Gold, golden identity
Joan Phillips
3 source records from 2 feeds.
MBR-046140Verified3 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-409263 | CLM | 2026-10-09 | Joan Phillipsflagged | 1945-04-28 | UHC-75598-35 | — | 1773 Mesa Dr, Austin, TX | Scored | 1.00 | — |
| CLM-409264 | CLM | 2026-10-09 | Joan Phillipsflagged | 1945-04-28 | UHC-75598-35 | — | 1773 Mesa Dr, Austin, TX | Scored | 1.00 | — |
| TPA-54024 | TPA | 2026-10-18 | Joan Phillipsflagged | 1945-04-28 | — | 6826829052 | 1773 Mesa Dr, Austin, TX | 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-409263CLMTPA-54024 TPA1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-409264CLMTPA-54024 TPA1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-409263CLMCLM-409264CLM0.99RuleD1 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
- 2026-10-19 19:54:39Record linked automatically6ef3450ed0scoring_agent, TPA-54024, identity id MBR-046140, confidence 1, method probabilistic, matched record CLM-409263, policy version 1
- 2026-10-19 19:54:39Record linked automaticallye19c1c6f39scoring_agent, CLM-409264, identity id MBR-046140, confidence 1, method probabilistic, matched record TPA-54024, policy version 1
- 2026-10-19 19:54:39Record linked automatically786e638943scoring_agent, CLM-409263, identity id MBR-046140, confidence 1, method probabilistic, matched record TPA-54024, policy version 1
- 2026-10-19 19:52:09Record linked automatically333f7c9d87scoring_agent, TPA-54024, identity id MBR-046140, confidence 1, method probabilistic, matched record CLM-409263, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyd7b6bb78c9scoring_agent, CLM-409264, identity id MBR-046140, confidence 1, method probabilistic, matched record TPA-54024, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyf148d4596bscoring_agent, CLM-409263, identity id MBR-046140, confidence 1, method probabilistic, matched record TPA-54024, policy version 1
- 2026-10-19 19:45:42Record linked automatically0911b035f7scoring_agent, TPA-54024, identity id MBR-046140, confidence 1, method probabilistic, matched record CLM-409263, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyce8100c326scoring_agent, CLM-409264, identity id MBR-046140, confidence 1, method probabilistic, matched record TPA-54024, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyfa320199acscoring_agent, CLM-409263, identity id MBR-046140, confidence 1, method probabilistic, matched record TPA-54024, policy version 1
- 2026-10-19 19:32:31Record linked automaticallye204ad5efcscoring_agent, TPA-54024, identity id MBR-046140, confidence 1, method probabilistic, matched record CLM-409263, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyced3dfb3fcscoring_agent, CLM-409264, identity id MBR-046140, confidence 1, method probabilistic, matched record TPA-54024, policy version 1
- 2026-10-19 19:32:31Record linked automaticallycb31cd621dscoring_agent, CLM-409263, identity id MBR-046140, confidence 1, method probabilistic, matched record TPA-54024, policy version 1
- 2026-10-19 19:31:28Record linked automatically8ac4317616scoring_agent, CLM-409263, identity id MBR-025200, confidence 0.99, method probabilistic, matched record TPA-54130, policy version 1
- 2026-10-19 19:31:28Record linked automatically0f06f44fb9scoring_agent, TPA-54024, identity id MBR-004983, confidence 0.99, method probabilistic, matched record ENR-111926, policy version 1
- 2026-10-19 19:31:28Record linked automatically56e8b959b8matching_agent, CLM-409264, identity id MBR-000963, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112212
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-2026-033895 | 2026-09-14 | Sunrise Community Hospital out of network | 99285 | $1,754.00 | $439.30 | Approved | Approved |
| CLM-2026-007571 | 2026-09-13 | Evergreen Medical Group in network | 99203 | $193.00 | $99.66 | Approved | Approved |