Gold, golden identity
Anna Medina
3 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 nameENR
- Anna
- Middle name—
- —
- Last nameENR
- Medina
- Date of birthENR
- 1972-05-06
- GenderENR
- M
- Member IDENR
- UHC-37749-59
- SSNENR
- •••-••-8316
- PhoneENR
- 8437414462
- Email—
- —
- AddressENR
- 7443 Desert Sky Blvd
- CityENR
- Tampa
- StateENR
- FL
- ZIP—
- —
- GroupENR
- GRP-1134
- PlanENR
- MEDICARE-ADV-B
Min confidence
0.94
Sources
CLM ×1TPA ×1ENR ×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-411975 | CLM | 2026-03-03 | Anna Medinaflagged | 1972-05-06 | — | — | — | Rule | 0.97 | D2 ssn4 + dob + last name |
| TPA-55280 | TPA | 2026-03-30 | Anna Medinaflagged | 1972-05-06 | — | 8437414462 | 7443 Desert Sky Blvd, Tampa, FL | Scored | 0.94 | — |
| ENR-115768 | ENR | 2026-08-23 | Anna Medinaflagged | 1972-05-06 | UHC-37749-59 | 8437414462 | 7443 Desert Sky Blvd, Tampa, FL | Rule | 0.97 | D2 ssn4 + dob + last name |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-411975CLMENR-115768ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶TPA-55280 TPAENR-115768ENR0.94Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-411975CLMTPA-55280 TPA0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-411975 → UHC-37749-59 (Anna Medina)ACT-008549, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically4117f571c3matching_agent, ENR-115768, identity id MBR-017072, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411975
- 2026-10-19 19:54:38Record linked automatically425b60d174scoring_agent, TPA-55280, identity id MBR-017072, confidence 0.94, method probabilistic, matched record ENR-115768, policy version 1
- 2026-10-19 19:54:38Record linked automaticallye3cc12f6cdmatching_agent, CLM-411975, identity id MBR-017072, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-115768
- 2026-10-19 19:52:09Record linked automatically6653921f58matching_agent, ENR-115768, identity id MBR-017072, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411975
- 2026-10-19 19:52:09Record linked automatically2325065565scoring_agent, TPA-55280, identity id MBR-017072, confidence 0.94, method probabilistic, matched record ENR-115768, policy version 1
- 2026-10-19 19:52:09Record linked automatically6257d0b1f4matching_agent, CLM-411975, identity id MBR-017072, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-115768
- 2026-10-19 19:45:42Record linked automatically0e827434e4matching_agent, ENR-115768, identity id MBR-017072, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411975
- 2026-10-19 19:45:42Record linked automaticallyf120cba70dscoring_agent, TPA-55280, identity id MBR-017072, confidence 0.94, method probabilistic, matched record ENR-115768, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyc9cb906275matching_agent, CLM-411975, identity id MBR-017072, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-115768
- 2026-10-19 19:32:31Record linked automatically48b220a38bmatching_agent, ENR-115768, identity id MBR-017072, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411975
- 2026-10-19 19:32:31Record linked automatically3382e44868scoring_agent, TPA-55280, identity id MBR-017072, confidence 0.94, method probabilistic, matched record ENR-115768, policy version 1
- 2026-10-19 19:32:31Record linked automatically0efe7a9535matching_agent, CLM-411975, identity id MBR-017072, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-115768
- 2026-10-19 19:31:28Record linked automaticallyef3902a6cfmatching_agent, CLM-411975, identity id MBR-023803, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115871
- 2026-10-19 19:31:28Record linked automatically4c8a0e6bd7scoring_agent, TPA-55280, identity id MBR-014114, confidence 1, method probabilistic, matched record CLM-411925, 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-2026-027348 | 2026-02-25 | Sunrise Digestive Health Center out of network | 88305 | $259.00 | — | Denied | Denied |
| CLM-2026-027347 | 2026-02-25 | Sunrise Digestive Health Center out of network | 88305 | $259.00 | $0.00 | Approved | Approved |