Gold, golden identity
Teresa Johnson
3 source records from 2 feeds.
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Teresa
- Middle name—
- —
- Last nameENR
- Johnson
- Date of birthENR
- 1944-11-06
- GenderENR
- F
- Member IDENR
- UHC-93030-14
- SSNENR
- •••-••-9969
- PhoneENR
- 2097641862
- EmailCLM
- teresa.johnson27@icloud.com
- AddressENR
- 6582 Ocean Ave
- CityENR
- Seattle
- StateENR
- WA
- ZIPENR
- 98152
- GroupENR
- GRP-1683
- PlanENR
- CORE-HMO
Min confidence
0.96
Sources
CLM ×2ENR ×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-424687 | CLM | 2026-02-22 | Tresa Johnsonflagged | 1944-11-06 | — | 2097641862 | 6582 Ocean Ave, Seattle, WA | Scored | 0.99 | — |
| CLM-424685 | CLM | 2026-06-13 | Johnson Teresaflagged | — | UHC-93030-14 | 2097641862 | 3273 Washington St, Austin, TX | Rule | 0.96 | D3 member id + name |
| ENR-132250 | ENR | 2026-10-05 | Teresa Johnsonflagged | 1944-11-06 | UHC-93030-14 | 2097641862 | 6582 Ocean Ave, Seattle, WA | Scored | 0.99 | — |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-424687CLMENR-132250ENR0.99Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-424685CLMENR-132250ENR0.96RuleD3 member id + nameAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-424687CLMCLM-424685CLM0.65Scoredweighted similaritySent to steward
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-424687 → UHC-93030-14 (Teresa Johnson)ACT-002666, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically9a4de4b133scoring_agent, ENR-132250, identity id MBR-015085, confidence 0.99, method probabilistic, matched record CLM-424687, policy version 1
- 2026-10-19 19:54:38Record linked automaticallye205f1ce3fmatching_agent, CLM-424685, identity id MBR-015085, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132250
- 2026-10-19 19:54:38Record linked automaticallycb3d2416f9scoring_agent, CLM-424687, identity id MBR-015085, confidence 0.99, method probabilistic, matched record ENR-132250, policy version 1
- 2026-10-19 19:52:09Record linked automaticallycf4ae5e7bdscoring_agent, ENR-132250, identity id MBR-015085, confidence 0.99, method probabilistic, matched record CLM-424687, policy version 1
- 2026-10-19 19:52:09Record linked automatically1d57d4e64bmatching_agent, CLM-424685, identity id MBR-015085, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132250
- 2026-10-19 19:52:09Record linked automaticallyc5aee88cb3scoring_agent, CLM-424687, identity id MBR-015085, confidence 0.99, method probabilistic, matched record ENR-132250, policy version 1
- 2026-10-19 19:45:42Record linked automatically8dcfa14956scoring_agent, ENR-132250, identity id MBR-015085, confidence 0.99, method probabilistic, matched record CLM-424687, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyd2c9c53a49matching_agent, CLM-424685, identity id MBR-015085, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132250
- 2026-10-19 19:45:42Record linked automaticallye5c6f48097scoring_agent, CLM-424687, identity id MBR-015085, confidence 0.99, method probabilistic, matched record ENR-132250, policy version 1
- 2026-10-19 19:32:31Record linked automatically2d961f75c3scoring_agent, ENR-132250, identity id MBR-015085, confidence 0.99, method probabilistic, matched record CLM-424687, policy version 1
- 2026-10-19 19:32:31Record linked automatically5c5af148a2matching_agent, CLM-424685, identity id MBR-015085, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132250
- 2026-10-19 19:32:31Record linked automatically65fa26e214scoring_agent, CLM-424687, identity id MBR-015085, confidence 0.99, method probabilistic, matched record ENR-132250, policy version 1
- 2026-10-19 19:31:28Record linked automatically204f93b974scoring_agent, CLM-424685, identity id MBR-020628, confidence 1.00, method probabilistic, matched record TPA-60863, policy version 1
- 2026-10-19 19:31:28Record linked automatically4e234b83efscoring_agent, CLM-424687, identity id MBR-010213, confidence 1, method probabilistic, matched record TPA-60865, 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-2026-018512 | 2026-05-18 | Valley Community Hospital out of network | 71046, 96374, 99284 | $1,593.00 | — | Needs review | Needs review |
| CLM-2026-005018 | 2026-01-25 | Pinecrest Diagnostic Imaging in network | 76700, 77067, 74177 | $3,171.00 | $1,194.12 | Approved | Approved |