Identities/MBR-001647

Gold, golden identity

Donna F Reed

6 source records from 4 feeds.

MBR-001647Verified6 recordsOpen steward case

Golden record

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

First nameENR: Donna
Middle nameENR: F
Last nameENR: Reed
Date of birthENR: 1985-11-09
GenderENR: M
Member IDENR: UHC-68692-18
SSNENR: •••-••-0960
PhoneENR: 4475624458
EmailENR: donna.reed@yahoo.com
AddressENR: 7251 Harbor Blvd
CityENR: Columbus
StateENR: OH
ZIPENR: 43266
GroupENR: GRP-6670
PlanENR: OPTIONS-PPO

Min confidence

0.91

Sources

CLM ×3TPA ×1PRV ×1ENR ×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-425858	CLM	2026-01-06	Donna Reedflagged	1985-11-09	UHC-68692-18	4475624458	7251 Harbor Blvd, Columbus, OH	Scored	1.00	—
TPA-61413	TPA	2026-01-25	Donna Reedflagged	1985-11-09	—	—	9147 Park Pl, Jacksonville, FL	Scored	0.91	—
PRV-27610	PRV	2026-02-04	Dunna Reedflagged	1985-11-09	—	4475624458	9147 Park Pl, Jacksonville, FL	Scored	0.98	—
ENR-133811	ENR	2026-03-29	Donna Reedflagged	1985-11-09	UHC-68692-18	4475624458	7251 Harbor Blvd, Columbus, OH	Scored	1.00	—
CLM-425859	CLM	2026-07-09	Donna Reedflagged	1985-11-09	—	4475624458	—	Scored	1.00	—
CLM-425860	CLM	2026-07-09	Donna Reedflagged	1985-11-09	—	4475624458	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-425858CLMCLM-425859CLM1.00Scoredweighted 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

▶ENR-133811ENRCLM-425859CLM1.00Scoredweighted 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-425858CLMCLM-425860CLM1.00Scoredweighted 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

▶ENR-133811ENRCLM-425860CLM1.00Scoredweighted 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-425859CLMCLM-425860CLM1.00Scoredweighted 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-425858CLMENR-133811ENR0.99RuleD1 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

▶PRV-27610PRVCLM-425859CLM0.98Scoredweighted 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-27610PRVCLM-425860CLM0.98Scoredweighted 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-61413TPAPRV-27610PRV0.91Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61413TPACLM-425859CLM0.83Scoredweighted 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-61413TPACLM-425860CLM0.83Scoredweighted 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

▶PRV-27610PRVENR-133811ENR0.81Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425858CLMPRV-27610PRV0.77Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61413TPAENR-133811ENR0.75Scoredweighted 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

