Gold, golden identity
Carlos G Young
3 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-405037 | CLM | 2026-06-16 | Carlos Youngflagged | 2004-11-02 | UHC-07597-48 | — | 5970 Main St, Columbus, OH | Scored | 1.00 | — |
| CLM-405036 | CLM | 2026-06-18 | Carlos Youngflagged | 2004-11-02 | — | 6827887515 | 5970 Main St, Columbus, OH | Scored | 1.00 | — |
| CLM-405035 | CLM | 2026-07-22 | Carlos Youngflagged | 2004-11-02 | — | 6827887515 | 5970 Main St, Columbus, OH | Scored | 0.94 | — |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-405037CLMCLM-405036CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-405036CLMCLM-405035CLM0.94Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-405037CLMCLM-405035CLM0.93Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-405036 → UHC-07597-48 (Carlos Young)ACT-008818, Claims processor
- Orphan claim re-pointedExecutedCLM-405035 → UHC-07597-48 (Carlos Young)ACT-009753, Claims processor
- Care coordination outreachProposedCarlos Young: 3 claims, no attributed providerACT-019530, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:55Record linked automatically41e19d4cafscoring_agent, CLM-405035, identity id MBR-035139, confidence 0.94, method probabilistic, matched record CLM-405036, policy version 1
- 2026-10-22 12:43:55Record linked automaticallyf3e6b8972bscoring_agent, CLM-405036, identity id MBR-035139, confidence 1, method probabilistic, matched record CLM-405037, policy version 1
- 2026-10-22 12:43:55Record linked automatically317ec77f8ascoring_agent, CLM-405037, identity id MBR-035139, confidence 1, method probabilistic, matched record CLM-405036, policy version 1
- 2026-10-19 19:54:39Record linked automaticallyaa0205374fscoring_agent, CLM-405035, identity id MBR-035139, confidence 0.94, method probabilistic, matched record CLM-405036, policy version 1
- 2026-10-19 19:54:39Record linked automatically3ee2a4bdccscoring_agent, CLM-405036, identity id MBR-035139, confidence 1, method probabilistic, matched record CLM-405037, policy version 1
- 2026-10-19 19:54:39Record linked automatically0bef7dc145scoring_agent, CLM-405037, identity id MBR-035139, confidence 1, method probabilistic, matched record CLM-405036, policy version 1
- 2026-10-19 19:52:09Record linked automatically131fd93772scoring_agent, CLM-405035, identity id MBR-035139, confidence 0.94, method probabilistic, matched record CLM-405036, policy version 1
- 2026-10-19 19:52:09Record linked automaticallydbf9d003c1scoring_agent, CLM-405036, identity id MBR-035139, confidence 1, method probabilistic, matched record CLM-405037, policy version 1
- 2026-10-19 19:52:09Record linked automatically77031250d6scoring_agent, CLM-405037, identity id MBR-035139, confidence 1, method probabilistic, matched record CLM-405036, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyf4de7f2b41scoring_agent, CLM-405035, identity id MBR-035139, confidence 0.94, method probabilistic, matched record CLM-405036, policy version 1
- 2026-10-19 19:45:42Record linked automaticallydf1b09d35fscoring_agent, CLM-405036, identity id MBR-035139, confidence 1, method probabilistic, matched record CLM-405037, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyf703b6130ascoring_agent, CLM-405037, identity id MBR-035139, confidence 1, method probabilistic, matched record CLM-405036, policy version 1
- 2026-10-19 19:32:31Record linked automatically6f08db7cdbscoring_agent, CLM-405035, identity id MBR-035139, confidence 0.94, method probabilistic, matched record CLM-405036, policy version 1
- 2026-10-19 19:32:31Record linked automatically66e86aa468scoring_agent, CLM-405036, identity id MBR-035139, confidence 1, method probabilistic, matched record CLM-405037, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyd5bace4555scoring_agent, CLM-405037, identity id MBR-035139, confidence 1, method probabilistic, matched record CLM-405036, policy version 1
- 2026-10-19 19:31:28Record linked automatically9e722ebd91scoring_agent, CLM-405036, identity id MBR-008018, confidence 1, method probabilistic, matched record TPA-52256, policy version 1
- 2026-10-19 19:31:28Record linked automatically1e3512db03scoring_agent, CLM-405037, identity id MBR-004606, confidence 1, method probabilistic, matched record TPA-52257, policy version 1
- 2026-10-19 19:31:28Record linked automatically8c755e3f17matching_agent, CLM-405035, identity id MBR-003575, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405034
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-2026-031996 | 2026-07-13 | Mesa Family Practice in network | 99213 | $140.00 | $46.80 | Approved | Approved |
| CLM-2026-028307 | 2026-06-16 | Northgate Medical Group in network | 99213, 90471 | $219.00 | $95.78 | Approved | Approved |
| CLM-2026-028904 | 2026-05-23 | Harbor Primary Care Associates out of network | 90471, 99214, 99213 | $495.00 | — | Denied | Denied |