Identities/MBR-000447

Gold, golden identity

Willie K Le

6 source records from 3 feeds.

MBR-000447Verified6 records

Golden record

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

First nameENR: Willie
Middle nameCLM: K
Last nameENR: Le
Date of birthENR: 1969-09-17
GenderENR: F
Member IDENR: UHC-73240-85
SSNENR: •••-••-2921
PhoneENR: 5725184926
EmailENR: willie.le25@icloud.com
AddressENR: 6908 Oak St
CityENR: Sacramento
StateENR: CA
ZIP—: —
GroupENR: GRP-6191
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.96

Sources

CLM ×4ENR ×1TPA ×1

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
CLM-421178	CLM	2026-01-02	Willie Leflagged	—	UHC-73240-85	5725184926	—	Rule	0.96	D3 member id + name
CLM-421176	CLM	2026-02-20	Willie Leflagged	1969-09-17	—	—	6908 Oak St, Sacramento, CA	Scored	1.00	—
CLM-421175	CLM	2026-04-08	Willie Leflagged	1969-09-17	UHC-73240-85	—	6908 Oak St, Sacramento, CA	Scored	1.00	—
CLM-421177	CLM	2026-07-15	Wllie Leflagged	1969-09-17	—	—	6908 Oak St, Sacramento, CA	Scored	0.98	—
ENR-127782	ENR	2026-08-14	Willie Leflagged	1969-09-17	UHC-73240-85	5725184926	6908 Oak St, Sacramento, CA	Scored	1.00	—
TPA-59315	TPA	2026-10-17	Willie Leflagged	1969-09-17	UHC-73240-85	—	6908 Oak St, Sacramento, CA	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶CLM-421176CLMCLM-421175CLM1.00Scoredweighted 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-421176CLMENR-127782ENR1.00Scoredweighted 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-421175CLMENR-127782ENR0.99RuleD1 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-421175CLMTPA-59315TPA0.99RuleD1 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

▶ENR-127782ENRTPA-59315TPA0.99RuleD1 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
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-421176CLMCLM-421177CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-421175CLMCLM-421177CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-421177CLMENR-127782ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.96	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

▶CLM-421177CLMTPA-59315TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-421178CLMCLM-421175CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-421178CLMENR-127782ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight
Name	1.00	3
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-421178CLMTPA-59315TPA0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight
Name	1.00	3
Member ID	1.00	4
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-421176CLMTPA-59315TPA0.93Scoredweighted 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

