012868, confidence 1, method probabilistic, matched record CLM-424936, policy version 1
- 2026-10-19 19:54:38Record linked automatically71d09fccd3matching_agent, ENR-132586, identity id MBR-012868, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424938
- 2026-10-19 19:54:38Record linked automaticallyaca25f0640matching_agent, CLM-424938, identity id MBR-012868, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132586
- 2026-10-19 19:52:09Record linked automaticallyf7bb304763scoring_agent, CLM-424936, identity id MBR-012868, confidence 1, method probabilistic, matched record CLM-424937, policy version 1
- 2026-10-19 19:52:09Record linked automatically5ebf7c9d2bscoring_agent, CLM-424937, identity id MBR-012868, confidence 1, method probabilistic, matched record CLM-424936, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyc4c96fd74cmatching_agent, ENR-132586, identity id MBR-012868, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424938
- 2026-10-19 19:52:09Record linked automatically43c519d986matching_agent, CLM-424938, identity id MBR-012868, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132586
- 2026-10-19 19:45:42Record linked automatically0c20511de7scoring_agent, CLM-424936, identity id MBR-012868, confidence 1, method probabilistic, matched record CLM-424937, policy version 1
- 2026-10-19 19:45:42Record linked automaticallye72236e847scoring_agent, CLM-424937, identity id MBR-012868, confidence 1, method probabilistic, matched record CLM-424936, policy version 1
- 2026-10-19 19:45:42Record linked automatically9d5c0c6dcamatching_agent, ENR-132586, identity id MBR-012868, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424938
- 2026-10-19 19:45:42Record linked automatically35066093d8matching_agent, CLM-424938, identity id MBR-012868, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132586
- 2026-10-19 19:32:31Record linked automatically8d23fdc178scoring_agent, CLM-424936, identity id MBR-012868, confidence 1, method probabilistic, matched record CLM-424937, policy version 1
- 2026-10-19 19:32:31Record linked automatically1d55b710adscoring_agent, CLM-424937, identity id MBR-012868, confidence 1, method probabilistic, matched record CLM-424936, policy version 1
- 2026-10-19 19:32:31Record linked automatically872866d726matching_agent, ENR-132586, identity id MBR-012868, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424938
- 2026-10-19 19:32:31Record linked automatically733c04fa41matching_agent, CLM-424938, identity id MBR-012868, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132586
- 2026-10-19 19:31:28Record linked automaticallye305998b46matching_agent, CLM-424938, identity id MBR-019566, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132820
- 2026-10-19 19:31:28Record linked automatically8bbb189105scoring_agent, CLM-424936, identity id MBR-014261, confidence 0.99, method probabilistic, matched record PRV-27354, policy version 1
- 2026-10-19 19:31:28Record linked automatically038e63aacfscoring_agent, CLM-424937, identity id MBR-007289, confidence 1, method probabilistic, matched record TPA-60969, 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-2026-034142 | 2026-09-17 | Meadow Medical Group in network | 36415, 99203, 99214 | $452.00 | $272.80 | Approved | Approved |
| CLM-2026-026351 | 2026-08-04 | Lakeside Medical Group in network | 99213 | $184.00 | $84.08 | Approved | Approved |
| CLM-2026-002706 | 2026-01-15 | Unity Clinical Laboratories in network | 80053 | $50.00 | $0.00 | Approved | Approved |