Identities/MBR-000876
Gold, golden identity

Andrea S Cook

4 source records from 2 feeds.

MBR-000876Verified4 records

Golden record

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

First nameENR
Andrea
Middle nameCLM
S
Last nameENR
Cook
Date of birthENR
1969-03-28
GenderENR
M
Member IDENR
UHC-23088-75
SSNENR
•••-••-2585
PhoneENR
6877379373
EmailENR
andrea.cook79@icloud.com
AddressENR
8650 Maple Ave
CityENR
Scottsdale
StateENR
AZ
ZIP—
—
GroupENR
GRP-2516
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.000.99CLMCLM-402534CLMCLM-402535CLMCLM-402533ENRENR-103240IDMBR-000876
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-402534CLM2026-01-03Andrea Cookflagged1969-03-28—68773793738650 Maple Ave, Scottsdale, AZScored1.00—
CLM-402535CLM2026-02-15Andrea Cookflagged1969-03-28UHC-23088-7568773793738650 Maple Ave, Scottsdale, AZScored1.00—
CLM-402533CLM2026-04-10Andrea Cookflagged1969-03-28—68773793738650 Maple Ave, Scottsdale, AZScored1.00—
ENR-103240ENR2026-04-10Andrea Cookflagged1969-03-28UHC-23088-7568773793738650 Maple Ave, Scottsdale, AZRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-402534CLMCLM-402533CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402535CLMCLM-402533CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402534CLMCLM-402535CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402535CLMENR-103240ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-402534CLMENR-103240ENR0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402533CLM ENR-103240ENR0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-402533 → UHC-23088-75 (Andrea Cook)
    ACT-006333, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-402534 → UHC-23088-75 (Andrea Cook)
    ACT-007908, Claims processor
  • Care coordination outreachProposed
    Andrea Cook: 3 claims, no attributed provider
    ACT-017836, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically4b41f1d580
    matching_agent, ENR-103240, identity id MBR-000876, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402535
  • 2026-10-19 19:54:38Record linked automatically021a7f9049
    scoring_agent, CLM-402533, identity id MBR-000876, confidence 1, method probabilistic, matched record CLM-402534, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyac665bf194
    scoring_agent, CLM-402535, identity id MBR-000876, confidence 1, method probabilistic, matched record CLM-402534, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyaa8f07bfd1
    scoring_agent, CLM-402534, identity id MBR-000876, confidence 1, method probabilistic, matched record CLM-402535, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallye40e3a5f3f
    matching_agent, ENR-103240, identity id MBR-000876, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402535
  • 2026-10-19 19:52:08Record linked automatically3b0aee133d
    scoring_agent, CLM-402533, identity id MBR-000876, confidence 1, method probabilistic, matched record CLM-402534, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyfe45070476
    scoring_agent, CLM-402535, identity id MBR-000876, confidence 1, method probabilistic, matched record CLM-402534, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallycb1e8473b9
    scoring_agent, CLM-402534, identity id MBR-000876, confidence 1, method probabilistic, matched record CLM-402535, policy version 1
  • 2026-10-19 19:45:41Record linked automatically6f980695d1
    matching_agent, ENR-103240, identity id MBR-000876, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402535
  • 2026-10-19 19:45:41Record linked automatically5b97cbfc90
    scoring_agent, CLM-402533, identity id MBR-000876, confidence 1, method probabilistic, matched record CLM-402534, policy version 1
  • 2026-10-19 19:45:41Record linked automatically95916df440
    scoring_agent, CLM-402535, identity id MBR-000876, confidence 1, method probabilistic, matched record CLM-402534, policy version 1
  • 2026-10-19 19:45:41Record linked automatically3dec206a5a
    scoring_agent, CLM-402534, identity id MBR-000876, confidence 1, method probabilistic, matched record CLM-402535, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0b12783f32
    matching_agent, ENR-103240, identity id MBR-000876, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402535
  • 2026-10-19 19:32:31Record linked automatically8244c00fcc
    scoring_agent, CLM-402533, identity id MBR-000876, confidence 1, method probabilistic, matched record CLM-402534, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9b730f4a4c
    scoring_agent, CLM-402535, identity id MBR-000876, confidence 1, method probabilistic, matched record CLM-402534, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye921f0bd16
    scoring_agent, CLM-402534, identity id MBR-000876, confidence 1, method probabilistic, matched record CLM-402535, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyaa4b3faf4f
    matching_agent, CLM-402535, identity id MBR-027791, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103328
  • 2026-10-19 19:31:28Record linked automaticallyc7f91b4573
    matching_agent, CLM-402534, identity id MBR-027791, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103328
  • 2026-10-19 19:31:28Record linked automaticallyc065a470fd
    scoring_agent, CLM-402533, identity id MBR-019876, confidence 1, method probabilistic, matched record TPA-51166, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0188092026-04-04Desert Rehabilitation Center
in network
97110$184.00—Needs reviewNeeds review
CLM-2026-0188082026-04-04Lakeside Physical Therapy
in network
97110$184.00$89.08ApprovedApproved
CLM-2026-0190322026-01-01Evergreen Medical Group
out of network
80053$76.00$9.20ApprovedApproved
CLM-2026-0248952025-12-29Lakeside Imaging Center
in network
77067$290.00$0.00ApprovedApproved