Gold, golden identity
Cheryl Chen
3 source records from 1 feed.
MBR-013451Verified3 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-401363 | CLM | 2026-02-16 | Cheryl Chenflagged | 1997-10-27 | — | 3213310797 | 3073 Park Pl, Plano, TX | Scored | 1.00 | — |
| CLM-401362 | CLM | 2026-06-05 | Cheryl Chenflagged | 1997-10-27 | UHC-19223-34 | 3213310797 | 3073 Park Pl, Plano, TX | Scored | 1.00 | — |
| CLM-401361 | CLM | 2026-06-28 | Cheryl Chenflagged | 1997-10-27 | UHC-19223-34 | 3213310797 | 3073 Park Pl, Plano, TX | Scored | 1.00 | — |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-401363CLMCLM-401361CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-401363CLMCLM-401362CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-401362CLMCLM-401361CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-401363 → UHC-19223-34 (Cheryl Chen)ACT-005012, Claims processor
- Care coordination outreachProposedCheryl Chen: 3 claims, no attributed providerACT-018745, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automaticallyfb26f90827scoring_agent, CLM-401361, identity id MBR-013451, confidence 1, method probabilistic, matched record CLM-401363, policy version 1
- 2026-10-19 19:54:38Record linked automatically4654e885fbscoring_agent, CLM-401362, identity id MBR-013451, confidence 1, method probabilistic, matched record CLM-401363, policy version 1
- 2026-10-19 19:54:38Record linked automaticallyee7497e495scoring_agent, CLM-401363, identity id MBR-013451, confidence 1, method probabilistic, matched record CLM-401362, policy version 1
- 2026-10-19 19:52:09Record linked automatically76e03f9ba6scoring_agent, CLM-401361, identity id MBR-013451, confidence 1, method probabilistic, matched record CLM-401363, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyd86e625700scoring_agent, CLM-401362, identity id MBR-013451, confidence 1, method probabilistic, matched record CLM-401363, policy version 1
- 2026-10-19 19:52:09Record linked automatically38db776d0bscoring_agent, CLM-401363, identity id MBR-013451, confidence 1, method probabilistic, matched record CLM-401362, policy version 1
- 2026-10-19 19:45:42Record linked automaticallybd845eab18scoring_agent, CLM-401361, identity id MBR-013451, confidence 1, method probabilistic, matched record CLM-401363, policy version 1
- 2026-10-19 19:45:42Record linked automatically7875311196scoring_agent, CLM-401362, identity id MBR-013451, confidence 1, method probabilistic, matched record CLM-401363, policy version 1
- 2026-10-19 19:45:42Record linked automatically364a0f540dscoring_agent, CLM-401363, identity id MBR-013451, confidence 1, method probabilistic, matched record CLM-401362, policy version 1
- 2026-10-19 19:32:31Record linked automaticallye60f2a8a33scoring_agent, CLM-401361, identity id MBR-013451, confidence 1, method probabilistic, matched record CLM-401363, policy version 1
- 2026-10-19 19:32:31Record linked automatically2d2312bdd3scoring_agent, CLM-401362, identity id MBR-013451, confidence 1, method probabilistic, matched record CLM-401363, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyee56d0b14escoring_agent, CLM-401363, identity id MBR-013451, confidence 1, method probabilistic, matched record CLM-401362, policy version 1
- 2026-10-19 19:31:28Record linked automatically4be471fcd2scoring_agent, CLM-401363, identity id MBR-033324, confidence 1, method probabilistic, matched record TPA-50596, policy version 1
- 2026-10-19 19:31:28Record linked automatically6958bb97damatching_agent, CLM-401361, identity id MBR-024804, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-101839
- 2026-10-19 19:31:28Record linked automatically43dc4be465matching_agent, CLM-401362, identity id MBR-024804, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-101839
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-2026-022948 | 2026-06-05 | Sunrise Behavioral Health in network | 90791 | $456.00 | $222.72 | Approved | Approved |
| CLM-2026-004555 | 2026-05-05 | Summit Medical Group in network | 99215, 99214 | $638.00 | $365.56 | Approved | Approved |
| CLM-2026-013886 | 2026-01-23 | Canyon Reference Lab in network | 87086 | $30.00 | — | Needs review | Needs review |
| CLM-2026-013885 | 2026-01-23 | Canyon Reference Lab in network | 87086 | $30.00 | $0.00 | Approved | Approved |