Gold, golden identity
James W Wilson
4 source records from 2 feeds.
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- James
- Middle nameENR
- W
- Last nameENR
- Wilson
- Date of birthENR
- 1998-04-08
- GenderENR
- M
- Member IDENR
- UHC-29080-56
- SSNENR
- •••-••-6929
- PhoneENR
- 8372702924
- EmailENR
- james.wilson@outlook.com
- AddressENR
- 1459 Mesa Dr
- CityENR
- Fresno
- StateENR
- CA
- ZIP—
- —
- GroupENR
- GRP-5868
- PlanENR
- NAVIGATE-HMO
Min confidence
0.99
Sources
CLM ×3ENR ×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-420060 | CLM | 2026-04-18 | Jim Wilsonflagged | 1998-04-08 | UHC-29080-56 | 8372702924 | 1459 Mesa Dr, Fresno, CA | Rule | 0.99 | D1 member id + dob exact |
| ENR-126426 | ENR | 2026-04-23 | James Wilsonflagged | 1998-04-08 | UHC-29080-56 | 8372702924 | 1459 Mesa Dr, Fresno, CA | Rule | 0.99 | D1 member id + dob exact |
| CLM-420062 | CLM | 2026-06-22 | James Wilsonflagged | 1998-04-08 | UHC-29080-56 | 8372702924 | 1459 Mesa Dr, Fresno, CA | Rule | 0.99 | D1 member id + dob exact |
| CLM-420061 | CLM | 2026-06-22 | James Wilsonflagged | 1998-04-08 | UHC-29080-56 | 8372702924 | 1459 Mesa Dr, Fresno, CA | Rule | 0.99 | D1 member id + dob exact |
Evidence
6 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-420060CLMCLM-420061CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-126426ENRCLM-420061CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 4Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-420062CLMCLM-420061CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 4Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-420060CLMCLM-420062CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-126426ENRCLM-420062CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 4Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-420060CLMENR-126426ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Care coordination outreachProposedJames Wilson: 3 claims, no attributed providerACT-019334, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automaticallyd6574fb1dcmatching_agent, CLM-420061, identity id MBR-026460, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420060
- 2026-10-19 19:54:38Record linked automaticallya120589ae1matching_agent, CLM-420062, identity id MBR-026460, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420060
- 2026-10-19 19:54:38Record linked automatically78388d83b3matching_agent, ENR-126426, identity id MBR-026460, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420060
- 2026-10-19 19:54:38Record linked automatically7e4f089254matching_agent, CLM-420060, identity id MBR-026460, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126426
- 2026-10-19 19:52:09Record linked automatically162f2cf3c4matching_agent, CLM-420061, identity id MBR-026460, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420060
- 2026-10-19 19:52:09Record linked automatically292e1836f5matching_agent, CLM-420062, identity id MBR-026460, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420060
- 2026-10-19 19:52:09Record linked automaticallyc5db2cba16matching_agent, ENR-126426, identity id MBR-026460, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420060
- 2026-10-19 19:52:09Record linked automatically8acaaa2275matching_agent, CLM-420060, identity id MBR-026460, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126426
- 2026-10-19 19:45:42Record linked automatically3e263950ccmatching_agent, CLM-420061, identity id MBR-026460, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420060
- 2026-10-19 19:45:42Record linked automaticallycaa916c147matching_agent, CLM-420062, identity id MBR-026460, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420060
- 2026-10-19 19:45:42Record linked automaticallyab7e52c2bdmatching_agent, ENR-126426, identity id MBR-026460, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420060
- 2026-10-19 19:45:42Record linked automaticallyffab0ea6d9matching_agent, CLM-420060, identity id MBR-026460, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126426
- 2026-10-19 19:32:31Record linked automaticallyd46ee2680fmatching_agent, CLM-420061, identity id MBR-026460, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420060
- 2026-10-19 19:32:31Record linked automaticallye1b51a3defmatching_agent, CLM-420062, identity id MBR-026460, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420060
- 2026-10-19 19:32:31Record linked automaticallybb10c58a22matching_agent, ENR-126426, identity id MBR-026460, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420060
- 2026-10-19 19:32:31Record linked automaticallyb6e982064dmatching_agent, CLM-420060, identity id MBR-026460, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126426
- 2026-10-19 19:31:28Record linked automatically4234c70a8cmatching_agent, CLM-420060, identity id MBR-034082, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126336
- 2026-10-19 19:31:28Record linked automatically171ada9fafmatching_agent, ENR-126426, identity id MBR-009268, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420129
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-2026-032648 | 2026-06-08 | Sunrise Digestive Health Center in network | 43239, 45378 | $5,058.00 | $1,544.15 | Approved | Approved |
| CLM-2026-019221 | 2026-05-09 | Evergreen Medical Group in network | 90471, 99203 | $255.00 | $138.88 | Approved | Approved |
| CLM-2026-034326 | 2026-04-03 | Lakeside Internal Medicine Associates in network | 93000 | $60.00 | $17.20 | Approved | Approved |