Gold, golden identity
Rachel X Smith
3 source records from 2 feeds.
MBR-024195Verified3 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Rachel
- Middle nameENR
- X
- Last nameCLM
- Smith
- Date of birthENR
- 1969-06-15
- GenderENR
- F
- Member IDENR
- UHC-82124-92
- SSN—
- —
- Phone—
- —
- EmailENR
- rachel.smith@outlook.com
- AddressENR
- 7163 Market St
- CityENR
- Seattle
- StateENR
- WA
- ZIPENR
- 98180
- GroupENR
- GRP-0375
- PlanENR
- OPTIONS-PPO
Min confidence
0.99
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-413984 | CLM | 2026-04-05 | Rachel Smithflagged | 1969-06-15 | — | — | — | Scored | 1.00 | — |
| CLM-413983 | CLM | 2026-09-01 | Rachel Smithflagged | 1969-06-15 | UHC-82124-92 | — | 7163 Market St, Seattle, WA | Scored | 1.00 | — |
| ENR-118306 | ENR | 2026-09-27 | Rachel Smythflagged | 1969-06-15 | UHC-82124-92 | — | 7163 Market St, Seattle, WA | 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-413984CLMCLM-413983CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-413983CLMENR-118306ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-413984CLMENR-118306ENR0.97Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-413984 → UHC-82124-92 (Rachel Smith)ACT-003357, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automaticallyd88bb57e1fmatching_agent, ENR-118306, identity id MBR-024195, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413983
- 2026-10-19 19:54:38Record linked automatically369f4641bascoring_agent, CLM-413983, identity id MBR-024195, confidence 1, method probabilistic, matched record CLM-413984, policy version 1
- 2026-10-19 19:54:38Record linked automaticallyc767afdfc1scoring_agent, CLM-413984, identity id MBR-024195, confidence 1, method probabilistic, matched record CLM-413983, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyc377aac64dmatching_agent, ENR-118306, identity id MBR-024195, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413983
- 2026-10-19 19:52:09Record linked automatically7fda653b0escoring_agent, CLM-413983, identity id MBR-024195, confidence 1, method probabilistic, matched record CLM-413984, policy version 1
- 2026-10-19 19:52:09Record linked automatically9ce62accf5scoring_agent, CLM-413984, identity id MBR-024195, confidence 1, method probabilistic, matched record CLM-413983, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyd92992a35ematching_agent, ENR-118306, identity id MBR-024195, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413983
- 2026-10-19 19:45:42Record linked automaticallya1628e648escoring_agent, CLM-413983, identity id MBR-024195, confidence 1, method probabilistic, matched record CLM-413984, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyf28d868030scoring_agent, CLM-413984, identity id MBR-024195, confidence 1, method probabilistic, matched record CLM-413983, policy version 1
- 2026-10-19 19:32:31Record linked automatically8ac87694aamatching_agent, ENR-118306, identity id MBR-024195, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413983
- 2026-10-19 19:32:31Record linked automatically3110b85e23scoring_agent, CLM-413983, identity id MBR-024195, confidence 1, method probabilistic, matched record CLM-413984, policy version 1
- 2026-10-19 19:32:31Record linked automatically940aa11fb1scoring_agent, CLM-413984, identity id MBR-024195, confidence 1, method probabilistic, matched record CLM-413983, policy version 1
- 2026-10-19 19:31:28Record linked automatically85895a785dmatching_agent, CLM-413983, identity id MBR-030404, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-413984
- 2026-10-19 19:31:28Record linked automatically6ef5468bf8matching_agent, CLM-413984, identity id MBR-030404, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118372
- 2026-10-19 19:31:28Record linked automatically358809e486matching_agent, ENR-118306, identity id MBR-016788, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-413920
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-2026-032668 | 2026-07-26 | Northgate Internal Medicine Associates in network | 99215, 93000 | $366.00 | — | Needs review | Needs review |
| CLM-2026-032667 | 2026-07-26 | Northgate Internal Medicine Associates in network | 99215, 93000 | $366.00 | $196.92 | Approved | Approved |
| CLM-2026-007629 | 2026-03-07 | Mesa Physical Therapy in network | 97110 | $308.00 | — | Denied | Denied |