Identities/MBR-001526

Gold, golden identity

Helen Ryan

6 source records from 4 feeds.

MBR-001526Verified6 records

Golden record

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

First nameENR: Helen
Middle name—: —
Last nameENR: Ryan
Date of birthENR: 1998-10-21
GenderENR: M
Member IDENR: UHC-52155-31
SSNENR: •••-••-0697
PhoneENR: 6305830091
Email—: —
AddressENR: 3533 Pine Dr
CityENR: Atlanta
StateENR: GA
ZIPENR: 30366
GroupENR: GRP-8518
PlanENR: SELECT-EPO

Min confidence

0.98

Sources

CLM ×2TPA ×2PRV ×1ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-430616	CLM	2026-01-05	Helen Ryanflagged	1998-10-21	UHC-52155-31	6305830091	3533 Pine Dr, Atlanta, GA	Scored	1.00	—
TPA-63519	TPA	2026-01-27	Helen Ryanflagged	1998-10-21	—	6305830091	3533 Pine Dr, Atlanta, GA	Scored	1.00	—
TPA-63520	TPA	2026-01-27	Helen Ryanflagged	1998-10-21	—	6305830091	3533 Pine Dr, Atlanta, GA	Scored	1.00	—
PRV-28956	PRV	2026-02-09	Helen Ryanflagged	1998-10-21	—	6305830091	3533 Pine Dr, Atlanta, GA	Scored	1.00	—
ENR-140193	ENR	2026-07-22	Helen Ryanflagged	1998-10-21	UHC-52155-31	6305830091	3533 Pine Dr, Atlanta, GA	Scored	1.00	—
CLM-430617	CLM	2026-09-16	Helen Raynflagged	1998-10-21	—	6305830091	—	Scored	0.98	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-63519TPAENR-140193ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-63520TPAENR-140193ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-28956PRVENR-140193ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-430616CLMPRV-28956PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-63519TPAPRV-28956PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-63520TPAPRV-28956PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-430616CLMTPA-63519TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-430616CLMTPA-63520TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-63519TPATPA-63520TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-430616CLMENR-140193ENR0.99RuleD1 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-430616CLMCLM-430617CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-63519TPACLM-430617CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-63520TPACLM-430617CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-28956PRVCLM-430617CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-140193ENRCLM-430617CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-430617 → UHC-52155-31 (Helen Ryan)
ACT-008539, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically7b8c09332f
scoring_agent, CLM-430617, identity id MBR-001526, confidence 0.98, method probabilistic, matched record CLM-430616, policy version 1
2026-10-22 12:43:53Record linked automatically27a16c65e7
scoring_agent, ENR-140193, identity id MBR-001526, confidence 1, method probabilistic, matched record TPA-63519, policy version 1
2026-10-22 12:43:53Record linked automaticallyd8366d1b12
scoring_agent, PRV-28956, identity id MBR-001526, confidence 1, method probabilistic, matched record CLM-430616, policy version 1
2026-10-22 12:43:53Record linked automatically34dba8ec9a
scoring_agent, TPA-63520, identity id MBR-001526, confidence 1, method probabilistic, matched record CLM-430616, policy version 1
2026-10-22 12:43:53Record linked automatically7f0246f5d6
scoring_agent, TPA-63519, identity id MBR-001526, confidence 1, method probabilistic, matched record CLM-430616, policy version 1
2026-10-22 12:43:53Record linked automaticallye8a09402a5
scoring_agent, CLM-430616, identity id MBR-001526, confidence 1, method probabilistic, matched record TPA-63519, policy version 1
2026-10-19 19:54:38Record linked automaticallyd872927b82
scoring_agent, CLM-430617, identity id MBR-001526, confidence 0.98, method probabilistic, matched record CLM-430616, policy version 1
2026-10-19 19:54:38Record linked automatically29b3792ad0
scoring_agent, ENR-140193, identity id MBR-001526, confidence 1, method probabilistic, matched record TPA-63519, policy version 1
2026-10-19 19:54:38Record linked automatically87361cd7f8
scoring_agent, PRV-28956, identity id MBR-001526, confidence 1, method probabilistic, matched record CLM-430616, policy version 1
2026-10-19 19:54:38Record linked automatically79ef92a0cb
scoring_agent, TPA-63520, identity id MBR-001526, confidence 1, method probabilistic, matched record CLM-430616, policy version 1
2026-10-19 19:54:38Record linked automatically0ee080662c
scoring_agent, TPA-63519, identity id MBR-001526, confidence 1, method probabilistic, matched record CLM-430616, policy version 1
2026-10-19 19:54:38Record linked automatically44c2a0e229
scoring_agent, CLM-430616, identity id MBR-001526, confidence 1, method probabilistic, matched record TPA-63519, policy version 1
