Gold, golden identity
Sue Medina
2 source records from 2 feeds.
MBR-030311Verified2 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Sue
- Middle name—
- —
- Last nameENR
- Medina
- Date of birthENR
- 1981-06-01
- GenderENR
- M
- Member IDENR
- UHC-59443-95
- SSNENR
- •••-••-1710
- PhoneENR
- 6126945386
- EmailENR
- susan.medina90@hotmail.com
- AddressENR
- 1573 Willow Ct
- CityENR
- Las Vegas
- StateENR
- NV
- ZIPENR
- 89123
- GroupENR
- GRP-3918
- PlanENR
- CHOICE-PLUS-PPO
Min confidence
0.97
Sources
CLM ×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-423901 | CLM | 2026-05-12 | Susan Medinaflagged | 1981-06-01 | — | — | — | Rule | 0.97 | D2 ssn4 + dob + last name |
| ENR-131267 | ENR | 2026-08-23 | Sue Medinaflagged | 1981-06-01 | UHC-59443-95 | 6126945386 | 1573 Willow Ct, Las Vegas, NV | Rule | 0.97 | D2 ssn4 + dob + last name |
Evidence
1 scored pair among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-423901CLMENR-131267ENR 0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-423901 → UHC-59443-95 (Sue Medina)ACT-006018, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:54Record linked automaticallydc4565e7dfmatching_agent, ENR-131267, identity id MBR-030311, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423901
- 2026-10-22 12:43:54Record linked automaticallyca65cc27f8matching_agent, CLM-423901, identity id MBR-030311, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-131267
- 2026-10-19 19:54:38Record linked automatically619b8bbd8dmatching_agent, ENR-131267, identity id MBR-030311, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423901
- 2026-10-19 19:54:38Record linked automatically6624eccdcematching_agent, CLM-423901, identity id MBR-030311, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-131267
- 2026-10-19 19:52:09Record linked automatically984c73440ematching_agent, ENR-131267, identity id MBR-030311, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423901
- 2026-10-19 19:52:09Record linked automatically54dc83c603matching_agent, CLM-423901, identity id MBR-030311, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-131267
- 2026-10-19 19:45:42Record linked automatically183aaf9293matching_agent, ENR-131267, identity id MBR-030311, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423901
- 2026-10-19 19:45:42Record linked automaticallyf916bcb26cmatching_agent, CLM-423901, identity id MBR-030311, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-131267
- 2026-10-19 19:32:31Record linked automatically1659f04d83matching_agent, ENR-131267, identity id MBR-030311, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423901
- 2026-10-19 19:32:31Record linked automatically2363edea33matching_agent, CLM-423901, identity id MBR-030311, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-131267
- 2026-10-19 19:31:28Record linked automatically2c8db971a1matching_agent, ENR-131267, identity id MBR-034823, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131266
- 2026-10-19 19:31:28Record linked automatically33d6b40f0fmatching_agent, CLM-423901, identity id MBR-030562, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131445
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-2026-017622 | 2026-04-02 | Harbor Family Practice in network | 99214 | $203.00 | — | Denied | Denied |
| CLM-2026-017621 | 2026-04-02 | Harbor Family Practice in network | 99214 | $203.00 | $85.86 | Approved | Approved |