Identities/MBR-000634

Gold, golden identity

Susan K Ward

6 source records from 3 feeds.

MBR-000634Verified6 records

Golden record

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

First nameENR: Susan
Middle nameENR: K
Last nameENR: Ward
Date of birthENR: 1976-10-13
GenderCLM: M
Member IDENR: UHC-82540-45
SSNENR: •••-••-7303
PhoneENR: 3299505809
EmailENR: susan.ward@outlook.com
AddressENR: 1262 Canyon Rd
CityENR: Columbus
StateENR: OH
ZIPENR: 43220
GroupENR: GRP-0434
PlanENR: CORE-HMO

Min confidence

0.99

Sources

CLM ×3ENR ×1TPA ×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
CLM-426780	CLM	2026-01-02	Sue Wardflagged	1976-10-13	UHC-82540-45	—	1262 Canyon Rd, Columbus, OH	Scored	1.00	—
CLM-426781	CLM	2026-04-12	Susan Wardflagged	1976-10-13	UHC-82540-45	3299505809	—	Scored	1.00	—
ENR-135137	ENR	2026-06-02	Susan Wardflagged	1976-10-13	UHC-82540-45	3299505809	1262 Canyon Rd, Columbus, OH	Scored	1.00	—
TPA-61834	TPA	2026-06-18	Ssan Wadrflagged	1976-10-13	UHC-82540-45	—	1262 Canyon Rd # 492, Columbus, OH	Rule	0.99	D1 member id + dob exact
CLM-426779	CLM	2026-09-05	Susan Wardflagged	1976-10-13	—	3299505809	—	Scored	1.00	—
TPA-61835	TPA	2026-09-14	Susan Wardflagged	1976-10-13	—	—	1262 Canyon Rd, Columbus, OH	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-426781CLMCLM-426779CLM 1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-135137ENRCLM-426779CLM 1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-426780CLMTPA-61835TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-135137ENRTPA-61835TPA1.00Scoredweighted 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-426780CLMCLM-426781CLM0.99RuleD1 member id + dob exactAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-426780CLMENR-135137ENR0.99RuleD1 member id + dob exactAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-426781CLMENR-135137ENR0.99RuleD1 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
Phone	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-426780CLMTPA-61834TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-426781CLMTPA-61834TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-135137ENRTPA-61834TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-426780CLMCLM-426779CLM 0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-426781CLMTPA-61835TPA0.83Scoredweighted 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-426779CLM TPA-61835TPA0.83Scoredweighted 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