2026-10-19 19:52:08Record linked automatically82977eb90d
scoring_agent, CLM-430617, identity id MBR-001526, confidence 0.98, method probabilistic, matched record CLM-430616, policy version 1
2026-10-19 19:52:08Record linked automaticallydacab20b9b
scoring_agent, ENR-140193, identity id MBR-001526, confidence 1, method probabilistic, matched record TPA-63519, policy version 1
2026-10-19 19:52:08Record linked automatically4f5de953cf
scoring_agent, PRV-28956, identity id MBR-001526, confidence 1, method probabilistic, matched record CLM-430616, policy version 1
2026-10-19 19:52:08Record linked automaticallyf3971d6f1f
scoring_agent, TPA-63520, identity id MBR-001526, confidence 1, method probabilistic, matched record CLM-430616, policy version 1
2026-10-19 19:52:08Record linked automaticallyd340a9c956
scoring_agent, TPA-63519, identity id MBR-001526, confidence 1, method probabilistic, matched record CLM-430616, policy version 1
2026-10-19 19:52:08Record linked automaticallyea95946d45
scoring_agent, CLM-430616, identity id MBR-001526, confidence 1, method probabilistic, matched record TPA-63519, policy version 1
2026-10-19 19:45:41Record linked automatically709060ac7f
scoring_agent, CLM-430617, identity id MBR-001526, confidence 0.98, method probabilistic, matched record CLM-430616, policy version 1
2026-10-19 19:45:41Record linked automaticallya84428ba7e
scoring_agent, ENR-140193, identity id MBR-001526, confidence 1, method probabilistic, matched record TPA-63519, policy version 1
2026-10-19 19:45:41Record linked automatically75c013ac72
scoring_agent, PRV-28956, identity id MBR-001526, confidence 1, method probabilistic, matched record CLM-430616, policy version 1
2026-10-19 19:45:41Record linked automaticallydbc0742207
scoring_agent, TPA-63520, identity id MBR-001526, confidence 1, method probabilistic, matched record CLM-430616, policy version 1
2026-10-19 19:45:41Record linked automatically4eb372dfd5
scoring_agent, TPA-63519, identity id MBR-001526, confidence 1, method probabilistic, matched record CLM-430616, policy version 1
2026-10-19 19:45:41Record linked automatically52163ac9f7
scoring_agent, CLM-430616, identity id MBR-001526, confidence 1, method probabilistic, matched record TPA-63519, policy version 1
2026-10-19 19:32:31Record linked automaticallyff65e373f0
scoring_agent, CLM-430617, identity id MBR-001526, confidence 0.98, method probabilistic, matched record CLM-430616, policy version 1
2026-10-19 19:32:31Record linked automaticallyd4a94c5438
scoring_agent, ENR-140193, identity id MBR-001526, confidence 1, method probabilistic, matched record TPA-63519, policy version 1
2026-10-19 19:32:31Record linked automatically2114d69258
scoring_agent, PRV-28956, identity id MBR-001526, confidence 1, method probabilistic, matched record CLM-430616, policy version 1
2026-10-19 19:32:31Record linked automatically8a653389fa
scoring_agent, TPA-63520, identity id MBR-001526, confidence 1, method probabilistic, matched record CLM-430616, policy version 1
2026-10-19 19:32:31Record linked automatically4ade9098d9
scoring_agent, TPA-63519, identity id MBR-001526, confidence 1, method probabilistic, matched record CLM-430616, policy version 1
2026-10-19 19:32:31Record linked automatically0b6ab939c8
scoring_agent, CLM-430616, identity id MBR-001526, confidence 1, method probabilistic, matched record TPA-63519, policy version 1
2026-10-19 19:31:28Record linked automaticallye117936df5
matching_agent, TPA-63520, identity id MBR-020813, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430829
2026-10-19 19:31:28Record linked automatically1a356fd40b
matching_agent, TPA-63519, identity id MBR-020813, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430829
2026-10-19 19:31:28Record linked automatically8a65b7c83b
matching_agent, CLM-430617, identity id MBR-018474, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140397
2026-10-19 19:31:28Record linked automatically556ba1805c
scoring_agent, PRV-28956, identity id MBR-004262, confidence 1, method probabilistic, matched record CLM-430616, policy version 1
2026-10-19 19:31:28Record linked automaticallyee7c24d0cf
scoring_agent, CLM-430616, identity id MBR-004262, confidence 1, method probabilistic, matched record PRV-28956, 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-2026-027303	2026-08-14	Canyon Reference Lab in network	80053, 85025, 87086	$151.00	$0.00	Approved	Approved
CLM-2026-006077	2025-12-31	Evergreen Rehabilitation Center in network	97110, 97161	$372.00	—	Needs review	Needs review
CLM-2026-006076	2025-12-31	Evergreen Rehabilitation Center in network	97110, 97161	$372.00	$190.64	Approved	Approved