Gold, golden identity
Ana Mejia
2 source records from 1 feed.
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CLM-411933 | CLM | 2026-05-29 | Ana Mejiaflagged | 1990-02-18 | UHC-35659-03 | — | 8489 River Rd, San Diego, CA | Scored | 1.00 | — |
| CLM-411932 | CLM | 2026-09-12 | Ana Mejiaflagged | 1990-02-18 | — | — | 8489 River Rd, San Diego, CA | Scored | 1.00 | — |
Evidence
1 scored pair among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-411933CLMCLM-411932CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Eligibility conflict resolvedProposedAna Mejia: 2 plan codes across sources → canonical OPTIONS-PPOACT-001193, Eligibility engine
- Orphan claim re-pointedExecutedCLM-411932 → UHC-35659-03 (Ana Mejia)ACT-003470, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically769b222f96scoring_agent, CLM-411932, identity id MBR-032859, confidence 1, method probabilistic, matched record CLM-411933, policy version 1
- 2026-10-19 19:54:38Record linked automatically941bc5ceacscoring_agent, CLM-411933, identity id MBR-032859, confidence 1, method probabilistic, matched record CLM-411932, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyb5fa9349f5scoring_agent, CLM-411932, identity id MBR-032859, confidence 1, method probabilistic, matched record CLM-411933, policy version 1
- 2026-10-19 19:52:09Record linked automaticallybdb6958af9scoring_agent, CLM-411933, identity id MBR-032859, confidence 1, method probabilistic, matched record CLM-411932, policy version 1
- 2026-10-19 19:45:42Record linked automatically51fdf46234scoring_agent, CLM-411932, identity id MBR-032859, confidence 1, method probabilistic, matched record CLM-411933, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyd6f6de77cfscoring_agent, CLM-411933, identity id MBR-032859, confidence 1, method probabilistic, matched record CLM-411932, policy version 1
- 2026-10-19 19:32:31Record linked automatically9c71e31b90scoring_agent, CLM-411932, identity id MBR-032859, confidence 1, method probabilistic, matched record CLM-411933, policy version 1
- 2026-10-19 19:32:31Record linked automatically21e73dc17cscoring_agent, CLM-411933, identity id MBR-032859, confidence 1, method probabilistic, matched record CLM-411932, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyf4f169b46bscoring_agent, CLM-411933, identity id MBR-024497, confidence 1, method probabilistic, matched record CLM-411934, policy version 1
- 2026-10-19 19:31:28Record linked automatically4d9678651dscoring_agent, CLM-411932, identity id MBR-024497, confidence 1, method probabilistic, matched record CLM-411934, 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-2026-008075 | 2026-08-26 | Mesa Imaging Center out of network | 77067, 74177 | $2,055.00 | — | Needs review | Needs review |
| CLM-2026-001606 | 2026-04-19 | Desert Imaging Center in network | 74177, 71046 | $2,191.00 | — | Needs review | Needs review |
| CLM-2026-001605 | 2026-04-19 | Desert Imaging Center in network | 74177, 71046 | $2,191.00 | $0.00 | Approved | Approved |