Gold, golden identity
Rachel Hart
4 source records from 3 feeds.
MBR-029325Verified4 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Rachel
- Middle name—
- —
- Last nameENR
- Hart
- Date of birthENR
- 1963-10-16
- GenderENR
- M
- Member IDENR
- UHC-02912-42
- SSNENR
- •••-••-5214
- PhoneCLM
- 5385025385
- EmailENR
- rachel.hart@proton.me
- AddressENR
- 8973 Indian School Rd
- CityENR
- Houston
- StateENR
- TX
- ZIPENR
- 77055
- GroupENR
- GRP-1043
- PlanENR
- NAVIGATE-HMO
Min confidence
0.99
Sources
TPA ×1CLM ×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 |
|---|---|---|---|---|---|---|---|---|---|---|
| TPA-51457 | TPA | 2026-05-06 | Rachel Hartflagged | 1963-10-16 | UHC-02912-42 | — | — | Rule | 0.99 | D1 member id + dob exact |
| CLM-403356 | CLM | 2026-07-02 | Rachel Hartflagged | 1963-10-16 | UHC-02912-42 | — | 8973 Indian School Rd Apt 4, Houston, TX | Rule | 0.99 | D1 member id + dob exact |
| CLM-403357 | CLM | 2026-09-16 | Rachel Hartflagged | 1963-10-16 | UHC-02912-42 | 5385025385 | — | Rule | 0.99 | D1 member id + dob exact |
| ENR-104366 | ENR | 2026-10-07 | Rachel Hartflagged | 1963-10-16 | UHC-02912-42 | — | 8973 Indian School Rd, Houston, TX | 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 | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶TPA-51457 TPACLM-403356CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶TPA-51457 TPACLM-403357CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-403356CLMCLM-403357CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶TPA-51457 TPAENR-104366ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-403356CLMENR-104366ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-403357CLMENR-104366ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Eligibility conflict resolvedProposedRachel Hart: 2 plan codes across sources → canonical NAVIGATE-HMOACT-001126, Eligibility engine
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically8a89dfa0bematching_agent, ENR-104366, identity id MBR-029325, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51457
- 2026-10-19 19:54:38Record linked automatically713e83d527matching_agent, CLM-403357, identity id MBR-029325, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51457
- 2026-10-19 19:54:38Record linked automatically3012f839afmatching_agent, CLM-403356, identity id MBR-029325, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51457
- 2026-10-19 19:54:38Record linked automatically1d13402033matching_agent, TPA-51457, identity id MBR-029325, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403356
- 2026-10-19 19:52:09Record linked automaticallyf2c7c11b84matching_agent, ENR-104366, identity id MBR-029325, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51457
- 2026-10-19 19:52:09Record linked automaticallyd5deeda5ccmatching_agent, CLM-403357, identity id MBR-029325, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51457
- 2026-10-19 19:52:09Record linked automatically25493fc734matching_agent, CLM-403356, identity id MBR-029325, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51457
- 2026-10-19 19:52:09Record linked automatically154afc48c4matching_agent, TPA-51457, identity id MBR-029325, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403356
- 2026-10-19 19:45:42Record linked automaticallya99b1c7e43matching_agent, ENR-104366, identity id MBR-029325, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51457
- 2026-10-19 19:45:42Record linked automaticallye5b371683dmatching_agent, CLM-403357, identity id MBR-029325, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51457
- 2026-10-19 19:45:42Record linked automatically31ebf2aa0cmatching_agent, CLM-403356, identity id MBR-029325, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51457
- 2026-10-19 19:45:42Record linked automaticallyf77f02ba50matching_agent, TPA-51457, identity id MBR-029325, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403356
- 2026-10-19 19:32:31Record linked automaticallycdbf2d87f1matching_agent, ENR-104366, identity id MBR-029325, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51457
- 2026-10-19 19:32:31Record linked automatically62c7eac3cematching_agent, CLM-403357, identity id MBR-029325, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51457
- 2026-10-19 19:32:31Record linked automatically2f5487e1d6matching_agent, CLM-403356, identity id MBR-029325, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51457
- 2026-10-19 19:32:31Record linked automaticallyb84bacc658matching_agent, TPA-51457, identity id MBR-029325, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403356
- 2026-10-19 19:31:28Record linked automaticallyd1572ea233matching_agent, ENR-104366, identity id MBR-029250, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21015
- 2026-10-19 19:31:28Record linked automatically35bce3eda0scoring_agent, CLM-403356, identity id MBR-018250, confidence 1, method probabilistic, matched record CLM-403357, policy version 1
- 2026-10-19 19:31:28Record linked automatically45d9933f10scoring_agent, CLM-403357, identity id MBR-018250, confidence 1, method probabilistic, matched record CLM-403355, policy version 1
- 2026-10-19 19:31:28Record linked automatically580c8a95a7scoring_agent, TPA-51457, identity id MBR-002560, confidence 1, method probabilistic, matched record CLM-403226, 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-2026-033805 | 2026-09-05 | Harbor Endocrine Associates in network | 99215 | $358.00 | $171.96 | Approved | Approved |
| CLM-2026-005834 | 2026-05-24 | Meadow Medical Group in network | 99203, 99395 | $476.00 | — | Denied | Denied |
| CLM-2026-005833 | 2026-05-24 | Meadow Medical Group in network | 99203, 99395 | $476.00 | $275.12 | Approved | Approved |