Identities/MBR-000710

Gold, golden identity

Fatima Cook

5 source records from 2 feeds.

MBR-000710Verified5 records

Golden record

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

First nameCLM: Fatima
Middle name—: —
Last nameCLM: Cook
Date of birthCLM: 1975-03-18
GenderCLM: M
Member IDCLM: UHC-70675-02
SSNCLM: •••-••-7670
PhoneCLM: 7284883863
Email—: —
AddressCLM: 3264 Lake View Rd
CityCLM: Sacramento
StateCLM: CA
ZIPCLM: 95812
GroupCLM: GRP-0800
PlanCLM: SELECT-EPO

Min confidence

0.97

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

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-400783	CLM	2026-01-03	Fatima Cookflagged	1975-03-18	—	—	3264 Lake View Rd, Sacramento, CA	Scored	1.00	—
CLM-400780	CLM	2026-03-20	Fatima Cookflagged	1975-03-18	UHC-70675-02	7284883863	3264 Lake View Rd # 886, Sacramento, CA	Scored	1.00	—
TPA-50366	TPA	2026-04-22	Fatima Cookflagged	1975-03-18	—	—	3264 Lake View Rd, Sacramento, CA	Rule	0.97	D2 ssn4 + dob + last name
CLM-400782	CLM	2026-06-20	Fatima Cookflagged	1975-03-18	—	7284883863	—	Scored	1.00	—
CLM-400781	CLM	2026-09-12	Fatima Cookflagged	1975-03-18	UHC-70675-02	7284883863	3264 Lake View Rd, Sacramento, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-400783CLMCLM-400780 CLM1.00Scoredweighted 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-400783CLMCLM-400781CLM1.00Scoredweighted 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-400782CLMCLM-400781CLM1.00Scoredweighted 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-400780 CLMCLM-400782CLM1.00Scoredweighted 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-400780 CLMCLM-400781CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-400783CLMTPA-50366TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	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

▶TPA-50366TPACLM-400781CLM0.93Scoredweighted 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

▶CLM-400780 CLMTPA-50366TPA0.93Scoredweighted 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

▶CLM-400783CLMCLM-400782CLM0.83Scoredweighted 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

▶TPA-50366TPACLM-400782CLM0.83Scoredweighted 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

