Gold, golden identity
Michelle Andrews
5 source records from 3 feeds.
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First namePRV
- Michelle
- Middle name—
- —
- Last namePRV
- Andrews
- Date of birthPRV
- 1993-08-24
- GenderPRV
- M
- Member IDCLM
- UHC-95441-15
- SSNCLM
- •••-••-7970
- PhonePRV
- 2377871199
- EmailPRV
- michelle.andrews@icloud.com
- AddressPRV
- 6315 Highland Ave
- CityPRV
- Orlando
- StatePRV
- FL
- ZIPCLM
- 32874
- GroupCLM
- GRP-0188
- PlanCLM
- CORE-HMO
Min confidence
0.94
Sources
PRV ×1TPA ×1CLM ×3
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| PRV-25005 | PRV | 2026-02-21 | Michelle Andrewsflagged | 1993-08-24 | — | 2377871199 | 6315 Highland Ave, Orlando, FL | Scored | 0.94 | — |
| TPA-57456 | TPA | 2026-02-28 | Michelle Andrewsflagged | 1993-08-24 | — | 2377871199 | 6315 Highland Ave, Orlando, FL | Scored | 1.00 | — |
| CLM-416902 | CLM | 2026-03-20 | Michelle Andrewsflagged | 1993-08-24 | UHC-95441-15 | — | 6315 Highland Ave, Orlando, FL | Rule | 0.99 | D1 member id + dob exact |
| CLM-416901 | CLM | 2026-06-01 | Michelle Andrewsflagged | 1993-08-24 | UHC-95441-15 | 2377871199 | 6315 Highland Ave, Orlando, FL | Scored | 1.00 | — |
| CLM-416903 | CLM | 2026-07-07 | Michelle Andreswflagged | 1993-08-24 | UHC-95441-15 | — | — | Rule | 0.99 | D1 member id + dob exact |
Evidence
10 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶TPA-57456TPACLM-416901CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-416902CLMCLM-416901CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-416902CLMCLM-416903 CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-416901CLMCLM-416903 CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶TPA-57456TPACLM-416902CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶PRV-25005PRVCLM-416901CLM0.94Scoredweighted similarityAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶PRV-25005PRVCLM-416902CLM0.93Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶PRV-25005PRVCLM-416903 CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||
▶TPA-57456TPACLM-416903 CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Eligibility conflict resolvedProposedMichelle Andrews: 2 plan codes across sources → canonical CORE-HMOACT-000635, Eligibility engine
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically2584522695matching_agent, CLM-416903, identity id MBR-014702, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416902
- 2026-10-19 19:54:38Record linked automatically71b712387bscoring_agent, CLM-416901, identity id MBR-014702, confidence 1, method probabilistic, matched record TPA-57456, policy version 1
- 2026-10-19 19:54:38Record linked automatically93b78ab66amatching_agent, CLM-416902, identity id MBR-014702, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416901
- 2026-10-19 19:54:38Record linked automatically0788eb91a1scoring_agent, TPA-57456, identity id MBR-014702, confidence 1, method probabilistic, matched record CLM-416901, policy version 1
- 2026-10-19 19:54:38Record linked automaticallyde1cda3531scoring_agent, PRV-25005, identity id MBR-014702, confidence 0.94, method probabilistic, matched record CLM-416901, policy version 1
- 2026-10-19 19:52:09Record linked automatically3d25602060matching_agent, CLM-416903, identity id MBR-014702, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416902
- 2026-10-19 19:52:09Record linked automaticallya5bd9a442dscoring_agent, CLM-416901, identity id MBR-014702, confidence 1, method probabilistic, matched record TPA-57456, policy version 1
- 2026-10-19 19:52:09Record linked automatically43c1ccac32matching_agent, CLM-416902, identity id MBR-014702, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416901
- 2026-10-19 19:52:09Record linked automaticallyb3974a3241scoring_agent, TPA-57456, identity id MBR-014702, confidence 1, method probabilistic, matched record CLM-416901, policy version 1
- 2026-10-19 19:52:09Record linked automaticallycd1f81b267scoring_agent, PRV-25005, identity id MBR-014702, confidence 0.94, method probabilistic, matched record CLM-416901, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyfe337bde44matching_agent, CLM-416903, identity id MBR-014702, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416902
- 2026-10-19 19:45:42Record linked automatically836cd6877bscoring_agent, CLM-416901, identity id MBR-014702, confidence 1, method probabilistic, matched record TPA-57456, policy version 1
- 2026-10-19 19:45:42Record linked automaticallya1b6aacfa7matching_agent, CLM-416902, identity id MBR-014702, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416901
- 2026-10-19 19:45:42Record linked automaticallye01952a67fscoring_agent, TPA-57456, identity id MBR-014702, confidence 1, method probabilistic, matched record CLM-416901, policy version 1
- 2026-10-19 19:45:42Record linked automatically8c037e1560scoring_agent, PRV-25005, identity id MBR-014702, confidence 0.94, method probabilistic, matched record CLM-416901, policy version 1
- 2026-10-19 19:32:31Record linked automatically54fd09646amatching_agent, CLM-416903, identity id MBR-014702, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416902
- 2026-10-19 19:32:31Record linked automatically2af120c174scoring_agent, CLM-416901, identity id MBR-014702, confidence 1, method probabilistic, matched record TPA-57456, policy version 1
- 2026-10-19 19:32:31Record linked automatically754b22662ematching_agent, CLM-416902, identity id MBR-014702, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416901
- 2026-10-19 19:32:31Record linked automaticallyf4e66ba3dascoring_agent, TPA-57456, identity id MBR-014702, confidence 1, method probabilistic, matched record CLM-416901, policy version 1
- 2026-10-19 19:32:31Record linked automatically82c3f8b1f5scoring_agent, PRV-25005, identity id MBR-014702, confidence 0.94, method probabilistic, matched record CLM-416901, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyd205397fa2matching_agent, CLM-416902, identity id MBR-041170, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122111
- 2026-10-19 19:31:28Record linked automatically80a9f7625bmatching_agent, CLM-416903, identity id MBR-034517, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122114
- 2026-10-19 19:31:28Record linked automatically2c2881d518scoring_agent, PRV-25005, identity id MBR-021193, confidence 1, method probabilistic, matched record ENR-122398, policy version 1
- 2026-10-19 19:31:28Record linked automatically63850073f6scoring_agent, CLM-416901, identity id MBR-020927, confidence 0.99, method probabilistic, matched record ENR-122110, 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-2026-034215 | 2026-06-18 | Desert Clinical Laboratories in network | 85025, 87086, 83036 | $167.00 | $0.00 | Approved | Approved |
| CLM-2026-003645 | 2026-04-28 | Riverside Internal Medicine Associates in network | 99214 | $219.00 | $115.78 | Approved | Approved |
| CLM-2026-012611 | 2026-03-16 | Canyon Counseling Center out of network | 90837, 90791, 90834 | $828.00 | — | Denied | Denied |