Joan Smith

2 source records from 2 feeds.

MBR-015962Verified2 records

Golden record

Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip

First nameCLM: Joan
Middle name—: —
Last nameCLM: Smith
Date of birthCLM: 1972-11-20
GenderCLM: M
Member ID—: —
SSNCLM: •••-••-0739
Phone—: —
Email—: —
AddressCLM: 248 Oak St
CityCLM: Seattle
StateCLM: WA
ZIP—: —
GroupCLM: GRP-1540
PlanCLM: NAVIGATE-HMO

Min confidence

0.93

Sources

TPA ×1CLM ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-50456	TPA	2026-02-26	Joan Smithflagged	1972-11-20	—	—	248 Oak St, Seattle, WA	Scored	0.93	—
CLM-401006	CLM	2026-03-14	Joan Smithflagged	1972-11-20	—	—	248 Oak St, Seattle, WA	Scored	0.93	—

Evidence

1 scored pair among these records, expand a row for the per-field comparison

Score

Method

Rule

Decision

▶TPA-50456TPACLM-401006CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

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 automatically2723cfa0b7
scoring_agent, CLM-401006, identity id MBR-015962, confidence 0.93, method probabilistic, matched record TPA-50456, policy version 1
2026-10-22 12:43:54Record linked automaticallyfdf438f3fd
scoring_agent, TPA-50456, identity id MBR-015962, confidence 0.93, method probabilistic, matched record CLM-401006, policy version 1
2026-10-19 19:54:38Record linked automatically2cf65a5742
scoring_agent, CLM-401006, identity id MBR-015962, confidence 0.93, method probabilistic, matched record TPA-50456, policy version 1
2026-10-19 19:54:38Record linked automatically2b3bbad7a3
scoring_agent, TPA-50456, identity id MBR-015962, confidence 0.93, method probabilistic, matched record CLM-401006, policy version 1
2026-10-19 19:52:09Record linked automatically7cfba28ecc
scoring_agent, CLM-401006, identity id MBR-015962, confidence 0.93, method probabilistic, matched record TPA-50456, policy version 1
2026-10-19 19:52:09Record linked automatically33981ff5db
scoring_agent, TPA-50456, identity id MBR-015962, confidence 0.93, method probabilistic, matched record CLM-401006, policy version 1
2026-10-19 19:45:42Record linked automatically1f03cdb914
scoring_agent, CLM-401006, identity id MBR-015962, confidence 0.93, method probabilistic, matched record TPA-50456, policy version 1
2026-10-19 19:45:42Record linked automaticallydbbdce1fc0
scoring_agent, TPA-50456, identity id MBR-015962, confidence 0.93, method probabilistic, matched record CLM-401006, policy version 1
2026-10-19 19:32:31Record linked automatically18f6f24d93
scoring_agent, CLM-401006, identity id MBR-015962, confidence 0.93, method probabilistic, matched record TPA-50456, policy version 1
2026-10-19 19:32:31Record linked automatically99890351ec
scoring_agent, TPA-50456, identity id MBR-015962, confidence 0.93, method probabilistic, matched record CLM-401006, policy version 1
2026-10-19 19:31:28Record linked automaticallye993bd7906
scoring_agent, TPA-50456, identity id MBR-022847, confidence 1, method probabilistic, matched record TPA-50455, policy version 1
2026-10-19 19:31:28Record linked automatically0fadd64518
matching_agent, CLM-401006, identity id MBR-000048, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-101382

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-011644	2026-02-25	Valley Medical Group in network	99215, 93000	$441.00	—	Pended	Pended
CLM-2026-011643	2026-02-25	Unity Medical Group in network	99215, 93000	$441.00	—	Pended	Pended