Gold, golden identity
Gary D Thompson
3 source records from 1 feed.
MBR-036507Verified3 records
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-400619 | CLM | 2026-06-28 | Gary Thompsonflagged | 2003-12-24 | UHC-81856-96 | — | 7150 Main St, Miami, FL | Scored | 1.00 | — |
| CLM-400618 | CLM | 2026-09-07 | Gary Thompsonflagged | 2003-12-24 | — | 9834902948 | 7150 Main St, Miami, FL | Scored | 1.00 | — |
| CLM-400617 | CLM | 2026-10-01 | Gry Thompsonflagged | 2003-12-24 | UHC-81856-96 | — | 7150 Main St, Miami, FL | Rule | 0.99 | D1 member id + dob exact |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-400619CLMCLM-400618CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-400619CLMCLM-400617CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-400618CLMCLM-400617CLM0.99Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-400618 → UHC-81856-96 (Gary Thompson)ACT-006559, Claims processor
- Care coordination outreachProposedGary Thompson: 3 claims, no attributed providerACT-019544, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:39Record linked automatically31698b0bf8matching_agent, CLM-400617, identity id MBR-036507, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400619
- 2026-10-19 19:54:39Record linked automatically83d1db3a81scoring_agent, CLM-400618, identity id MBR-036507, confidence 1, method probabilistic, matched record CLM-400619, policy version 1
- 2026-10-19 19:54:39Record linked automatically75bb6f7908scoring_agent, CLM-400619, identity id MBR-036507, confidence 1, method probabilistic, matched record CLM-400618, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyd2a3e966f1matching_agent, CLM-400617, identity id MBR-036507, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400619
- 2026-10-19 19:52:09Record linked automaticallyab519efbc2scoring_agent, CLM-400618, identity id MBR-036507, confidence 1, method probabilistic, matched record CLM-400619, policy version 1
- 2026-10-19 19:52:09Record linked automatically543ca08eaescoring_agent, CLM-400619, identity id MBR-036507, confidence 1, method probabilistic, matched record CLM-400618, policy version 1
- 2026-10-19 19:45:42Record linked automatically69b7ec67d1matching_agent, CLM-400617, identity id MBR-036507, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400619
- 2026-10-19 19:45:42Record linked automatically0045301ecascoring_agent, CLM-400618, identity id MBR-036507, confidence 1, method probabilistic, matched record CLM-400619, policy version 1
- 2026-10-19 19:45:42Record linked automatically8ee9d8109fscoring_agent, CLM-400619, identity id MBR-036507, confidence 1, method probabilistic, matched record CLM-400618, policy version 1
- 2026-10-19 19:32:31Record linked automatically3517c71570matching_agent, CLM-400617, identity id MBR-036507, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400619
- 2026-10-19 19:32:31Record linked automatically824c3e65a0scoring_agent, CLM-400618, identity id MBR-036507, confidence 1, method probabilistic, matched record CLM-400619, policy version 1
- 2026-10-19 19:32:31Record linked automatically9420e2ec2escoring_agent, CLM-400619, identity id MBR-036507, confidence 1, method probabilistic, matched record CLM-400618, policy version 1
- 2026-10-19 19:31:28Record linked automatically8ab5f17fe3matching_agent, CLM-400619, identity id MBR-017203, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100899
- 2026-10-19 19:31:28Record linked automaticallyad34df0a3escoring_agent, CLM-400617, identity id MBR-013341, confidence 1, method probabilistic, matched record ENR-100893, policy version 1
- 2026-10-19 19:31:28Record linked automatically1f68b3b8f0scoring_agent, CLM-400618, identity id MBR-009967, confidence 1, method probabilistic, matched record ENR-100896, 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-2026-026442 | 2026-09-06 | Heritage Primary Care Associates in network | 99213 | $147.00 | $61.14 | Approved | Approved |
| CLM-2026-019688 | 2026-07-30 | Cornerstone Clinical Laboratories in network | 87086, 85025 | $99.00 | $0.00 | Approved | Approved |
| CLM-2026-009499 | 2026-05-21 | Valley Primary Care Associates out of network | 70553 | $3,143.00 | — | Needs review | Needs review |