Gold, golden identity
Mariana Reid
4 source records from 1 feed.
MBR-013418Verified4 records
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-418223 | CLM | 2026-02-16 | Mariana Reidflagged | 1995-07-20 | UHC-16307-85 | — | 7707 Central Ave, Tempe, AZ | Scored | 1.00 | — |
| CLM-418225 | CLM | 2026-02-17 | Mariana Reidflagged | 1995-07-20 | — | — | 7707 Central Ave, Tempe, AZ | Scored | 1.00 | — |
| CLM-418224 | CLM | 2026-05-22 | Mariana Riedflagged | 1995-07-20 | — | — | — | Rule | 0.97 | D2 ssn4 + dob + last name |
| CLM-418226 | CLM | 2026-09-27 | Mariana Reidflagged | 1995-07-20 | UHC-16307-85 | — | 7707 Central Ave, Tempe, AZ | 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-418223CLMCLM-418225CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-418225CLMCLM-418226CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-418223CLMCLM-418226CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-418223CLMCLM-418224CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-418224CLMCLM-418226CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-418225CLMCLM-418224CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-418225 → UHC-16307-85 (Mariana Reid)ACT-006247, Claims processor
- Orphan claim re-pointedExecutedCLM-418224 → UHC-16307-85 (Mariana Reid)ACT-006715, Claims processor
- Care coordination outreachProposedMariana Reid: 4 claims, no attributed providerACT-018743, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:54Record linked automatically44271739d9scoring_agent, CLM-418226, identity id MBR-013418, confidence 1, method probabilistic, matched record CLM-418225, policy version 1
- 2026-10-22 12:43:54Record linked automatically4090acc572matching_agent, CLM-418224, identity id MBR-013418, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418223
- 2026-10-22 12:43:54Record linked automatically26b14c41fdscoring_agent, CLM-418225, identity id MBR-013418, confidence 1, method probabilistic, matched record CLM-418223, policy version 1
- 2026-10-22 12:43:54Record linked automaticallyb52dd84c99scoring_agent, CLM-418223, identity id MBR-013418, confidence 1, method probabilistic, matched record CLM-418225, policy version 1
- 2026-10-19 19:54:38Record linked automatically2423858b67scoring_agent, CLM-418226, identity id MBR-013418, confidence 1, method probabilistic, matched record CLM-418225, policy version 1
- 2026-10-19 19:54:38Record linked automatically3e9d92cf51matching_agent, CLM-418224, identity id MBR-013418, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418223
- 2026-10-19 19:54:38Record linked automatically30ef7acffbscoring_agent, CLM-418225, identity id MBR-013418, confidence 1, method probabilistic, matched record CLM-418223, policy version 1
- 2026-10-19 19:54:38Record linked automatically55ba8ad333scoring_agent, CLM-418223, identity id MBR-013418, confidence 1, method probabilistic, matched record CLM-418225, policy version 1
- 2026-10-19 19:52:09Record linked automaticallya7b49fe8d6scoring_agent, CLM-418226, identity id MBR-013418, confidence 1, method probabilistic, matched record CLM-418225, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyc2e65ed8b6matching_agent, CLM-418224, identity id MBR-013418, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418223
- 2026-10-19 19:52:09Record linked automatically866803ecf7scoring_agent, CLM-418225, identity id MBR-013418, confidence 1, method probabilistic, matched record CLM-418223, policy version 1
- 2026-10-19 19:52:09Record linked automatically25a1fc7b05scoring_agent, CLM-418223, identity id MBR-013418, confidence 1, method probabilistic, matched record CLM-418225, policy version 1
- 2026-10-19 19:45:42Record linked automatically38c6d84847scoring_agent, CLM-418226, identity id MBR-013418, confidence 1, method probabilistic, matched record CLM-418225, policy version 1
- 2026-10-19 19:45:42Record linked automatically2d13e90884matching_agent, CLM-418224, identity id MBR-013418, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418223
- 2026-10-19 19:45:42Record linked automaticallya9ad7cb163scoring_agent, CLM-418225, identity id MBR-013418, confidence 1, method probabilistic, matched record CLM-418223, policy version 1
- 2026-10-19 19:45:42Record linked automatically09223e6ecfscoring_agent, CLM-418223, identity id MBR-013418, confidence 1, method probabilistic, matched record CLM-418225, policy version 1
- 2026-10-19 19:32:31Record linked automatically0a7771c751scoring_agent, CLM-418226, identity id MBR-013418, confidence 1, method probabilistic, matched record CLM-418225, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyd4759b1189matching_agent, CLM-418224, identity id MBR-013418, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418223
- 2026-10-19 19:32:31Record linked automaticallyc80738dbd1scoring_agent, CLM-418225, identity id MBR-013418, confidence 1, method probabilistic, matched record CLM-418223, policy version 1
- 2026-10-19 19:32:31Record linked automaticallye230d1e11escoring_agent, CLM-418223, identity id MBR-013418, confidence 1, method probabilistic, matched record CLM-418225, policy version 1
- 2026-10-19 19:31:28Record linked automatically336d34ab02scoring_agent, CLM-418226, identity id MBR-022791, confidence 1, method probabilistic, matched record TPA-57963, policy version 1
- 2026-10-19 19:31:28Record linked automatically344aeba8aamatching_agent, CLM-418225, identity id MBR-015504, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123867
- 2026-10-19 19:31:28Record linked automaticallybc2969b1bcmatching_agent, CLM-418224, identity id MBR-015504, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123867
- 2026-10-19 19:31:28Record linked automatically607bf09812matching_agent, CLM-418223, identity id MBR-015504, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123867
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-2026-031339 | 2026-08-14 | Mesa Clinical Laboratories in network | 80053 | $46.00 | $0.00 | Approved | Approved |
| CLM-2026-020230 | 2026-04-23 | Desert Internal Medicine Associates in network | 99215 | $418.00 | $234.16 | Approved | Approved |
| CLM-2026-018461 | 2026-01-08 | Valley Bone and Joint Center out of network | 27447 | $35,247.00 | — | Denied | Denied |
| CLM-2026-017025 | 2026-01-26 | Unity Imaging Center out of network | 77067, 71046, 76700 | $895.00 | — | Denied | Denied |