Identities/MBR-000020

Gold, golden identity

Deborah Rose

5 source records from 2 feeds.

MBR-000020Verified5 records

Golden record

Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip

First namePRV: Deborah
Middle name—: —
Last namePRV: Rose
Date of birthPRV: 1998-08-11
GenderCLM: M
Member IDCLM: UHC-81029-42
SSNCLM: •••-••-3595
PhoneCLM: 5636687262
EmailPRV: deborah.rose@icloud.com
AddressPRV: 1463 Mountain View Dr
CityPRV: Phoenix
StatePRV: AZ
ZIPPRV: 85039
GroupCLM: GRP-6742
PlanCLM: NAVIGATE-HMO

Min confidence

0.99

Sources

PRV ×1CLM ×4

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
PRV-23932	PRV	2026-01-01	Deborah Roseflagged	1998-08-11	—	—	1463 Mountain View Dr, Phoenix, AZ	Scored	1.00	—
CLM-413552	CLM	2026-02-11	Deborah Roseflagged	1998-08-11	UHC-81029-42	—	1463 Mountain View Dr, Phoenix, AZ	Scored	1.00	—
CLM-413554	CLM	2026-06-08	Deborah Roseflagged	1998-08-11	—	—	1463 Mountain View Dr, Phoenix, AZ	Scored	1.00	—
CLM-413555	CLM	2026-06-19	Deborah Roseflagged	1998-08-11	UHC-81029-42	—	1463 Mountain View Dr, Phoenix, AZ	Scored	1.00	—
CLM-413553	CLM	2026-10-12	Deborah Roseflagged	1998-08-11	UHC-81029-42	5636687262	—	Rule	0.99	D1 member id + dob exact

