Gold, golden identity
Donna N Allen
3 source records from 2 feeds.
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Donna
- Middle nameENR
- N
- Last nameENR
- Allen
- Date of birthENR
- 1978-06-17
- GenderENR
- M
- Member IDENR
- UHC-09329-72
- SSNENR
- •••-••-0676
- PhoneENR
- 8384274365
- Email—
- —
- AddressENR
- 8751 Bayshore Dr
- CityENR
- Charlotte
- StateENR
- NC
- ZIPENR
- 28299
- GroupENR
- GRP-3584
- PlanENR
- CHOICE-PLUS-PPO
Min confidence
0.96
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-408493 | CLM | 2026-05-21 | Donna Allenflagged | 1979-06-17 | UHC-09329-72 | 8384274365 | — | Rule | 0.96 | D3 member id + name |
| ENR-111206 | ENR | 2026-05-26 | Donna Allenflagged | 1978-06-17 | UHC-09329-72 | 8384274365 | 8751 Bayshore Dr, Charlotte, NC | Rule | 0.96 | D3 member id + name |
| CLM-408492 | CLM | 2026-10-16 | Donna Allenflagged | — | UHC-09329-72 | 8384274365 | 8751 Bayshore Dr, Charlotte, NC | Rule | 0.96 | D3 member id + name |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶ENR-111206ENRCLM-408492CLM0.96RuleD3 member id + nameAuto-linked
Identifiers agreeing: 4Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-408493CLMCLM-408492CLM0.96RuleD3 member id + nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-408493CLMENR-111206ENR0.96RuleD3 member id + nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Eligibility conflict resolvedProposedDonna Allen: 2 plan codes across sources → canonical CHOICE-PLUS-PPOACT-001168, Eligibility engine
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automaticallyf703a925d2matching_agent, CLM-408492, identity id MBR-031641, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-111206
- 2026-10-19 19:54:38Record linked automatically5b2aab74c1matching_agent, ENR-111206, identity id MBR-031641, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-408492
- 2026-10-19 19:54:38Record linked automatically903f9a40c7matching_agent, CLM-408493, identity id MBR-031641, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-111206
- 2026-10-19 19:52:09Record linked automatically6c8583fbddmatching_agent, CLM-408492, identity id MBR-031641, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-111206
- 2026-10-19 19:52:09Record linked automaticallyd328907d56matching_agent, ENR-111206, identity id MBR-031641, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-408492
- 2026-10-19 19:52:09Record linked automatically8f8b5d72damatching_agent, CLM-408493, identity id MBR-031641, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-111206
- 2026-10-19 19:45:42Record linked automatically46af09c45amatching_agent, CLM-408492, identity id MBR-031641, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-111206
- 2026-10-19 19:45:42Record linked automaticallyee6cdf3675matching_agent, ENR-111206, identity id MBR-031641, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-408492
- 2026-10-19 19:45:42Record linked automatically552087eb29matching_agent, CLM-408493, identity id MBR-031641, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-111206
- 2026-10-19 19:32:31Record linked automatically8ca1341381matching_agent, CLM-408492, identity id MBR-031641, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-111206
- 2026-10-19 19:32:31Record linked automatically4bca6cb12dmatching_agent, ENR-111206, identity id MBR-031641, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-408492
- 2026-10-19 19:32:31Record linked automatically6fec9cf743matching_agent, CLM-408493, identity id MBR-031641, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-111206
- 2026-10-19 19:31:28Record linked automatically7c36e7caeamatching_agent, ENR-111206, identity id MBR-018935, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408508
- 2026-10-19 19:31:28Record linked automatically79e55fc181scoring_agent, CLM-408492, identity id MBR-007860, confidence 1, method probabilistic, matched record TPA-53756, policy version 1
- 2026-10-19 19:31:28Record linked automatically1a8f3d850dscoring_agent, CLM-408493, identity id MBR-007860, confidence 0.93, method probabilistic, matched record PRV-22501, 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-2026-011196 | 2026-09-10 | Mesa Family Practice in network | 99395, 36415 | $287.00 | — | Denied | Denied |
| CLM-2026-011195 | 2026-09-10 | Mesa Family Practice in network | 99395, 36415 | $287.00 | $137.94 | Approved | Approved |
| CLM-2026-010259 | 2026-05-06 | Sunrise Dermatology Clinic out of network | 11102, 17110 | $550.00 | $197.50 | Approved | Approved |