Eligibility conflict resolvedProposed
Susan Ward: 2 plan codes across sources → canonical CORE-HMO
ACT-000031, Eligibility engine
Orphan claim re-pointedExecuted
CLM-426779 → UHC-82540-45 (Susan Ward)
ACT-005552, Claims processor
Care coordination outreachProposed
Susan Ward: 3 claims, no attributed provider
ACT-017814, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically859bf1559a
scoring_agent, TPA-61835, identity id MBR-000634, confidence 1, method probabilistic, matched record CLM-426780, policy version 1
2026-10-19 19:54:38Record linked automatically7f2c22e19b
scoring_agent, CLM-426779, identity id MBR-000634, confidence 1, method probabilistic, matched record CLM-426781, policy version 1
2026-10-19 19:54:38Record linked automaticallyc5086eec0c
matching_agent, TPA-61834, identity id MBR-000634, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426780
2026-10-19 19:54:38Record linked automatically240df11abe
scoring_agent, ENR-135137, identity id MBR-000634, confidence 1, method probabilistic, matched record CLM-426779, policy version 1
2026-10-19 19:54:38Record linked automatically077739197f
scoring_agent, CLM-426781, identity id MBR-000634, confidence 1, method probabilistic, matched record CLM-426779, policy version 1
2026-10-19 19:54:38Record linked automatically87ed254e34
scoring_agent, CLM-426780, identity id MBR-000634, confidence 1, method probabilistic, matched record TPA-61835, policy version 1
2026-10-19 19:52:08Record linked automatically2d8a223e73
scoring_agent, TPA-61835, identity id MBR-000634, confidence 1, method probabilistic, matched record CLM-426780, policy version 1
2026-10-19 19:52:08Record linked automatically538f4438ad
scoring_agent, CLM-426779, identity id MBR-000634, confidence 1, method probabilistic, matched record CLM-426781, policy version 1
2026-10-19 19:52:08Record linked automatically0d59fa5c9d
matching_agent, TPA-61834, identity id MBR-000634, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426780
2026-10-19 19:52:08Record linked automatically70bfdd03ea
scoring_agent, ENR-135137, identity id MBR-000634, confidence 1, method probabilistic, matched record CLM-426779, policy version 1
2026-10-19 19:52:08Record linked automatically5413c1c43b
scoring_agent, CLM-426781, identity id MBR-000634, confidence 1, method probabilistic, matched record CLM-426779, policy version 1
2026-10-19 19:52:08Record linked automatically1ba55cc308
scoring_agent, CLM-426780, identity id MBR-000634, confidence 1, method probabilistic, matched record TPA-61835, policy version 1
2026-10-19 19:45:41Record linked automatically944ce0d735
scoring_agent, TPA-61835, identity id MBR-000634, confidence 1, method probabilistic, matched record CLM-426780, policy version 1
2026-10-19 19:45:41Record linked automatically510ef4167a
scoring_agent, CLM-426779, identity id MBR-000634, confidence 1, method probabilistic, matched record CLM-426781, policy version 1
2026-10-19 19:45:41Record linked automatically05f54d785c
matching_agent, TPA-61834, identity id MBR-000634, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426780
2026-10-19 19:45:41Record linked automaticallyaf4377b4ba
scoring_agent, ENR-135137, identity id MBR-000634, confidence 1, method probabilistic, matched record CLM-426779, policy version 1
2026-10-19 19:45:41Record linked automatically58c55338af
scoring_agent, CLM-426781, identity id MBR-000634, confidence 1, method probabilistic, matched record CLM-426779, policy version 1
2026-10-19 19:45:41Record linked automaticallycabc90a59d
scoring_agent, CLM-426780, identity id MBR-000634, confidence 1, method probabilistic, matched record TPA-61835, policy version 1
2026-10-19 19:32:31Record linked automaticallycd7f78312e
scoring_agent, TPA-61835, identity id MBR-000634, confidence 1, method probabilistic, matched record CLM-426780, policy version 1
2026-10-19 19:32:31Record linked automatically98e8725bc7
scoring_agent, CLM-426779, identity id MBR-000634, confidence 1, method probabilistic, matched record CLM-426781, policy version 1
2026-10-19 19:32:31Record linked automatically7a64180e21
matching_agent, TPA-61834, identity id MBR-000634, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426780
2026-10-19 19:32:31Record linked automatically642d68603d
scoring_agent, ENR-135137, identity id MBR-000634, confidence 1, method probabilistic, matched record CLM-426779, policy version 1
2026-10-19 19:32:31Record linked automatically4086e39a45
scoring_agent, CLM-426781, identity id MBR-000634, confidence 1, method probabilistic, matched record CLM-426779, policy version 1
2026-10-19 19:32:31Record linked automatically92f7b2d491
scoring_agent, CLM-426780, identity id MBR-000634, confidence 1, method probabilistic, matched record TPA-61835, policy version 1
2026-10-19 19:31:28Record linked automatically0e83f3649e
matching_agent, CLM-426781, identity id MBR-024462, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426782
2026-10-19 19:31:28Record linked automatically0cbbbe10a0
scoring_agent, CLM-426779, identity id MBR-015418, confidence 0.99, method probabilistic, matched record ENR-135387, policy version 1
2026-10-19 19:31:28Record linked automatically5b77a4ecb8
scoring_agent, TPA-61834, identity id MBR-005061, confidence 1, method probabilistic, matched record ENR-135569, policy version 1
2026-10-19 19:31:28Record linked automaticallyb0e9237002
scoring_agent, TPA-61835, identity id MBR-005061, confidence 1, method probabilistic, matched record ENR-135569, policy version 1
2026-10-19 19:31:28Record linked automaticallydf8a4175ed
scoring_agent, CLM-426780, identity id MBR-004931, confidence 1, method probabilistic, matched record ENR-135388, 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-2026-015960	2026-08-28	Unity Internal Medicine Associates out of network	99232	$188.00	—	Denied	Denied
CLM-2026-022228	2026-03-12	Sunrise Behavioral Health in network	99214	$317.00	—	Denied	Denied
CLM-2026-000914	2025-12-23	Sunrise Dermatology Clinic in network	11403	$614.00	$340.68	Approved	Approved