Evidence

10 scored pairs among these records, expand a row for the per-field comparison

A

B

Score

Method

Rule

Decision

▶PRV-23932PRVCLM-413552CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-23932PRVCLM-413554CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-413552CLMCLM-413554CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-23932PRVCLM-413555CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-413552CLMCLM-413553CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-413555CLMCLM-413553CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-413552CLMCLM-413555CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-413554CLMCLM-413555CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-23932PRVCLM-413553CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-413554CLMCLM-413553CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-413554 → UHC-81029-42 (Deborah Rose)
ACT-002296, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:51Record linked automatically5c1bba16d0
matching_agent, CLM-413553, identity id MBR-000020, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413552
2026-10-22 12:43:51Record linked automatically0dd97545d4
scoring_agent, CLM-413555, identity id MBR-000020, confidence 1, method probabilistic, matched record PRV-23932, policy version 1
2026-10-22 12:43:51Record linked automatically54f227b8d5
scoring_agent, CLM-413554, identity id MBR-000020, confidence 1, method probabilistic, matched record PRV-23932, policy version 1
2026-10-22 12:43:51Record linked automaticallya7dd3a3282
scoring_agent, CLM-413552, identity id MBR-000020, confidence 1, method probabilistic, matched record PRV-23932, policy version 1
2026-10-22 12:43:51Record linked automatically6b8a5d5105
scoring_agent, PRV-23932, identity id MBR-000020, confidence 1, method probabilistic, matched record CLM-413552, policy version 1
2026-10-19 19:54:38Record linked automatically66a1bf1e5a
matching_agent, CLM-413553, identity id MBR-000020, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413552
2026-10-19 19:54:38Record linked automatically65d907a115
scoring_agent, CLM-413555, identity id MBR-000020, confidence 1, method probabilistic, matched record PRV-23932, policy version 1
2026-10-19 19:54:38Record linked automatically5b8da99a27
scoring_agent, CLM-413554, identity id MBR-000020, confidence 1, method probabilistic, matched record PRV-23932, policy version 1
2026-10-19 19:54:38Record linked automatically7a7d79125c
scoring_agent, CLM-413552, identity id MBR-000020, confidence 1, method probabilistic, matched record PRV-23932, policy version 1
2026-10-19 19:54:38Record linked automatically96065ede57
scoring_agent, PRV-23932, identity id MBR-000020, confidence 1, method probabilistic, matched record CLM-413552, policy version 1
2026-10-19 19:52:08Record linked automatically0694ec2d6b
matching_agent, CLM-413553, identity id MBR-000020, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413552
2026-10-19 19:52:08Record linked automaticallyac75f95aa8
scoring_agent, CLM-413555, identity id MBR-000020, confidence 1, method probabilistic, matched record PRV-23932, policy version 1
2026-10-19 19:52:08Record linked automatically51e1f588b9
scoring_agent, CLM-413554, identity id MBR-000020, confidence 1, method probabilistic, matched record PRV-23932, policy version 1
2026-10-19 19:52:08Record linked automaticallyf507e5a64d
scoring_agent, CLM-413552, identity id MBR-000020, confidence 1, method probabilistic, matched record PRV-23932, policy version 1
2026-10-19 19:52:08Record linked automaticallyac9a76a445
scoring_agent, PRV-23932, identity id MBR-000020, confidence 1, method probabilistic, matched record CLM-413552, policy version 1
2026-10-19 19:45:41Record linked automatically9400767fc6
matching_agent, CLM-413553, identity id MBR-000020, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413552
2026-10-19 19:45:41Record linked automatically1d2270094e
scoring_agent, CLM-413555, identity id MBR-000020, confidence 1, method probabilistic, matched record PRV-23932, policy version 1
2026-10-19 19:45:41Record linked automaticallyf09f9787b7
scoring_agent, CLM-413554, identity id MBR-000020, confidence 1, method probabilistic, matched record PRV-23932, policy version 1
2026-10-19 19:45:41Record linked automatically6b428a9ba7
scoring_agent, CLM-413552, identity id MBR-000020, confidence 1, method probabilistic, matched record PRV-23932, policy version 1
2026-10-19 19:45:41Record linked automatically79c14c27e7
scoring_agent, PRV-23932, identity id MBR-000020, confidence 1, method probabilistic, matched record CLM-413552, policy version 1
2026-10-19 19:32:30Record linked automatically8c710189f9
matching_agent, CLM-413553, identity id MBR-000020, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413552
2026-10-19 19:32:30Record linked automaticallycff946009f
scoring_agent, CLM-413555, identity id MBR-000020, confidence 1, method probabilistic, matched record PRV-23932, policy version 1
2026-10-19 19:32:30Record linked automaticallya337ccbb5e
scoring_agent, CLM-413554, identity id MBR-000020, confidence 1, method probabilistic, matched record PRV-23932, policy version 1
2026-10-19 19:32:30Record linked automatically48d4362adf
scoring_agent, CLM-413552, identity id MBR-000020, confidence 1, method probabilistic, matched record PRV-23932, policy version 1
2026-10-19 19:32:30Record linked automatically93b5f379f9
scoring_agent, PRV-23932, identity id MBR-000020, confidence 1, method probabilistic, matched record CLM-413552, policy version 1
2026-10-19 19:31:28Record linked automaticallye139fadfa4
scoring_agent, CLM-413552, identity id MBR-014284, confidence 1.00, method probabilistic, matched record ENR-117850, policy version 1
2026-10-19 19:31:28Record linked automaticallydece4417ce
scoring_agent, CLM-413554, identity id MBR-009453, confidence 1, method probabilistic, matched record PRV-23995, policy version 1
2026-10-19 19:31:28Record linked automatically3b16255f6f
matching_agent, CLM-413555, identity id MBR-007662, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117855
2026-10-19 19:31:28Record linked automaticallyba8db6b6b1
scoring_agent, PRV-23932, identity id MBR-006577, confidence 1, method probabilistic, matched record CLM-413409, policy version 1
2026-10-19 19:31:28Record linked automatically914562b531
scoring_agent, CLM-413553, identity id MBR-005179, confidence 1, method probabilistic, matched record TPA-55911, 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-2026-030347	2026-09-07	Unity Digestive Health Center in network	99214	$256.00	$83.72	Approved	Approved
CLM-2026-005665	2026-01-16	Summit Regional Medical Center in network	71046, 96374, 99283	$1,090.00	—	Denied	Denied
CLM-2026-003605	2026-04-29	Evergreen Medical Group out of network	70553	$3,446.00	—	Denied	Denied
CLM-2026-020056	2026-01-31	Canyon Cardiovascular Associates in network	93306	$1,189.00	—	Needs review	Needs review
CLM-2026-020055	2026-01-31	Canyon Cardiovascular Associates in network	93306	$1,189.00	$285.44	Approved	Approved