Susan C Hamilton

4 source records from 3 feeds.

MBR-000414Verified4 records

Golden record

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

First nameENR: Susan
Middle namePRV: C
Last nameENR: Hamilton
Date of birthENR: 1983-12-09
GenderPRV: F
Member IDENR: UHC-49973-47
SSNENR: •••-••-2250
PhoneENR: 9683469728
EmailPRV: susan.hamilton@aol.com
AddressENR: 4288 Church St
CityENR: Sacramento
StateENR: CA
ZIP—: —
GroupENR: GRP-7961
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.99

Sources

PRV ×1ENR ×1CLM ×2

Updated

2026-10-19 19:54:36

run-mvfoap9e

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-28431	PRV	2026-01-02	Susan Hamiltonflagged	1983-12-09	—	9683469728	4288 Church St # 742, Sacramento, CA	Scored	1.00	—
ENR-137647	ENR	2026-07-21	Susan Hamiltonflagged	1983-12-09	UHC-49973-47	9683469728	4288 Church St, Sacramento, CA	Scored	1.00	—
CLM-428700	CLM	2026-08-26	Susan Hamiltonflagged	1983-12-09	UHC-49973-47	—	4288 Church St, Sacramento, CA	Scored	1.00	—
CLM-428701	CLM	2026-09-04	Susan Hamiltonflagged	1983-12-09	UHC-49973-47	—	4288 Church St, Sacramento, CA	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶PRV-28431PRVCLM-428700CLM1.00Scoredweighted 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-28431PRVENR-137647ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-137647ENRCLM-428700CLM0.99RuleD1 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

▶ENR-137647ENRCLM-428701CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-428700CLMCLM-428701CLM0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-28431PRVCLM-428701CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: 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 19:54:38Record linked automatically50d6aa3157
matching_agent, CLM-428701, identity id MBR-000414, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137647
2026-10-19 19:54:38Record linked automatically93799fbb3b
scoring_agent, CLM-428700, identity id MBR-000414, confidence 1, method probabilistic, matched record PRV-28431, policy version 1
2026-10-19 19:54:38Record linked automaticallya7b91265a6
scoring_agent, ENR-137647, identity id MBR-000414, confidence 1, method probabilistic, matched record PRV-28431, policy version 1
2026-10-19 19:54:38Record linked automatically8e8eb1d867
scoring_agent, PRV-28431, identity id MBR-000414, confidence 1, method probabilistic, matched record ENR-137647, policy version 1
2026-10-19 19:52:08Record linked automaticallybf3223f4f6
matching_agent, CLM-428701, identity id MBR-000414, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137647
2026-10-19 19:52:08Record linked automaticallye4f952d818
scoring_agent, CLM-428700, identity id MBR-000414, confidence 1, method probabilistic, matched record PRV-28431, policy version 1
2026-10-19 19:52:08Record linked automatically65fdce7d4b
scoring_agent, ENR-137647, identity id MBR-000414, confidence 1, method probabilistic, matched record PRV-28431, policy version 1
2026-10-19 19:52:08Record linked automaticallyf95b5ed98a
scoring_agent, PRV-28431, identity id MBR-000414, confidence 1, method probabilistic, matched record ENR-137647, policy version 1
2026-10-19 19:45:41Record linked automaticallya8ef21e537
matching_agent, CLM-428701, identity id MBR-000414, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137647
2026-10-19 19:45:41Record linked automaticallyfd5d7d595c
scoring_agent, CLM-428700, identity id MBR-000414, confidence 1, method probabilistic, matched record PRV-28431, policy version 1
2026-10-19 19:45:41Record linked automatically887483ffd7
scoring_agent, ENR-137647, identity id MBR-000414, confidence 1, method probabilistic, matched record PRV-28431, policy version 1
2026-10-19 19:45:41Record linked automaticallye465824a32
scoring_agent, PRV-28431, identity id MBR-000414, confidence 1, method probabilistic, matched record ENR-137647, policy version 1
2026-10-19 19:32:31Record linked automaticallyd4e3b5aeaf
matching_agent, CLM-428701, identity id MBR-000414, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137647
2026-10-19 19:32:31Record linked automatically82c8127f92
scoring_agent, CLM-428700, identity id MBR-000414, confidence 1, method probabilistic, matched record PRV-28431, policy version 1
2026-10-19 19:32:31Record linked automaticallyd1d140ba8b
scoring_agent, ENR-137647, identity id MBR-000414, confidence 1, method probabilistic, matched record PRV-28431, policy version 1
2026-10-19 19:32:31Record linked automatically2e121d998a
scoring_agent, PRV-28431, identity id MBR-000414, confidence 1, method probabilistic, matched record ENR-137647, policy version 1
2026-10-19 19:31:28Record linked automaticallyec8f0b77b8
matching_agent, CLM-428700, identity id MBR-011856, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137909
2026-10-19 19:31:28Record linked automaticallyc9558234b8
scoring_agent, PRV-28431, identity id MBR-003399, confidence 0.99, method probabilistic, matched record CLM-428701, policy version 1
2026-10-19 19:31:28Record linked automatically9b6fca963b
scoring_agent, CLM-428701, identity id MBR-003399, confidence 0.99, method probabilistic, matched record PRV-28431, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-007841	2026-08-06	Northgate Internal Medicine Associates in network	99215	$358.00	—	Denied	Denied
CLM-2026-007778	2026-07-24	Desert Cardiovascular Associates in network	93306	$1,098.00	—	Denied	Denied