Gold, golden identity
Lisa Foster
6 source records from 2 feeds.
MBR-016880Verified6 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-406079 | CLM | 2026-03-02 | Lisa Fosterflagged | 1995-08-24 | UHC-72634-68 | 4786590704 | — | Rule | 0.99 | D1 member id + dob exact |
| CLM-406078 | CLM | 2026-03-19 | Lisa Fosterflagged | 1995-08-24 | UHC-72634-68 | — | 1012 Broadway, Houston, TX | Rule | 0.99 | D1 member id + dob exact |
| CLM-406077 | CLM | 2026-03-19 | Lisa Fosterflagged | 1995-08-24 | UHC-72634-68 | — | 1012 Broadway, Houston, TX | Rule | 0.99 | D1 member id + dob exact |
| CLM-406080 | CLM | 2026-05-13 | Lisa Fosterflagged | 1995-08-24 | UHC-72634-68 | — | 1012 Broadway, Houston, TX | Rule | 0.99 | D1 member id + dob exact |
| CLM-406076 | CLM | 2026-06-07 | Lisa Foterflagged | 1995-08-24 | UHC-72634-68 | — | 1012 Broadway, Houston, TX | Rule | 0.99 | D1 member id + dob exact |
| TPA-52699 | TPA | 2026-07-15 | Lisa Fsterflagged | 1995-08-24 | — | — | 1012 Broadway, Houston, TX | Scored | 0.92 | — |
Evidence
15 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-406079CLMCLM-406076CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-406078CLMCLM-406076CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-406077CLMCLM-406076CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-406080CLMCLM-406076CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-406079CLMCLM-406077CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-406078CLMCLM-406077CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-406079CLMCLM-406078CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-406079CLMCLM-406080CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-406078CLMCLM-406080CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-406077CLMCLM-406080CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-406076CLMTPA-52699TPA0.92Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-406078CLMTPA-52699TPA0.91Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-406077CLMTPA-52699TPA0.91Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-406080CLMTPA-52699TPA0.91Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-406079CLMTPA-52699TPA0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Care coordination outreachProposedLisa Foster: 5 claims, no attributed providerACT-018929, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automaticallye0b4da8ae4scoring_agent, TPA-52699, identity id MBR-016880, confidence 0.92, method probabilistic, matched record CLM-406076, policy version 1
- 2026-10-19 19:54:38Record linked automatically67e78d901dmatching_agent, CLM-406076, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406079
- 2026-10-19 19:54:38Record linked automatically5a0ff6daf5matching_agent, CLM-406080, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406079
- 2026-10-19 19:54:38Record linked automatically912ef93f6dmatching_agent, CLM-406077, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406079
- 2026-10-19 19:54:38Record linked automatically59d0f435b2matching_agent, CLM-406078, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406079
- 2026-10-19 19:54:38Record linked automaticallyf897b12753matching_agent, CLM-406079, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406078
- 2026-10-19 19:52:09Record linked automaticallyb33a702d29scoring_agent, TPA-52699, identity id MBR-016880, confidence 0.92, method probabilistic, matched record CLM-406076, policy version 1
- 2026-10-19 19:52:09Record linked automatically0f7d677a34matching_agent, CLM-406076, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406079
- 2026-10-19 19:52:09Record linked automatically62b19a5423matching_agent, CLM-406080, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406079
- 2026-10-19 19:52:09Record linked automaticallyd1669f04fcmatching_agent, CLM-406077, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406079
- 2026-10-19 19:52:09Record linked automatically768fd91ed3matching_agent, CLM-406078, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406079
- 2026-10-19 19:52:09Record linked automaticallyaabdabbe80matching_agent, CLM-406079, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406078
- 2026-10-19 19:45:42Record linked automatically55ce2d7003scoring_agent, TPA-52699, identity id MBR-016880, confidence 0.92, method probabilistic, matched record CLM-406076, policy version 1
- 2026-10-19 19:45:42Record linked automatically0726124b31matching_agent, CLM-406076, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406079
- 2026-10-19 19:45:42Record linked automatically0f399d6e25matching_agent, CLM-406080, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406079
- 2026-10-19 19:45:42Record linked automaticallyade61cd3e5matching_agent, CLM-406077, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406079
- 2026-10-19 19:45:42Record linked automaticallyadd590fbf3matching_agent, CLM-406078, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406079
- 2026-10-19 19:45:42Record linked automaticallya094664f10matching_agent, CLM-406079, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406078
- 2026-10-19 19:32:31Record linked automaticallyabab62ffafscoring_agent, TPA-52699, identity id MBR-016880, confidence 0.92, method probabilistic, matched record CLM-406076, policy version 1
- 2026-10-19 19:32:31Record linked automatically81e771d972matching_agent, CLM-406076, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406079
- 2026-10-19 19:32:31Record linked automaticallyc154913fe0matching_agent, CLM-406080, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406079
- 2026-10-19 19:32:31Record linked automaticallydbd399fdb0matching_agent, CLM-406077, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406079
- 2026-10-19 19:32:31Record linked automatically375319ac4amatching_agent, CLM-406078, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406079
- 2026-10-19 19:32:31Record linked automaticallyb14b51ccb5matching_agent, CLM-406079, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406078
- 2026-10-19 19:31:28Record linked automatically5d457425fbscoring_agent, CLM-406080, identity id MBR-018056, confidence 1, method probabilistic, matched record CLM-406081, policy version 1
- 2026-10-19 19:31:28Record linked automaticallya0d2b91925matching_agent, CLM-406079, identity id MBR-014969, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107954
- 2026-10-19 19:31:28Record linked automaticallya4f3b72c2amatching_agent, CLM-406076, identity id MBR-013098, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107951
- 2026-10-19 19:31:28Record linked automatically2c7c43f945scoring_agent, CLM-406078, identity id MBR-010549, confidence 1, method probabilistic, matched record TPA-52707, policy version 1
- 2026-10-19 19:31:28Record linked automaticallycec85647b3scoring_agent, TPA-52699, identity id MBR-008496, confidence 1, method probabilistic, matched record ENR-107915, 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-2026-012971 | 2026-06-03 | Unity Clinical Laboratories in network | 83036 | $67.00 | — | Needs review | Needs review |
| CLM-2026-031316 | 2026-04-29 | Sunrise Family Practice in network | 99214 | $301.00 | $161.62 | Approved | Approved |
| CLM-2026-014015 | 2026-02-02 | Lakeside Bone and Joint Center in network | 27447 | $51,201.00 | — | Needs review | Needs review |
| CLM-2026-002584 | 2026-03-02 | Canyon Diagnostic Imaging in network | 70553, 74177 | $4,241.00 | $2,051.07 | Approved | Approved |
| CLM-2026-005679 | 2026-01-28 | Summit Medical Group in network | 99232 | $226.00 | $63.65 | Approved | Approved |