Gold, golden identity
Janice K Smith
3 source records from 3 feeds.
MBR-027423Verified3 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Janice
- Middle nameENR
- K
- Last nameENR
- Smith
- Date of birthENR
- 1961-08-04
- GenderPRV
- F
- Member IDENR
- UHC-63818-98
- SSNENR
- •••-••-0122
- PhoneENR
- 7754108884
- Email—
- —
- AddressENR
- 7340 Desert Sky Blvd
- CityENR
- Tucson
- StateENR
- AZ
- ZIPENR
- 85721
- GroupENR
- GRP-2170
- PlanENR
- MEDICARE-ADV-A
Min confidence
1.00
Sources
CLM ×1PRV ×1ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb
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-429965 | CLM | 2026-04-24 | Janice Smithflagged | 1961-08-04 | — | — | 7340 Desert Sky Blvd, Tucson, AZ | Scored | 1.00 | — |
| PRV-28768 | PRV | 2026-08-01 | Janice Smithflagged | 1961-08-04 | — | — | 7340 Desert Sky Blvd, Tucson, AZ | Scored | 1.00 | — |
| ENR-139278 | ENR | 2026-09-05 | Janice Smithflagged | 1961-08-04 | UHC-63818-98 | 7754108884 | 7340 Desert Sky Blvd, Tucson, AZ | Scored | 1.00 | — |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶PRV-28768PRVENR-139278ENR1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-429965CLMPRV-28768PRV1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-429965CLMENR-139278ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-429965 → UHC-63818-98 (Janice Smith)ACT-003030, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:54Record linked automatically5d92d42a66scoring_agent, ENR-139278, identity id MBR-027423, confidence 1, method probabilistic, matched record PRV-28768, policy version 1
- 2026-10-22 12:43:54Record linked automatically43891a3bb8scoring_agent, PRV-28768, identity id MBR-027423, confidence 1, method probabilistic, matched record CLM-429965, policy version 1
- 2026-10-22 12:43:54Record linked automaticallyd1435c9e5fscoring_agent, CLM-429965, identity id MBR-027423, confidence 1, method probabilistic, matched record PRV-28768, policy version 1
- 2026-10-19 19:54:38Record linked automaticallya0d4e453a1scoring_agent, ENR-139278, identity id MBR-027423, confidence 1, method probabilistic, matched record PRV-28768, policy version 1
- 2026-10-19 19:54:38Record linked automaticallya43786d70bscoring_agent, PRV-28768, identity id MBR-027423, confidence 1, method probabilistic, matched record CLM-429965, policy version 1
- 2026-10-19 19:54:38Record linked automatically8db5bb7e2fscoring_agent, CLM-429965, identity id MBR-027423, confidence 1, method probabilistic, matched record PRV-28768, policy version 1
- 2026-10-19 19:52:09Record linked automatically7423038344scoring_agent, ENR-139278, identity id MBR-027423, confidence 1, method probabilistic, matched record PRV-28768, policy version 1
- 2026-10-19 19:52:09Record linked automatically4ee834c61cscoring_agent, PRV-28768, identity id MBR-027423, confidence 1, method probabilistic, matched record CLM-429965, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyf9ea9d1e31scoring_agent, CLM-429965, identity id MBR-027423, confidence 1, method probabilistic, matched record PRV-28768, policy version 1
- 2026-10-19 19:45:42Record linked automatically78fa3ac1c2scoring_agent, ENR-139278, identity id MBR-027423, confidence 1, method probabilistic, matched record PRV-28768, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyc3f2008dc8scoring_agent, PRV-28768, identity id MBR-027423, confidence 1, method probabilistic, matched record CLM-429965, policy version 1
- 2026-10-19 19:45:42Record linked automatically05368be7ebscoring_agent, CLM-429965, identity id MBR-027423, confidence 1, method probabilistic, matched record PRV-28768, policy version 1
- 2026-10-19 19:32:31Record linked automatically06329a7ae7scoring_agent, ENR-139278, identity id MBR-027423, confidence 1, method probabilistic, matched record PRV-28768, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyfdf13e8de0scoring_agent, PRV-28768, identity id MBR-027423, confidence 1, method probabilistic, matched record CLM-429965, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyfefa0d4811scoring_agent, CLM-429965, identity id MBR-027423, confidence 1, method probabilistic, matched record PRV-28768, policy version 1
- 2026-10-19 19:31:28Record linked automatically88aafa0f36matching_agent, ENR-139278, identity id MBR-028027, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139277
- 2026-10-19 19:31:28Record linked automatically5a726d88d1matching_agent, CLM-429965, identity id MBR-015817, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139542
- 2026-10-19 19:31:28Record linked automaticallyc7a60aa782scoring_agent, PRV-28768, identity id MBR-003685, confidence 1, method probabilistic, matched record CLM-429882, 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-2026-006454 | 2026-03-31 | Heritage GI Associates in network | 99214 | $245.00 | $76.90 | Approved | Approved |