Gold, golden identity
Janice M West
3 source records from 2 feeds.
MBR-028301Verified3 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
- M
- Last nameCLM
- West
- Date of birthENR
- 1946-05-25
- GenderCLM
- M
- Member IDENR
- UHC-30537-94
- SSNCLM
- •••-••-3153
- PhoneENR
- 7406652820
- EmailENR
- janice.west@hotmail.com
- AddressENR
- 207 Meadow Ln
- CityENR
- Chandler
- StateENR
- AZ
- ZIPCLM
- 85257
- GroupENR
- GRP-8263
- PlanENR
- OPTIONS-PPO
Min confidence
0.93
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-418712 | CLM | 2026-04-29 | Janice Westflagged | 1946-05-25 | UHC-30537-94 | — | 207 Meadow Ln, Chandler, AZ | Rule | 0.99 | D1 member id + dob exact |
| ENR-124627 | ENR | 2026-06-30 | Janice Wetsflagged | 1946-05-25 | UHC-30537-94 | 7406652820 | 207 Meadow Ln, Chandler, AZ | Rule | 0.99 | D1 member id + dob exact |
| CLM-418711 | CLM | 2026-09-28 | Janice Westflagged | 1946-05-25 | — | 7406652820 | 207 Meadow Ln, Chandler, AZ | Scored | 0.93 | — |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-418712CLMENR-124627ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-418712CLMCLM-418711CLM0.93Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶ENR-124627ENRCLM-418711CLM0.92Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-418711 → UHC-30537-94 (Janice West)ACT-006482, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically2abfe78021scoring_agent, CLM-418711, identity id MBR-028301, confidence 0.93, method probabilistic, matched record CLM-418712, policy version 1
- 2026-10-19 19:54:38Record linked automaticallybf9e520697matching_agent, ENR-124627, identity id MBR-028301, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418712
- 2026-10-19 19:54:38Record linked automatically5790cb7ce9matching_agent, CLM-418712, identity id MBR-028301, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124627
- 2026-10-19 19:52:09Record linked automatically35156ec8bfscoring_agent, CLM-418711, identity id MBR-028301, confidence 0.93, method probabilistic, matched record CLM-418712, policy version 1
- 2026-10-19 19:52:09Record linked automatically59751c82ebmatching_agent, ENR-124627, identity id MBR-028301, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418712
- 2026-10-19 19:52:09Record linked automaticallyb046dcfefcmatching_agent, CLM-418712, identity id MBR-028301, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124627
- 2026-10-19 19:45:42Record linked automatically4a553d467bscoring_agent, CLM-418711, identity id MBR-028301, confidence 0.93, method probabilistic, matched record CLM-418712, policy version 1
- 2026-10-19 19:45:42Record linked automatically31a13a2a04matching_agent, ENR-124627, identity id MBR-028301, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418712
- 2026-10-19 19:45:42Record linked automatically598c2a2e58matching_agent, CLM-418712, identity id MBR-028301, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124627
- 2026-10-19 19:32:31Record linked automatically9e5f90fbd3scoring_agent, CLM-418711, identity id MBR-028301, confidence 0.93, method probabilistic, matched record CLM-418712, policy version 1
- 2026-10-19 19:32:31Record linked automatically003ec91a5amatching_agent, ENR-124627, identity id MBR-028301, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418712
- 2026-10-19 19:32:31Record linked automatically9d64baaee5matching_agent, CLM-418712, identity id MBR-028301, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124627
- 2026-10-19 19:31:28Record linked automaticallyc366f285a2matching_agent, CLM-418711, identity id MBR-016481, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418712
- 2026-10-19 19:31:28Record linked automatically7e545e9059matching_agent, CLM-418712, identity id MBR-016481, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418711
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-2026-019398 | 2026-08-23 | Lakeside Bone and Joint Center in network | 73721, 29881 | $10,611.00 | $3,267.43 | Approved | Approved |
| CLM-2026-017453 | 2026-04-22 | Evergreen Medical Group in network | 99203 | $228.00 | $101.36 | Approved | Approved |