Gold, golden identity
Ruth E Moreno
2 source records from 2 feeds.
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| TPA-61414 | TPA | 2026-02-19 | Ruth Morenoflagged | 1977-10-01 | — | — | — | Rule | 0.97 | D2 ssn4 + dob + last name |
| CLM-425861 | CLM | 2026-05-24 | Ruth Morenoflagged | 1977-10-01 | — | — | — | Rule | 0.97 | D2 ssn4 + dob + last name |
Evidence
1 scored pair among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶TPA-61414TPACLM-425861CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 1Conflicts: 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 automatically00587b2be1matching_agent, CLM-425861, identity id MBR-014293, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61414
- 2026-10-22 12:43:54Record linked automatically813cd23f46matching_agent, TPA-61414, identity id MBR-014293, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-425861
- 2026-10-19 19:54:38Record linked automatically952c13386dmatching_agent, CLM-425861, identity id MBR-014293, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61414
- 2026-10-19 19:54:38Record linked automaticallyff2bab2463matching_agent, TPA-61414, identity id MBR-014293, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-425861
- 2026-10-19 19:52:09Record linked automaticallye48932143dmatching_agent, CLM-425861, identity id MBR-014293, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61414
- 2026-10-19 19:52:09Record linked automatically4413b1e8abmatching_agent, TPA-61414, identity id MBR-014293, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-425861
- 2026-10-19 19:45:42Record linked automatically64d8bf74f3matching_agent, CLM-425861, identity id MBR-014293, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61414
- 2026-10-19 19:45:42Record linked automatically7ad9b3ec68matching_agent, TPA-61414, identity id MBR-014293, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-425861
- 2026-10-19 19:32:31Record linked automaticallydf410a9b91matching_agent, CLM-425861, identity id MBR-014293, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61414
- 2026-10-19 19:32:31Record linked automaticallyc9e486f2f3matching_agent, TPA-61414, identity id MBR-014293, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-425861
- 2026-10-19 19:31:28Record linked automaticallyc96a71edb5matching_agent, CLM-425861, identity id MBR-027769, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134121
- 2026-10-19 19:31:28Record linked automatically68465831c3matching_agent, TPA-61414, identity id MBR-004076, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425911
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-2026-033784 | 2025-12-16 | Heritage Physical Therapy in network | 97110 | $308.00 | — | Denied | Denied |