Gold, golden identity
Pamela Hill
2 source records from 2 feeds.
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| PRV-21813 | PRV | 2026-04-10 | Pamela Hillflagged | 1943-02-01 | UHC-49585-16 | 6119927648 | 2806 Forest Ave, Fresno, CA | Rule | 0.99 | D1 member id + dob exact |
| CLM-406211 | CLM | 2026-04-28 | Pamela Hillflagged | 1943-02-01 | UHC-49585-16 | — | 2806 Forest Ave, Fresno, CA | Rule | 0.99 | D1 member id + dob exact |
Evidence
1 scored pair among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶PRV-21813PRVCLM-406211CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: 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
- 2026-10-19 19:54:38Record linked automatically82cc92a747matching_agent, CLM-406211, identity id MBR-025115, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21813
- 2026-10-19 19:54:38Record linked automatically971cef1b57matching_agent, PRV-21813, identity id MBR-025115, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406211
- 2026-10-19 19:52:09Record linked automatically2a2b05978ematching_agent, CLM-406211, identity id MBR-025115, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21813
- 2026-10-19 19:52:09Record linked automatically4affc738acmatching_agent, PRV-21813, identity id MBR-025115, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406211
- 2026-10-19 19:45:42Record linked automaticallyf2fd4d34e2matching_agent, CLM-406211, identity id MBR-025115, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21813
- 2026-10-19 19:45:42Record linked automatically8b8258b406matching_agent, PRV-21813, identity id MBR-025115, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406211
- 2026-10-19 19:32:31Record linked automaticallye8c6a416a9matching_agent, CLM-406211, identity id MBR-025115, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21813
- 2026-10-19 19:32:31Record linked automaticallyc7f0c29f9cmatching_agent, PRV-21813, identity id MBR-025115, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406211
- 2026-10-19 19:31:28Record linked automatically2a689cc8ddscoring_agent, CLM-406211, identity id MBR-027177, confidence 1, method probabilistic, matched record TPA-52763, policy version 1
- 2026-10-19 19:31:28Record linked automatically1d48407f6bscoring_agent, PRV-21813, identity id MBR-010398, confidence 1, method probabilistic, matched record TPA-52717, 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-2026-010228 | 2026-04-06 | Canyon Diagnostic Imaging in network | 70553 | $3,336.00 | $1,234.45 | Approved | Approved |