Gold, golden identity
Carlos Wood
3 source records from 1 feed.
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-401819 | CLM | 2026-03-18 | Carlos Woodflagged | 2002-12-16 | UHC-66810-53 | — | — | Rule | 0.99 | D1 member id + dob exact |
| CLM-401817 | CLM | 2026-07-30 | Carlos Woodflagged | 2002-12-16 | — | — | 7823 Market St, Eden Prairie, MN | Scored | 0.93 | — |
| CLM-401818 | CLM | 2026-08-17 | Carlos Woodflagged | 2002-12-16 | UHC-66810-53 | — | 7823 Market St, Eden Prairie, MN | Rule | 0.99 | D1 member id + dob exact |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-401819CLMCLM-401818CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
▶CLM-401817CLMCLM-401818CLM0.93Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
▶CLM-401819CLMCLM-401817CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-401817 → UHC-66810-53 (Carlos Wood)ACT-007139, Claims processor
- Care coordination outreachProposedCarlos Wood: 3 claims, no attributed providerACT-019114, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:54Record linked automatically516da1b42fmatching_agent, CLM-401818, identity id MBR-020446, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401819
- 2026-10-22 12:43:54Record linked automaticallyd400d7363fscoring_agent, CLM-401817, identity id MBR-020446, confidence 0.93, method probabilistic, matched record CLM-401818, policy version 1
- 2026-10-22 12:43:54Record linked automaticallyf01072d499matching_agent, CLM-401819, identity id MBR-020446, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401818
- 2026-10-19 19:54:38Record linked automatically12d5499ea0matching_agent, CLM-401818, identity id MBR-020446, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401819
- 2026-10-19 19:54:38Record linked automatically17ae932c0fscoring_agent, CLM-401817, identity id MBR-020446, confidence 0.93, method probabilistic, matched record CLM-401818, policy version 1
- 2026-10-19 19:54:38Record linked automaticallycb0be2f8b5matching_agent, CLM-401819, identity id MBR-020446, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401818
- 2026-10-19 19:52:09Record linked automatically2645c3e47amatching_agent, CLM-401818, identity id MBR-020446, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401819
- 2026-10-19 19:52:09Record linked automatically6956b6f237scoring_agent, CLM-401817, identity id MBR-020446, confidence 0.93, method probabilistic, matched record CLM-401818, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyc769494cbematching_agent, CLM-401819, identity id MBR-020446, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401818
- 2026-10-19 19:45:42Record linked automatically37f104eb7bmatching_agent, CLM-401818, identity id MBR-020446, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401819
- 2026-10-19 19:45:42Record linked automaticallyffcacad4b5scoring_agent, CLM-401817, identity id MBR-020446, confidence 0.93, method probabilistic, matched record CLM-401818, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyb924cb7a9cmatching_agent, CLM-401819, identity id MBR-020446, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401818
- 2026-10-19 19:32:31Record linked automatically8e98312e48matching_agent, CLM-401818, identity id MBR-020446, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401819
- 2026-10-19 19:32:31Record linked automatically1bdeb80aecscoring_agent, CLM-401817, identity id MBR-020446, confidence 0.93, method probabilistic, matched record CLM-401818, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyf94724a75ematching_agent, CLM-401819, identity id MBR-020446, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401818
- 2026-10-19 19:31:28Record linked automatically6647142fe5matching_agent, CLM-401817, identity id MBR-008515, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-102346
- 2026-10-19 19:31:28Record linked automaticallyf09dbb64b3matching_agent, CLM-401819, identity id MBR-000490, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401818
- 2026-10-19 19:31:28Record linked automatically1a29b9b73dmatching_agent, CLM-401818, identity id MBR-000490, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102349
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-2026-027342 | 2026-08-02 | Meadow Reference Lab in network | 80061 | $83.00 | $0.00 | Approved | Approved |
| CLM-2026-021889 | 2026-07-11 | Desert Cardiovascular Associates in network | 93224 | $261.00 | $101.82 | Approved | Approved |
| CLM-2026-011989 | 2026-02-06 | Canyon Internal Medicine Associates out of network | 93000, 99215 | $436.00 | — | Denied | Denied |