▶CLM-425858CLMTPA-61413TPA0.75Scoredweighted 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-425859 → UHC-68692-18 (Donna Reed)
ACT-007071, Claims processor
Orphan claim re-pointedExecuted
CLM-425860 → UHC-68692-18 (Donna Reed)
ACT-007127, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically2a6de37852
scoring_agent, CLM-425860, identity id MBR-001647, confidence 1, method probabilistic, matched record CLM-425858, policy version 1
2026-10-19 19:54:38Record linked automatically2ce7d90e87
scoring_agent, CLM-425859, identity id MBR-001647, confidence 1, method probabilistic, matched record CLM-425858, policy version 1
2026-10-19 19:54:38Record linked automatically23d82a237d
scoring_agent, ENR-133811, identity id MBR-001647, confidence 1, method probabilistic, matched record CLM-425859, policy version 1
2026-10-19 19:54:38Record linked automatically37129d401a
scoring_agent, PRV-27610, identity id MBR-001647, confidence 0.98, method probabilistic, matched record CLM-425859, policy version 1
2026-10-19 19:54:38Record linked automatically14537ba9c6
scoring_agent, TPA-61413, identity id MBR-001647, confidence 0.91, method probabilistic, matched record PRV-27610, policy version 1
2026-10-19 19:54:38Record linked automaticallyc78774b466
scoring_agent, CLM-425858, identity id MBR-001647, confidence 1, method probabilistic, matched record CLM-425859, policy version 1
2026-10-19 19:52:08Record linked automatically62f3eed438
scoring_agent, CLM-425860, identity id MBR-001647, confidence 1, method probabilistic, matched record CLM-425858, policy version 1
2026-10-19 19:52:08Record linked automatically0d51be28cd
scoring_agent, CLM-425859, identity id MBR-001647, confidence 1, method probabilistic, matched record CLM-425858, policy version 1
2026-10-19 19:52:08Record linked automatically026c56c03a
scoring_agent, ENR-133811, identity id MBR-001647, confidence 1, method probabilistic, matched record CLM-425859, policy version 1
2026-10-19 19:52:08Record linked automatically11840ea9e3
scoring_agent, PRV-27610, identity id MBR-001647, confidence 0.98, method probabilistic, matched record CLM-425859, policy version 1
2026-10-19 19:52:08Record linked automatically5815c33297
scoring_agent, TPA-61413, identity id MBR-001647, confidence 0.91, method probabilistic, matched record PRV-27610, policy version 1
2026-10-19 19:52:08Record linked automatically5f0c676111
scoring_agent, CLM-425858, identity id MBR-001647, confidence 1, method probabilistic, matched record CLM-425859, policy version 1
2026-10-19 19:45:41Record linked automaticallyf75b96c0ed
scoring_agent, CLM-425860, identity id MBR-001647, confidence 1, method probabilistic, matched record CLM-425858, policy version 1
2026-10-19 19:45:41Record linked automatically43896fae77
scoring_agent, CLM-425859, identity id MBR-001647, confidence 1, method probabilistic, matched record CLM-425858, policy version 1
2026-10-19 19:45:41Record linked automatically19e625dd48
scoring_agent, ENR-133811, identity id MBR-001647, confidence 1, method probabilistic, matched record CLM-425859, policy version 1
2026-10-19 19:45:41Record linked automatically7215abec9f
scoring_agent, PRV-27610, identity id MBR-001647, confidence 0.98, method probabilistic, matched record CLM-425859, policy version 1
2026-10-19 19:45:41Record linked automaticallye5ac2eeb79
scoring_agent, TPA-61413, identity id MBR-001647, confidence 0.91, method probabilistic, matched record PRV-27610, policy version 1
2026-10-19 19:45:41Record linked automatically3cfe81b78e
scoring_agent, CLM-425858, identity id MBR-001647, confidence 1, method probabilistic, matched record CLM-425859, policy version 1
2026-10-19 19:32:31Record linked automatically5b70b46733
scoring_agent, CLM-425860, identity id MBR-001647, confidence 1, method probabilistic, matched record CLM-425858, policy version 1
2026-10-19 19:32:31Record linked automatically43a2efded2
scoring_agent, CLM-425859, identity id MBR-001647, confidence 1, method probabilistic, matched record CLM-425858, policy version 1
2026-10-19 19:32:31Record linked automaticallye7bab4e7fe
scoring_agent, ENR-133811, identity id MBR-001647, confidence 1, method probabilistic, matched record CLM-425859, policy version 1
2026-10-19 19:32:31Record linked automatically90b458861d
scoring_agent, PRV-27610, identity id MBR-001647, confidence 0.98, method probabilistic, matched record CLM-425859, policy version 1
2026-10-19 19:32:31Record linked automatically0cc95e1747
scoring_agent, TPA-61413, identity id MBR-001647, confidence 0.91, method probabilistic, matched record PRV-27610, policy version 1
2026-10-19 19:32:31Record linked automaticallyd699f65bc0
scoring_agent, CLM-425858, identity id MBR-001647, confidence 1, method probabilistic, matched record CLM-425859, policy version 1
2026-10-19 19:31:28Record linked automaticallydb232eebc7
scoring_agent, CLM-425859, identity id MBR-040044, confidence 1, method probabilistic, matched record TPA-61390, policy version 1
2026-10-19 19:31:28Record linked automatically876ea833c6
matching_agent, CLM-425860, identity id MBR-020967, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134120
2026-10-19 19:31:28Record linked automatically1f3a192654
scoring_agent, PRV-27610, identity id MBR-018603, confidence 0.99, method probabilistic, matched record CLM-425822, policy version 1
2026-10-19 19:31:28Record linked automaticallyb7916dece7
matching_agent, ENR-133811, identity id MBR-017398, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133810
2026-10-19 19:31:28Record linked automatically79d6caa400
matching_agent, CLM-425858, identity id MBR-010135, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-134117
2026-10-19 19:31:28Record linked automatically44aff0b309
scoring_agent, TPA-61413, identity id MBR-002938, confidence 1, method probabilistic, matched record ENR-134208, 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-2026-021588	2026-05-28	Northgate Clinical Laboratories in network	80053, 85025	$86.00	—	Needs review	Needs review
CLM-2026-021854	2026-07-03	Mesa Reference Lab in network	85025, 80053	$130.00	—	Needs review	Needs review
CLM-2026-021587	2026-05-28	Mesa Reference Lab in network	80053, 85025	$86.00	$0.00	Approved	Approved
CLM-2026-014150	2025-12-02	Canyon Heart Institute out of network	99214	$239.00	$47.55	Approved	Approved