Gold, golden identity
Teresa D Cunningham
3 source records from 2 feeds.
MBR-000586Verified3 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Teresa
- Middle nameENR
- D
- Last nameENR
- Cunningham
- Date of birthCLM
- 1974-03-02
- GenderENR
- F
- Member IDENR
- UHC-56407-99
- SSNENR
- •••-••-3495
- PhoneENR
- 5897165184
- EmailENR
- teresa.cunningham@gmail.com
- AddressENR
- 981 Willow Ct
- CityENR
- San Diego
- StateENR
- CA
- ZIPENR
- 92163
- GroupENR
- GRP-8851
- PlanENR
- SELECT-EPO
Min confidence
0.96
Sources
CLM ×2ENR ×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-426712 | CLM | 2026-01-02 | Tereza Cunninghamflagged | — | — | — | 981 Willow Ct Apt 24, San Diego, CA | Scored | 0.99 | — |
| ENR-135038 | ENR | 2026-02-02 | Teresa Cunninghamflagged | — | UHC-56407-99 | 5897165184 | 981 Willow Ct, San Diego, CA | Scored | 0.99 | — |
| CLM-426713 | CLM | 2026-09-17 | Treesa Cunninghamflagged | 1974-03-02 | UHC-56407-99 | 5897165184 | 981 Willow Ct, San Diego, CA | Rule | 0.96 | D3 member id + name |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-426712CLMENR-135038ENR0.99Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-135038ENRCLM-426713CLM0.96RuleD3 member id + nameAuto-linked
Identifiers agreeing: 4Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-426712CLMCLM-426713CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-426712 → UHC-56407-99 (Teresa Cunningham)ACT-007834, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically58c918b637matching_agent, CLM-426713, identity id MBR-000586, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-135038
- 2026-10-19 19:54:38Record linked automatically323ab0d9abscoring_agent, ENR-135038, identity id MBR-000586, confidence 0.99, method probabilistic, matched record CLM-426712, policy version 1
- 2026-10-19 19:54:38Record linked automaticallye69c069e31scoring_agent, CLM-426712, identity id MBR-000586, confidence 0.99, method probabilistic, matched record ENR-135038, policy version 1
- 2026-10-19 19:52:08Record linked automatically26271c923cmatching_agent, CLM-426713, identity id MBR-000586, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-135038
- 2026-10-19 19:52:08Record linked automaticallyfa982f8433scoring_agent, ENR-135038, identity id MBR-000586, confidence 0.99, method probabilistic, matched record CLM-426712, policy version 1
- 2026-10-19 19:52:08Record linked automatically556c76c89fscoring_agent, CLM-426712, identity id MBR-000586, confidence 0.99, method probabilistic, matched record ENR-135038, policy version 1
- 2026-10-19 19:45:41Record linked automatically470e2f22bfmatching_agent, CLM-426713, identity id MBR-000586, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-135038
- 2026-10-19 19:45:41Record linked automatically7e3e414f8ascoring_agent, ENR-135038, identity id MBR-000586, confidence 0.99, method probabilistic, matched record CLM-426712, policy version 1
- 2026-10-19 19:45:41Record linked automaticallyacb751319fscoring_agent, CLM-426712, identity id MBR-000586, confidence 0.99, method probabilistic, matched record ENR-135038, policy version 1
- 2026-10-19 19:32:31Record linked automatically004d6c6f2dmatching_agent, CLM-426713, identity id MBR-000586, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-135038
- 2026-10-19 19:32:31Record linked automatically29f29d2333scoring_agent, ENR-135038, identity id MBR-000586, confidence 0.99, method probabilistic, matched record CLM-426712, policy version 1
- 2026-10-19 19:32:31Record linked automatically45be533673scoring_agent, CLM-426712, identity id MBR-000586, confidence 0.99, method probabilistic, matched record ENR-135038, policy version 1
- 2026-10-19 19:31:28Record linked automaticallybf3a554414scoring_agent, CLM-426713, identity id MBR-040336, confidence 0.96, method probabilistic, matched record CLM-426711, policy version 1
- 2026-10-19 19:31:28Record linked automatically3758ff1657matching_agent, CLM-426712, identity id MBR-040336, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426711
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-2026-001413 | 2026-08-30 | Riverside Bone and Joint Center out of network | 73721 | $1,969.00 | — | Denied | Denied |
| CLM-2026-024603 | 2025-11-28 | Desert Diabetes Center in network | 99215, 83036 | $423.00 | $187.26 | Approved | Approved |