Gold, golden identity
Roger Luna
3 source records from 3 feeds.
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
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-63981 | TPA | 2026-05-13 | Roger Lunaflagged | 1960-10-11 | — | 8308053037 | 2436 Indian School Rd, Miami, FL | Scored | 1.00 | — |
| PRV-29257 | PRV | 2026-05-20 | Roger Lunaflagged | 1960-10-11 | — | 8308053037 | 2436 Indian School Rd, Miami, FL | Scored | 1.00 | — |
| CLM-431666 | CLM | 2026-07-19 | Roger Lunaflagged | 1960-10-11 | — | — | 2436 Indian School Rd, Miami, FL | Scored | 1.00 | — |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶TPA-63981TPACLM-431666CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
▶PRV-29257PRVCLM-431666CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
Actions
What downstream consumers did with this identity
No actions yet
Nothing downstream has consumed this identity.
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically08a56ab2edscoring_agent, CLM-431666, identity id MBR-030531, confidence 1, method probabilistic, matched record TPA-63981, policy version 1
- 2026-10-19 19:54:38Record linked automaticallyaa0f353b76scoring_agent, PRV-29257, identity id MBR-030531, confidence 1, method probabilistic, matched record TPA-63981, policy version 1
- 2026-10-19 19:54:38Record linked automatically10f228ebf1scoring_agent, TPA-63981, identity id MBR-030531, confidence 1, method probabilistic, matched record PRV-29257, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyfe35d6a467scoring_agent, CLM-431666, identity id MBR-030531, confidence 1, method probabilistic, matched record TPA-63981, policy version 1
- 2026-10-19 19:52:09Record linked automatically7686eba715scoring_agent, PRV-29257, identity id MBR-030531, confidence 1, method probabilistic, matched record TPA-63981, policy version 1
- 2026-10-19 19:52:09Record linked automatically9715612a9ascoring_agent, TPA-63981, identity id MBR-030531, confidence 1, method probabilistic, matched record PRV-29257, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyb37dd7f1fascoring_agent, CLM-431666, identity id MBR-030531, confidence 1, method probabilistic, matched record TPA-63981, policy version 1
- 2026-10-19 19:45:42Record linked automatically7a8d713acdscoring_agent, PRV-29257, identity id MBR-030531, confidence 1, method probabilistic, matched record TPA-63981, policy version 1
- 2026-10-19 19:45:42Record linked automatically455e20dc36scoring_agent, TPA-63981, identity id MBR-030531, confidence 1, method probabilistic, matched record PRV-29257, policy version 1
- 2026-10-19 19:32:31Record linked automatically0758d786f2scoring_agent, CLM-431666, identity id MBR-030531, confidence 1, method probabilistic, matched record TPA-63981, policy version 1
- 2026-10-19 19:32:31Record linked automatically47afa784a3scoring_agent, PRV-29257, identity id MBR-030531, confidence 1, method probabilistic, matched record TPA-63981, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyef82f7202escoring_agent, TPA-63981, identity id MBR-030531, confidence 1, method probabilistic, matched record PRV-29257, policy version 1
- 2026-10-19 19:31:28Record linked automatically2240d1c02dscoring_agent, TPA-63981, identity id MBR-021145, confidence 1, method probabilistic, matched record PRV-29307, policy version 1
- 2026-10-19 19:31:28Record linked automaticallye6dacd841cscoring_agent, PRV-29257, identity id MBR-010607, confidence 1, method probabilistic, matched record CLM-431767, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyd9230abbc3matching_agent, CLM-431666, identity id MBR-008347, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-141790
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-2026-004859 | 2026-06-16 | Pinecrest Regional Medical Center out of network | 99283, 71046 | $1,201.00 | — | Needs review | Needs review |
| CLM-2026-004858 | 2026-06-16 | Pinecrest Regional Medical Center out of network | 99283, 71046 | $1,201.00 | $390.45 | Approved | Approved |