Orphan claim re-pointedExecuted
CLM-400782 → UHC-70675-02 (Fatima Cook)
ACT-003066, Claims processor
Orphan claim re-pointedExecuted
CLM-400783 → UHC-70675-02 (Fatima Cook)
ACT-008280, Claims processor
Care coordination outreachProposed
Fatima Cook: 4 claims, no attributed provider
ACT-017820, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyc24d9574d0
scoring_agent, CLM-400781, identity id MBR-000710, confidence 1, method probabilistic, matched record CLM-400783, policy version 1
2026-10-19 19:54:38Record linked automatically3324ddd2dd
scoring_agent, CLM-400782, identity id MBR-000710, confidence 1, method probabilistic, matched record CLM-400780, policy version 1
2026-10-19 19:54:38Record linked automatically8c4b78d885
matching_agent, TPA-50366, identity id MBR-000710, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-400783
2026-10-19 19:54:38Record linked automaticallydba1bfc4d5
scoring_agent, CLM-400780, identity id MBR-000710, confidence 1, method probabilistic, matched record CLM-400783, policy version 1
2026-10-19 19:54:38Record linked automatically916f7093a6
scoring_agent, CLM-400783, identity id MBR-000710, confidence 1, method probabilistic, matched record CLM-400780, policy version 1
2026-10-19 19:52:08Record linked automatically3aebf0ccad
scoring_agent, CLM-400781, identity id MBR-000710, confidence 1, method probabilistic, matched record CLM-400783, policy version 1
2026-10-19 19:52:08Record linked automaticallyf3be738c33
scoring_agent, CLM-400782, identity id MBR-000710, confidence 1, method probabilistic, matched record CLM-400780, policy version 1
2026-10-19 19:52:08Record linked automatically52ed7f6438
matching_agent, TPA-50366, identity id MBR-000710, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-400783
2026-10-19 19:52:08Record linked automatically4d6ce17cc4
scoring_agent, CLM-400780, identity id MBR-000710, confidence 1, method probabilistic, matched record CLM-400783, policy version 1
2026-10-19 19:52:08Record linked automatically98d43e4297
scoring_agent, CLM-400783, identity id MBR-000710, confidence 1, method probabilistic, matched record CLM-400780, policy version 1
2026-10-19 19:45:41Record linked automatically88d35fc9ad
scoring_agent, CLM-400781, identity id MBR-000710, confidence 1, method probabilistic, matched record CLM-400783, policy version 1
2026-10-19 19:45:41Record linked automatically020a707e69
scoring_agent, CLM-400782, identity id MBR-000710, confidence 1, method probabilistic, matched record CLM-400780, policy version 1
2026-10-19 19:45:41Record linked automaticallyd84c83dae9
matching_agent, TPA-50366, identity id MBR-000710, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-400783
2026-10-19 19:45:41Record linked automaticallydc1bd262b8
scoring_agent, CLM-400780, identity id MBR-000710, confidence 1, method probabilistic, matched record CLM-400783, policy version 1
2026-10-19 19:45:41Record linked automaticallyfe0a871609
scoring_agent, CLM-400783, identity id MBR-000710, confidence 1, method probabilistic, matched record CLM-400780, policy version 1
2026-10-19 19:32:31Record linked automatically63beecb53a
scoring_agent, CLM-400781, identity id MBR-000710, confidence 1, method probabilistic, matched record CLM-400783, policy version 1
2026-10-19 19:32:31Record linked automaticallye6ccf4c380
scoring_agent, CLM-400782, identity id MBR-000710, confidence 1, method probabilistic, matched record CLM-400780, policy version 1
2026-10-19 19:32:31Record linked automatically94d351cb78
matching_agent, TPA-50366, identity id MBR-000710, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-400783
2026-10-19 19:32:31Record linked automatically62839e6d45
scoring_agent, CLM-400780, identity id MBR-000710, confidence 1, method probabilistic, matched record CLM-400783, policy version 1
2026-10-19 19:32:31Record linked automatically9245e1823e
scoring_agent, CLM-400783, identity id MBR-000710, confidence 1, method probabilistic, matched record CLM-400780, policy version 1
2026-10-19 19:31:28Record linked automaticallya3e6ac0602
matching_agent, CLM-400782, identity id MBR-022906, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101102
2026-10-19 19:31:28Record linked automatically58e8fa3e6f
matching_agent, TPA-50366, identity id MBR-009661, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-400857
2026-10-19 19:31:28Record linked automaticallycf0651b5eb
scoring_agent, CLM-400783, identity id MBR-005772, confidence 1, method probabilistic, matched record CLM-400786, policy version 1
2026-10-19 19:31:28Record linked automatically7ceff76fb1
scoring_agent, CLM-400781, identity id MBR-005466, confidence 1, method probabilistic, matched record PRV-20220, policy version 1
2026-10-19 19:31:28Record linked automaticallye956afd500
scoring_agent, CLM-400780, identity id MBR-005466, confidence 1, method probabilistic, matched record CLM-400781, 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-2026-012436	2026-08-04	Evergreen Family Practice in network	99213, 36415	$195.00	$100.90	Approved	Approved
CLM-2026-006595	2026-06-12	Valley Imaging Center in network	76700	$490.00	$0.00	Approved	Approved
CLM-2026-013895	2026-03-15	Northgate Counseling Center in network	90837	$239.00	$88.18	Approved	Approved
CLM-2026-026269	2025-12-24	Unity Internal Medicine Associates out of network	99215	$380.00	$151.00	Approved	Approved