Identities/MBR-000854
Gold, golden identity

Adam Burns

3 source records from 2 feeds.

MBR-000854Verified3 records

Golden record

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

First nameCLM
Adam
Middle name—
—
Last nameCLM
Burns
Date of birthCLM
1964-04-28
GenderCLM
F
Member IDCLM
UHC-65439-92
SSNCLM
•••-••-6422
PhoneCLM
6982269928
Email—
—
AddressCLM
7744 Willow Ct
CityCLM
Atlanta
StateCLM
GA
ZIPCLM
30395
GroupCLM
GRP-4434
PlanCLM
NAVIGATE-HMO
Min confidence
1.00
Sources
CLM ×2TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

1.001.001.00CLMCLM-430041TPATPA-63259CLMCLM-430040IDMBR-000854
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
CLM-430041CLM2026-01-03Adam Burnsflagged1964-04-28UHC-65439-9269822699287744 Willow Ct Apt 12, Atlanta, GAScored1.00—
TPA-63259TPA2026-05-27Adam Burnsflagged1964-04-28—69822699287744 Willow Ct, Atlanta, GAScored1.00—
CLM-430040CLM2026-05-30Adam Burnsflagged1964-04-28UHC-65439-9269822699287744 Willow Ct, Atlanta, GAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-63259TPACLM-430040CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-430041CLMTPA-63259TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-430041CLMCLM-430040CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Adam Burns: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000045, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallye510b9b745
    scoring_agent, CLM-430040, identity id MBR-000854, confidence 1, method probabilistic, matched record TPA-63259, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6dc0baaad5
    scoring_agent, TPA-63259, identity id MBR-000854, confidence 1, method probabilistic, matched record CLM-430041, policy version 1
  • 2026-10-19 19:54:38Record linked automatically94d48592b6
    scoring_agent, CLM-430041, identity id MBR-000854, confidence 1, method probabilistic, matched record TPA-63259, policy version 1
  • 2026-10-19 19:52:08Record linked automatically4aff7b4ce9
    scoring_agent, CLM-430040, identity id MBR-000854, confidence 1, method probabilistic, matched record TPA-63259, policy version 1
  • 2026-10-19 19:52:08Record linked automatically7852bf342a
    scoring_agent, TPA-63259, identity id MBR-000854, confidence 1, method probabilistic, matched record CLM-430041, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallybd972fe99c
    scoring_agent, CLM-430041, identity id MBR-000854, confidence 1, method probabilistic, matched record TPA-63259, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyba57a89e0a
    scoring_agent, CLM-430040, identity id MBR-000854, confidence 1, method probabilistic, matched record TPA-63259, policy version 1
  • 2026-10-19 19:45:41Record linked automatically4d4742ef83
    scoring_agent, TPA-63259, identity id MBR-000854, confidence 1, method probabilistic, matched record CLM-430041, policy version 1
  • 2026-10-19 19:45:41Record linked automatically7d49a2710c
    scoring_agent, CLM-430041, identity id MBR-000854, confidence 1, method probabilistic, matched record TPA-63259, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybcc83e9994
    scoring_agent, CLM-430040, identity id MBR-000854, confidence 1, method probabilistic, matched record TPA-63259, policy version 1
  • 2026-10-19 19:32:31Record linked automatically63055164cc
    scoring_agent, TPA-63259, identity id MBR-000854, confidence 1, method probabilistic, matched record CLM-430041, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd68a80f06b
    scoring_agent, CLM-430041, identity id MBR-000854, confidence 1, method probabilistic, matched record TPA-63259, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyec4555b6c4
    scoring_agent, TPA-63259, identity id MBR-012520, confidence 1, method probabilistic, matched record PRV-28855, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd5221c8859
    matching_agent, CLM-430040, identity id MBR-005385, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430039
  • 2026-10-19 19:31:28Record linked automatically68ffa55ca8
    matching_agent, CLM-430041, identity id MBR-002223, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139635

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0010262026-05-22Summit Regional Medical Center
in network
99283$993.00$196.15ApprovedApproved
CLM-2026-0280112025-11-25Sunrise Behavioral Health
in network
90791, 90834$562.00$273.44ApprovedApproved