Identities/MBR-001116

Gold, golden identity

Frances E Jacobs

5 source records from 3 feeds.

MBR-001116Verified5 records

Golden record

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

First nameENR: Frances
Middle nameENR: E
Last nameENR: Jacobs
Date of birthENR: 1986-09-08
GenderENR: F
Member IDENR: UHC-30857-34
SSNENR: •••-••-1981
PhoneENR: 4924269107
EmailENR: frances.jacobs32@icloud.com
AddressCLM: 9439 Baseline Rd
CityCLM: Atlanta
StateCLM: GA
ZIPCLM: 30373
GroupENR: GRP-9791
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.97

Sources

CLM ×3ENR ×1TPA ×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-403802	CLM	2026-01-04	Frances Jacobsflagged	1986-09-08	—	—	9439 Baseline Rd, Atlanta, GA	Scored	1.00	—
CLM-403800	CLM	2026-01-19	Frances Jacobsflagged	1986-09-08	—	—	9439 Baseline Rd, Atlanta, GA	Scored	1.00	—
ENR-104933	ENR	2026-01-22	Frances Jacobsflagged	1986-09-08	UHC-30857-34	4924269107	2317 Central Ave, Jacksonville, FL	Rule	0.97	D2 ssn4 + dob + last name
CLM-403801	CLM	2026-02-22	Frances Jacobsflagged	1986-09-08	—	—	9439 Baseline Rd Apt 31, Atlanta, GA	Scored	1.00	—
TPA-51653	TPA	2026-04-10	Frances Jacobsflagged	1986-09-08	—	4924269107	9439 Baseline Rd, Atlanta, GA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-403802CLMCLM-403800CLM1.00Scoredweighted 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-403802CLMCLM-403801CLM1.00Scoredweighted 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-403802CLMTPA-51653TPA1.00Scoredweighted 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-403800CLMTPA-51653TPA1.00Scoredweighted 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-403801CLMTPA-51653TPA1.00Scoredweighted 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-403800CLMCLM-403801CLM0.97RuleD2 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-104933ENRCLM-403801CLM0.97RuleD2 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	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-403800CLMENR-104933ENR0.97RuleD2 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	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-104933ENRTPA-51653TPA0.79Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-403802CLMENR-104933ENR0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-403801 → UHC-30857-34 (Frances Jacobs)
ACT-001507, Claims processor
Orphan claim re-pointedExecuted
CLM-403800 → UHC-30857-34 (Frances Jacobs)
ACT-002417, Claims processor
Orphan claim re-pointedExecuted
CLM-403802 → UHC-30857-34 (Frances Jacobs)
ACT-007815, Claims processor
Outreach address correctedProposed
Frances Jacobs: 2317 Central Ave, Jacksonville → 9439 Baseline Rd, Atlanta
ACT-010562, Outreach
Care coordination outreachProposed
Frances Jacobs: 3 claims, no attributed provider
ACT-017858, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallye2e28e3c33
scoring_agent, TPA-51653, identity id MBR-001116, confidence 1, method probabilistic, matched record CLM-403802, policy version 1
2026-10-19 19:54:38Record linked automaticallyd1bb78aedd
scoring_agent, CLM-403801, identity id MBR-001116, confidence 1, method probabilistic, matched record CLM-403802, policy version 1
2026-10-19 19:54:38Record linked automatically060d1474b7
matching_agent, ENR-104933, identity id MBR-001116, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-403800
2026-10-19 19:54:38Record linked automatically792c98b5fe
scoring_agent, CLM-403800, identity id MBR-001116, confidence 1, method probabilistic, matched record CLM-403802, policy version 1
2026-10-19 19:54:38Record linked automatically80f7ca222d
scoring_agent, CLM-403802, identity id MBR-001116, confidence 1, method probabilistic, matched record CLM-403800, policy version 1
2026-10-19 19:52:08Record linked automatically422fc39e82
scoring_agent, TPA-51653, identity id MBR-001116, confidence 1, method probabilistic, matched record CLM-403802, policy version 1