Orphan claim re-pointedExecuted
CLM-421177 → UHC-73240-85 (Willie Le)
ACT-002288, Claims processor
Orphan claim re-pointedExecuted
CLM-421176 → UHC-73240-85 (Willie Le)
ACT-009603, Claims processor
Care coordination outreachProposed
Willie Le: 4 claims, no attributed provider
ACT-017800, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyf09d89556d
matching_agent, TPA-59315, identity id MBR-000447, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421175
2026-10-19 19:54:38Record linked automaticallye1359389a0
scoring_agent, ENR-127782, identity id MBR-000447, confidence 1, method probabilistic, matched record CLM-421176, policy version 1
2026-10-19 19:54:38Record linked automatically9805e48e15
scoring_agent, CLM-421177, identity id MBR-000447, confidence 0.98, method probabilistic, matched record CLM-421176, policy version 1
2026-10-19 19:54:38Record linked automatically68a82ead8b
scoring_agent, CLM-421175, identity id MBR-000447, confidence 1, method probabilistic, matched record CLM-421176, policy version 1
2026-10-19 19:54:38Record linked automaticallye466f5353a
scoring_agent, CLM-421176, identity id MBR-000447, confidence 1, method probabilistic, matched record CLM-421175, policy version 1
2026-10-19 19:54:38Record linked automaticallya6de4db7f6
matching_agent, CLM-421178, identity id MBR-000447, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-421175
2026-10-19 19:52:08Record linked automatically97d54555d7
matching_agent, TPA-59315, identity id MBR-000447, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421175
2026-10-19 19:52:08Record linked automaticallyf80f16a941
scoring_agent, ENR-127782, identity id MBR-000447, confidence 1, method probabilistic, matched record CLM-421176, policy version 1
2026-10-19 19:52:08Record linked automatically4140a69575
scoring_agent, CLM-421177, identity id MBR-000447, confidence 0.98, method probabilistic, matched record CLM-421176, policy version 1
2026-10-19 19:52:08Record linked automaticallyfc509ca5a0
scoring_agent, CLM-421175, identity id MBR-000447, confidence 1, method probabilistic, matched record CLM-421176, policy version 1
2026-10-19 19:52:08Record linked automaticallyb6189f07cc
scoring_agent, CLM-421176, identity id MBR-000447, confidence 1, method probabilistic, matched record CLM-421175, policy version 1
2026-10-19 19:52:08Record linked automatically95c15373b5
matching_agent, CLM-421178, identity id MBR-000447, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-421175
2026-10-19 19:45:41Record linked automaticallye5d24e2dbd
matching_agent, TPA-59315, identity id MBR-000447, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421175
2026-10-19 19:45:41Record linked automaticallyb467092db0
scoring_agent, ENR-127782, identity id MBR-000447, confidence 1, method probabilistic, matched record CLM-421176, policy version 1
2026-10-19 19:45:41Record linked automatically83a45f3b93
scoring_agent, CLM-421177, identity id MBR-000447, confidence 0.98, method probabilistic, matched record CLM-421176, policy version 1
2026-10-19 19:45:41Record linked automatically88e85e424e
scoring_agent, CLM-421175, identity id MBR-000447, confidence 1, method probabilistic, matched record CLM-421176, policy version 1
2026-10-19 19:45:41Record linked automatically0352451978
scoring_agent, CLM-421176, identity id MBR-000447, confidence 1, method probabilistic, matched record CLM-421175, policy version 1
2026-10-19 19:45:41Record linked automaticallycf352133de
matching_agent, CLM-421178, identity id MBR-000447, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-421175
2026-10-19 19:32:31Record linked automaticallyb6c317b27d
matching_agent, TPA-59315, identity id MBR-000447, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421175
2026-10-19 19:32:31Record linked automatically06797b3151
scoring_agent, ENR-127782, identity id MBR-000447, confidence 1, method probabilistic, matched record CLM-421176, policy version 1
2026-10-19 19:32:31Record linked automaticallyb3243de7bb
scoring_agent, CLM-421177, identity id MBR-000447, confidence 0.98, method probabilistic, matched record CLM-421176, policy version 1
2026-10-19 19:32:31Record linked automatically7ce5df11d3
scoring_agent, CLM-421175, identity id MBR-000447, confidence 1, method probabilistic, matched record CLM-421176, policy version 1
2026-10-19 19:32:31Record linked automatically63a585eca2
scoring_agent, CLM-421176, identity id MBR-000447, confidence 1, method probabilistic, matched record CLM-421175, policy version 1
2026-10-19 19:32:31Record linked automatically3ceccbcfbc
matching_agent, CLM-421178, identity id MBR-000447, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-421175
2026-10-19 19:31:28Record linked automatically41f7683edd
scoring_agent, ENR-127782, identity id MBR-032588, confidence 1, method probabilistic, matched record TPA-59251, policy version 1
2026-10-19 19:31:28Record linked automatically3ef617d470
scoring_agent, CLM-421176, identity id MBR-031859, confidence 1, method probabilistic, matched record CLM-421177, policy version 1
2026-10-19 19:31:28Record linked automaticallya9bf31ebe4
scoring_agent, CLM-421177, identity id MBR-031859, confidence 1, method probabilistic, matched record ENR-127799, policy version 1
2026-10-19 19:31:28Record linked automatically22b00eb063
matching_agent, CLM-421175, identity id MBR-019776, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421173
2026-10-19 19:31:28Record linked automatically75f1e1b007
scoring_agent, CLM-421178, identity id MBR-010721, confidence 1, method probabilistic, matched record ENR-127800, policy version 1
2026-10-19 19:31:28Record linked automatically1856bb6305
scoring_agent, TPA-59315, identity id MBR-002779, confidence 0.99, method probabilistic, matched record ENR-128027, 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-2026-003581	2026-06-08	Lakeside Internal Medicine Associates in network	99214, 93000, 80053	$344.00	$193.28	Approved	Approved
CLM-2026-031324	2026-03-02	Harbor Imaging Center in network	76700, 70553	$3,297.00	$668.91	Approved	Approved
CLM-2026-031482	2026-01-21	Cornerstone Digestive Health Center in network	70553	$3,279.00	—	Needs review	Needs review
CLM-2026-000504	2025-11-29	Sunrise Dermatology Clinic in network	17110, 99213	$368.00	$168.16	Approved	Approved