Gold, golden identity
Cmaila Jimenez
3 source records from 2 feeds.
MBR-043185Verified3 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-406242 | CLM | 2026-09-02 | Cmaila Jimenezflagged | 1975-10-02 | UHC-71123-92 | — | 9655 Meadow Ln # 315, Plano, TX | Rule | 0.99 | D1 member id + dob exact |
| CLM-406241 | CLM | 2026-09-02 | Cmaila Jimenezflagged | 1975-10-02 | UHC-71123-92 | — | 9655 Meadow Ln # 315, Plano, TX | Rule | 0.99 | D1 member id + dob exact |
| PRV-21821 | PRV | 2026-09-15 | Camila Jimanezflagged | 1975-10-02 | UHC-71123-92 | 3483648738 | 9655 Meadow Ln, Plano, TX | 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-406242CLMCLM-406241CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-406242CLMPRV-21821PRV0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-406241CLMPRV-21821PRV0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: 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
- 2026-10-19 19:54:39Record linked automatically35124dd4b1matching_agent, PRV-21821, identity id MBR-043185, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406242
- 2026-10-19 19:54:39Record linked automaticallya884484c58matching_agent, CLM-406241, identity id MBR-043185, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406242
- 2026-10-19 19:54:39Record linked automaticallyb8105c0a8ematching_agent, CLM-406242, identity id MBR-043185, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406241
- 2026-10-19 19:52:09Record linked automatically6f0c653b6dmatching_agent, PRV-21821, identity id MBR-043185, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406242
- 2026-10-19 19:52:09Record linked automaticallyd9c010aea7matching_agent, CLM-406241, identity id MBR-043185, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406242
- 2026-10-19 19:52:09Record linked automatically242a9f3a5bmatching_agent, CLM-406242, identity id MBR-043185, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406241
- 2026-10-19 19:45:42Record linked automaticallyd5e4ee4488matching_agent, PRV-21821, identity id MBR-043185, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406242
- 2026-10-19 19:45:42Record linked automaticallyd6baab694amatching_agent, CLM-406241, identity id MBR-043185, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406242
- 2026-10-19 19:45:42Record linked automatically3378918970matching_agent, CLM-406242, identity id MBR-043185, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406241
- 2026-10-19 19:32:31Record linked automaticallye89ee5018dmatching_agent, PRV-21821, identity id MBR-043185, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406242
- 2026-10-19 19:32:31Record linked automaticallye57f6dc0aematching_agent, CLM-406241, identity id MBR-043185, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406242
- 2026-10-19 19:32:31Record linked automaticallyf9a9a73df7matching_agent, CLM-406242, identity id MBR-043185, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406241
- 2026-10-19 19:31:28Record linked automatically913752b1d4matching_agent, CLM-406242, identity id MBR-036888, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406243
- 2026-10-19 19:31:28Record linked automatically1ba637efc1scoring_agent, PRV-21821, identity id MBR-018498, confidence 1, method probabilistic, matched record CLM-406110, 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-2026-027788 | 2026-08-21 | Unity Digestive Health Center in network | 43239 | $1,761.00 | — | Denied | Denied |
| CLM-2026-008930 | 2026-01-25 | Unity Cardiovascular Associates in network | 99214 | $256.00 | — | Denied | Denied |