Identities/MBR-000234
Gold, golden identity

Pamela Matthews

5 source records from 2 feeds.

MBR-000234Verified5 records

Golden record

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

First nameCLM
Pamela
Middle name—
—
Last nameCLM
Matthews
Date of birthCLM
1990-07-12
GenderCLM
F
Member IDCLM
UHC-37090-99
SSNTPA
•••-••-5282
PhoneCLM
3643573993
Email—
—
AddressCLM
7195 Sage Ct
CityCLM
Houston
StateCLM
TX
ZIPCLM
77026
GroupCLM
GRP-5198
PlanCLM
OPTIONS-PPO
Min confidence
0.99
Sources
CLM ×4TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

0.990.991.001.001.00CLMCLM-407400CLMCLM-407401CLMCLM-407402TPATPA-53253CLMCLM-407399IDMBR-000234
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
CLM-407400CLM2026-01-01Matthews Pamelaflagged1990-07-12UHC-37090-99—7195 Sage Ct, Houston, TXRule0.99D1 member id + dob exact
CLM-407401CLM2026-01-01Matthews Pamelaflagged1990-07-12UHC-37090-99—7195 Sage Ct, Houston, TXRule0.99D1 member id + dob exact
CLM-407402CLM2026-04-28Pamela Matthewsflagged1990-07-12UHC-37090-9936435739937195 Sage Ct # 397, Houston, TXScored1.00—
TPA-53253TPA2026-05-24Pamela Matthewsflagged1990-07-12——7195 Sage Ct, Houston, TXScored1.00—
CLM-407399CLM2026-07-07Pamela Matthewsflagged1990-07-12—36435739937195 Sage Ct, Houston, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-407402CLMCLM-407399CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-53253TPA CLM-407399CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407402CLMTPA-53253TPA 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407400CLMCLM-407401CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407400CLMCLM-407402CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407401CLMCLM-407402CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-407399 → UHC-37090-99 (Pamela Matthews)
    ACT-004586, Claims processor
  • Care coordination outreachProposed
    Pamela Matthews: 4 claims, no attributed provider
    ACT-017785, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically04f97a54be
    scoring_agent, CLM-407399, identity id MBR-000234, confidence 1, method probabilistic, matched record CLM-407402, policy version 1
  • 2026-10-19 19:54:38Record linked automatically7905f7b4fe
    scoring_agent, TPA-53253, identity id MBR-000234, confidence 1, method probabilistic, matched record CLM-407402, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6161193775
    scoring_agent, CLM-407402, identity id MBR-000234, confidence 1, method probabilistic, matched record TPA-53253, policy version 1
  • 2026-10-19 19:54:38Record linked automatically046a478e50
    matching_agent, CLM-407401, identity id MBR-000234, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407400
  • 2026-10-19 19:54:38Record linked automaticallyefa1e5662f
    matching_agent, CLM-407400, identity id MBR-000234, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407401
  • 2026-10-19 19:52:08Record linked automatically6b26470703
    scoring_agent, CLM-407399, identity id MBR-000234, confidence 1, method probabilistic, matched record CLM-407402, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallya1ddab677f
    scoring_agent, TPA-53253, identity id MBR-000234, confidence 1, method probabilistic, matched record CLM-407402, policy version 1
  • 2026-10-19 19:52:08Record linked automatically2f69939cbb
    scoring_agent, CLM-407402, identity id MBR-000234, confidence 1, method probabilistic, matched record TPA-53253, policy version 1
  • 2026-10-19 19:52:08Record linked automatically502f12ed6e
    matching_agent, CLM-407401, identity id MBR-000234, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407400
  • 2026-10-19 19:52:08Record linked automaticallyb72714c4cb
    matching_agent, CLM-407400, identity id MBR-000234, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407401
  • 2026-10-19 19:45:41Record linked automaticallybace6b3b16
    scoring_agent, CLM-407399, identity id MBR-000234, confidence 1, method probabilistic, matched record CLM-407402, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyfe2cfa2cfc
    scoring_agent, TPA-53253, identity id MBR-000234, confidence 1, method probabilistic, matched record CLM-407402, policy version 1
  • 2026-10-19 19:45:41Record linked automatically92a5948aaa
    scoring_agent, CLM-407402, identity id MBR-000234, confidence 1, method probabilistic, matched record TPA-53253, policy version 1
  • 2026-10-19 19:45:41Record linked automatically8a20c3c33f
    matching_agent, CLM-407401, identity id MBR-000234, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407400
  • 2026-10-19 19:45:41Record linked automatically156614b667
    matching_agent, CLM-407400, identity id MBR-000234, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407401
  • 2026-10-19 19:32:31Record linked automatically7b00b5a326
    scoring_agent, CLM-407399, identity id MBR-000234, confidence 1, method probabilistic, matched record CLM-407402, policy version 1
  • 2026-10-19 19:32:31Record linked automatically20650fee77
    scoring_agent, TPA-53253, identity id MBR-000234, confidence 1, method probabilistic, matched record CLM-407402, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyda8458d57b
    scoring_agent, CLM-407402, identity id MBR-000234, confidence 1, method probabilistic, matched record TPA-53253, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyab08844912
    matching_agent, CLM-407401, identity id MBR-000234, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407400
  • 2026-10-19 19:32:31Record linked automaticallyc99c2e8c90
    matching_agent, CLM-407400, identity id MBR-000234, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407401
  • 2026-10-19 19:31:28Record linked automatically4788ea43b8
    scoring_agent, CLM-407402, identity id MBR-024587, confidence 1, method probabilistic, matched record ENR-109692, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7e826a0110
    matching_agent, CLM-407399, identity id MBR-015746, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407400
  • 2026-10-19 19:31:28Record linked automaticallybe4bcc53fd
    matching_agent, CLM-407400, identity id MBR-015746, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-53257
  • 2026-10-19 19:31:28Record linked automatically188fc70c3d
    matching_agent, CLM-407401, identity id MBR-006119, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-109690

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0123442026-06-27Meadow Family Practice
in network
36415, 99214, 99213$505.00$304.42ApprovedApproved
CLM-2026-0183402026-04-26Meadow Diagnostic Imaging
out of network
76700, 70553$2,422.00—Needs reviewNeeds review
CLM-2026-0224922025-11-19Cornerstone Cardiovascular Associates
in network
93306$1,078.00—Needs reviewNeeds review
CLM-2026-0258212025-12-24Harbor Reference Lab
in network
87086$52.00$0.00ApprovedApproved
CLM-2026-0224912025-11-19Meadow Heart Institute
in network
93306$1,078.00$0.00ApprovedApproved