Gold, golden identity
Jean Ward
4 source records from 2 feeds.
MBR-028505Verified4 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Jean
- Middle name—
- —
- Last nameENR
- Ward
- Date of birthENR
- 1942-05-13
- GenderENR
- F
- Member IDENR
- UHC-69881-24
- SSNENR
- •••-••-1464
- PhoneCLM
- 7902441502
- EmailENR
- jean.ward@gmail.com
- AddressENR
- 2434 River Rd
- CityENR
- San Diego
- StateENR
- CA
- ZIPENR
- 92146
- GroupENR
- GRP-5819
- PlanENR
- OPTIONS-PPO
Min confidence
0.97
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-406571 | CLM | 2026-04-30 | Jean Wardflagged | 1942-05-13 | — | 7902441502 | 2434 River Rd # 772, San Diego, CA | Scored | 1.00 | — |
| CLM-406572 | CLM | 2026-05-15 | Jean Wardflagged | 1942-05-13 | — | 7902441502 | 2434 River Rd, San Diego, CA | Rule | 0.97 | D2 ssn4 + dob + last name |
| ENR-108613 | ENR | 2026-07-27 | Jean Wardflagged | 1942-05-13 | UHC-69881-24 | — | 2434 River Rd, San Diego, CA | Scored | 1.00 | — |
| CLM-406570 | CLM | 2026-08-08 | Jean Wardflagged | 1942-05-13 | — | — | 2434 River Rd, San Diego, CA | Scored | 1.00 | — |
Evidence
6 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-406571CLMCLM-406570CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-108613ENRCLM-406570CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-406571CLMENR-108613ENR1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-406572CLMENR-108613ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-406571CLMCLM-406572CLM0.94Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-406572CLMCLM-406570CLM0.93Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-406572 → UHC-69881-24 (Jean Ward)ACT-004648, Claims processor
- Orphan claim re-pointedExecutedCLM-406571 → UHC-69881-24 (Jean Ward)ACT-007774, Claims processor
- Orphan claim re-pointedExecutedCLM-406570 → UHC-69881-24 (Jean Ward)ACT-009962, Claims processor
- Care coordination outreachProposedJean Ward: 3 claims, no attributed providerACT-019412, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically520ee3aee6scoring_agent, CLM-406570, identity id MBR-028505, confidence 1, method probabilistic, matched record CLM-406571, policy version 1
- 2026-10-19 19:54:38Record linked automatically5697e98d23scoring_agent, ENR-108613, identity id MBR-028505, confidence 1, method probabilistic, matched record CLM-406571, policy version 1
- 2026-10-19 19:54:38Record linked automatically9ab7839009matching_agent, CLM-406572, identity id MBR-028505, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-108613
- 2026-10-19 19:54:38Record linked automaticallyc34049dfabscoring_agent, CLM-406571, identity id MBR-028505, confidence 1, method probabilistic, matched record ENR-108613, policy version 1
- 2026-10-19 19:52:09Record linked automatically80d7133a0cscoring_agent, CLM-406570, identity id MBR-028505, confidence 1, method probabilistic, matched record CLM-406571, policy version 1
- 2026-10-19 19:52:09Record linked automatically01c9474744scoring_agent, ENR-108613, identity id MBR-028505, confidence 1, method probabilistic, matched record CLM-406571, policy version 1
- 2026-10-19 19:52:09Record linked automatically39753ea184matching_agent, CLM-406572, identity id MBR-028505, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-108613
- 2026-10-19 19:52:09Record linked automatically221b06a009scoring_agent, CLM-406571, identity id MBR-028505, confidence 1, method probabilistic, matched record ENR-108613, policy version 1
- 2026-10-19 19:45:42Record linked automatically14e1170d45scoring_agent, CLM-406570, identity id MBR-028505, confidence 1, method probabilistic, matched record CLM-406571, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyad7141a08ascoring_agent, ENR-108613, identity id MBR-028505, confidence 1, method probabilistic, matched record CLM-406571, policy version 1
- 2026-10-19 19:45:42Record linked automatically9146f3f7b1matching_agent, CLM-406572, identity id MBR-028505, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-108613
- 2026-10-19 19:45:42Record linked automatically2eb5c8bce5scoring_agent, CLM-406571, identity id MBR-028505, confidence 1, method probabilistic, matched record ENR-108613, policy version 1
- 2026-10-19 19:32:31Record linked automatically26b64ae013scoring_agent, CLM-406570, identity id MBR-028505, confidence 1, method probabilistic, matched record CLM-406571, policy version 1
- 2026-10-19 19:32:31Record linked automatically00dde14350scoring_agent, ENR-108613, identity id MBR-028505, confidence 1, method probabilistic, matched record CLM-406571, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyfb6bdeb160matching_agent, CLM-406572, identity id MBR-028505, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-108613
- 2026-10-19 19:32:31Record linked automatically13e06874d5scoring_agent, CLM-406571, identity id MBR-028505, confidence 1, method probabilistic, matched record ENR-108613, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyd1a7234e33scoring_agent, CLM-406572, identity id MBR-041308, confidence 1, method probabilistic, matched record ENR-108625, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyea4bd606a3matching_agent, CLM-406571, identity id MBR-031025, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108624
- 2026-10-19 19:31:28Record linked automatically45da63135amatching_agent, CLM-406570, identity id MBR-011758, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108623
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-2026-032847 | 2026-07-11 | Valley Community Hospital out of network | 71046 | $191.00 | $0.00 | Approved | Approved |
| CLM-2026-012569 | 2026-04-16 | Summit Reference Lab in network | 80053 | $47.00 | — | Needs review | Needs review |
| CLM-2026-024388 | 2026-04-12 | Lakeside Medical Group out of network | 90471, 99395 | $360.00 | $145.35 | Approved | Approved |