Gold, golden identity
Madison M Cole
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-415131 | CLM | 2026-07-01 | Madison Coleflagged | 1952-05-22 | UHC-18386-41 | — | 2211 Central Ave, Plano, TX | Rule | 0.99 | D1 member id + dob exact |
| CLM-415130 | CLM | 2026-07-01 | Madison Coleflagged | 1952-05-22 | UHC-18386-41 | — | 2211 Central Ave, Plano, TX | Rule | 0.99 | D1 member id + dob exact |
Evidence
1 scored pair among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-415131CLMCLM-415130CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: 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
- 2026-10-22 12:43:55Record linked automaticallye4ecf678c4matching_agent, CLM-415130, identity id MBR-036907, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415131
- 2026-10-22 12:43:55Record linked automatically2dfde44f7amatching_agent, CLM-415131, identity id MBR-036907, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415130
- 2026-10-19 19:54:39Record linked automatically520cad11cematching_agent, CLM-415130, identity id MBR-036907, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415131
- 2026-10-19 19:54:39Record linked automaticallyfca5ddfe2cmatching_agent, CLM-415131, identity id MBR-036907, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415130
- 2026-10-19 19:52:09Record linked automatically7d06f69f11matching_agent, CLM-415130, identity id MBR-036907, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415131
- 2026-10-19 19:52:09Record linked automatically43469dd0d6matching_agent, CLM-415131, identity id MBR-036907, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415130
- 2026-10-19 19:45:42Record linked automaticallyf4f23d6b75matching_agent, CLM-415130, identity id MBR-036907, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415131
- 2026-10-19 19:45:42Record linked automatically792443da1cmatching_agent, CLM-415131, identity id MBR-036907, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415130
- 2026-10-19 19:32:31Record linked automatically0bc3c30fdcmatching_agent, CLM-415130, identity id MBR-036907, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415131
- 2026-10-19 19:32:31Record linked automatically09fb3906f6matching_agent, CLM-415131, identity id MBR-036907, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415130
- 2026-10-19 19:31:28Record linked automatically14d947f599matching_agent, CLM-415130, identity id MBR-026960, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119812
- 2026-10-19 19:31:28Record linked automaticallydfcdc2b647scoring_agent, CLM-415131, identity id MBR-013832, confidence 0.99, method probabilistic, matched record CLM-415132, 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-2026-012434 | 2026-05-23 | Valley Cardiovascular Associates in network | 99214 | $241.00 | — | Denied | Denied |
| CLM-2026-027212 | 2026-03-18 | Heritage Physical Therapy in network | 97110 | $267.00 | — | Denied | Denied |
| CLM-2026-012433 | 2026-05-23 | Valley Cardiovascular Associates in network | 99214 | $241.00 | $89.42 | Approved | Approved |