2026-10-19 19:52:08Record linked automaticallybe6abdde53
scoring_agent, CLM-403801, identity id MBR-001116, confidence 1, method probabilistic, matched record CLM-403802, policy version 1
2026-10-19 19:52:08Record linked automatically15eb8be3b6
matching_agent, ENR-104933, identity id MBR-001116, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-403800
2026-10-19 19:52:08Record linked automatically6f0f9ebff9
scoring_agent, CLM-403800, identity id MBR-001116, confidence 1, method probabilistic, matched record CLM-403802, policy version 1
2026-10-19 19:52:08Record linked automaticallybc2654e587
scoring_agent, CLM-403802, identity id MBR-001116, confidence 1, method probabilistic, matched record CLM-403800, policy version 1
2026-10-19 19:45:41Record linked automatically6efef22be5
scoring_agent, TPA-51653, identity id MBR-001116, confidence 1, method probabilistic, matched record CLM-403802, policy version 1
2026-10-19 19:45:41Record linked automatically4d5ec6d8fc
scoring_agent, CLM-403801, identity id MBR-001116, confidence 1, method probabilistic, matched record CLM-403802, policy version 1
2026-10-19 19:45:41Record linked automaticallyee254bbd7d
matching_agent, ENR-104933, identity id MBR-001116, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-403800
2026-10-19 19:45:41Record linked automatically8f1a578a3d
scoring_agent, CLM-403800, identity id MBR-001116, confidence 1, method probabilistic, matched record CLM-403802, policy version 1
2026-10-19 19:45:41Record linked automaticallybb37d9f020
scoring_agent, CLM-403802, identity id MBR-001116, confidence 1, method probabilistic, matched record CLM-403800, policy version 1
2026-10-19 19:32:31Record linked automatically369c401b91
scoring_agent, TPA-51653, identity id MBR-001116, confidence 1, method probabilistic, matched record CLM-403802, policy version 1
2026-10-19 19:32:31Record linked automaticallyec340040c2
scoring_agent, CLM-403801, identity id MBR-001116, confidence 1, method probabilistic, matched record CLM-403802, policy version 1
2026-10-19 19:32:31Record linked automatically8b571c199f
matching_agent, ENR-104933, identity id MBR-001116, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-403800
2026-10-19 19:32:31Record linked automatically3c236e1ce0
scoring_agent, CLM-403800, identity id MBR-001116, confidence 1, method probabilistic, matched record CLM-403802, policy version 1
2026-10-19 19:32:31Record linked automatically9be37f3593
scoring_agent, CLM-403802, identity id MBR-001116, confidence 1, method probabilistic, matched record CLM-403800, policy version 1
2026-10-19 19:31:28Record linked automatically20821eb04b
matching_agent, CLM-403801, identity id MBR-037522, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104946
2026-10-19 19:31:28Record linked automaticallya05f3f7048
scoring_agent, TPA-51653, identity id MBR-007047, confidence 1, method probabilistic, matched record CLM-403677, policy version 1
2026-10-19 19:31:28Record linked automaticallya23d7142ea
matching_agent, ENR-104933, identity id MBR-004515, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-21153
2026-10-19 19:31:28Record linked automaticallyca0f17b061
scoring_agent, CLM-403800, identity id MBR-003362, confidence 1, method probabilistic, matched record CLM-403797, policy version 1

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-2026-000733	2026-02-13	Desert Internal Medicine Associates in network	80053	$63.00	—	Denied	Denied
CLM-2026-000732	2026-02-13	Desert Internal Medicine Associates in network	80053	$63.00	$9.06	Approved	Approved
CLM-2026-004049	2026-01-17	Riverside Primary Care Associates in network	99214	$280.00	$143.60	Approved	Approved
CLM-2026-024531	2025-12-10	Northgate Internal Medicine Associates in network	99215	$389.00	$211.18	Approved	Approved