Gold, golden identity
Henry Ross
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-424047 | CLM | 2026-07-10 | Henry Rossflagged | 1987-12-05 | UHC-22131-74 | — | 2139 Spring St, Tucson, AZ | Scored | 1.00 | — |
| CLM-424048 | CLM | 2026-07-10 | Henry Rossflagged | 1987-12-05 | UHC-22131-74 | — | 2139 Spring St, Tucson, AZ | Scored | 1.00 | — |
| CLM-424046 | CLM | 2026-10-12 | Henry Rossflagged | 1987-12-05 | — | — | 2139 Spring St, Tucson, AZ | Scored | 1.00 | — |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-424047CLMCLM-424046CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-424048CLMCLM-424046CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-424047CLMCLM-424048CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-424046 → UHC-22131-74 (Henry Ross)ACT-009918, Claims processor
- Care coordination outreachProposedHenry Ross: 3 claims, no attributed providerACT-019563, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:55Record linked automatically176a0311cdscoring_agent, CLM-424046, identity id MBR-037949, confidence 1, method probabilistic, matched record CLM-424047, policy version 1
- 2026-10-22 12:43:55Record linked automaticallyb05964d6e0scoring_agent, CLM-424048, identity id MBR-037949, confidence 1, method probabilistic, matched record CLM-424046, policy version 1
- 2026-10-22 12:43:55Record linked automatically725dbbe682scoring_agent, CLM-424047, identity id MBR-037949, confidence 1, method probabilistic, matched record CLM-424046, policy version 1
- 2026-10-19 19:54:39Record linked automaticallyd94537307bscoring_agent, CLM-424046, identity id MBR-037949, confidence 1, method probabilistic, matched record CLM-424047, policy version 1
- 2026-10-19 19:54:39Record linked automaticallye0e6792c86scoring_agent, CLM-424048, identity id MBR-037949, confidence 1, method probabilistic, matched record CLM-424046, policy version 1
- 2026-10-19 19:54:39Record linked automatically8df4508e27scoring_agent, CLM-424047, identity id MBR-037949, confidence 1, method probabilistic, matched record CLM-424046, policy version 1
- 2026-10-19 19:52:09Record linked automatically21ec7f0d43scoring_agent, CLM-424046, identity id MBR-037949, confidence 1, method probabilistic, matched record CLM-424047, policy version 1
- 2026-10-19 19:52:09Record linked automatically371dbab858scoring_agent, CLM-424048, identity id MBR-037949, confidence 1, method probabilistic, matched record CLM-424046, policy version 1
- 2026-10-19 19:52:09Record linked automatically0a3747eae8scoring_agent, CLM-424047, identity id MBR-037949, confidence 1, method probabilistic, matched record CLM-424046, policy version 1
- 2026-10-19 19:45:42Record linked automaticallybb10285c33scoring_agent, CLM-424046, identity id MBR-037949, confidence 1, method probabilistic, matched record CLM-424047, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyb268f690c1scoring_agent, CLM-424048, identity id MBR-037949, confidence 1, method probabilistic, matched record CLM-424046, policy version 1
- 2026-10-19 19:45:42Record linked automatically426a87f22bscoring_agent, CLM-424047, identity id MBR-037949, confidence 1, method probabilistic, matched record CLM-424046, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyceb337628bscoring_agent, CLM-424046, identity id MBR-037949, confidence 1, method probabilistic, matched record CLM-424047, policy version 1
- 2026-10-19 19:32:31Record linked automaticallye7265d191cscoring_agent, CLM-424048, identity id MBR-037949, confidence 1, method probabilistic, matched record CLM-424046, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyf8c90e44c5scoring_agent, CLM-424047, identity id MBR-037949, confidence 1, method probabilistic, matched record CLM-424046, policy version 1
- 2026-10-19 19:31:28Record linked automatically8a927a5c2bscoring_agent, CLM-424048, identity id MBR-018689, confidence 0.93, method probabilistic, matched record TPA-60581, policy version 1
- 2026-10-19 19:31:28Record linked automatically1c476d4d62matching_agent, CLM-424046, identity id MBR-003244, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424047
- 2026-10-19 19:31:28Record linked automatically5f52948158matching_agent, CLM-424047, identity id MBR-003244, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131649
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-2026-032696 | 2026-09-12 | Lakeside Medical Group in network | 99214, 90471 | $363.00 | $205.06 | Approved | Approved |
| CLM-2026-025353 | 2026-07-02 | Mesa Cardiovascular Associates in network | 99214 | $291.00 | $140.42 | Approved | Approved |
| CLM-2026-009378 | 2026-06-24 | Summit Clinical Laboratories in network | 80061, 87086 | $113.00 | $0.00 | Approved | Approved |