Identities/MBR-001814
Gold, golden identity

Priya G Tucker

6 source records from 2 feeds.

MBR-001814Verified6 records

Golden record

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

First nameENR
Priya
Middle nameENR
G
Last nameENR
Tucker
Date of birthENR
1981-02-07
GenderENR
F
Member IDENR
UHC-26060-45
SSNENR
•••-••-1876
PhoneENR
3497194168
EmailENR
priya.tucker@hotmail.com
AddressENR
619 Ocean Ave
CityENR
Jacksonville
StateENR
FL
ZIPENR
32248
GroupENR
GRP-3235
PlanENR
MEDICARE-ADV-B
Min confidence
0.97
Sources
CLM ×4ENR ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.971.001.001.000.99CLMCLM-411742CLMCLM-411740CLMCLM-411741CLMCLM-411739ENRENR-115488ENRENR-115489IDMBR-001814
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-411742CLM2026-01-06Priya Tuckerflagged1981-02-07UHC-26060-45—619 Ocean Ave, Jacksonville, FLScored1.00—
CLM-411740CLM2026-02-03Priya Tuckerflagged1981-02-07———Rule0.97D2 ssn4 + dob + last name
CLM-411741CLM2026-02-12Priya Tuckerflagged1981-02-07—3497194168619 Ocean Ave, Jacksonville, FLScored1.00—
CLM-411739CLM2026-02-22Priya Tuckerflagged1981-02-07UHC-26060-45—619 Ocean Ave, Jacksonville, FLScored1.00—
ENR-115488ENR2026-05-11Priya Tuckerflagged—UHC-26060-453497194168619 Ocean Ave, Jacksonville, FLScored1.00—
ENR-115489ENR2026-07-09Priya Tuckerflagged1981-02-07UHC-26060-453497194168619 Ocean Ave, Jacksonville, FLRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-411741CLMCLM-411739CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-411742 CLMCLM-411741CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-411741CLMENR-115488ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-411742 CLMCLM-411739CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-411742 CLMENR-115489ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-411739CLMENR-115489ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-411740CLMCLM-411741CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-411740CLMENR-115489ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-411741CLMENR-115489ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-411742 CLMENR-115488ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-411739CLMENR-115488ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-115488ENRENR-115489ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-411740CLMCLM-411739CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-411742 CLMCLM-411740CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-411741 → UHC-26060-45 (Priya Tucker)
    ACT-004139, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-411740 → UHC-26060-45 (Priya Tucker)
    ACT-004405, Claims processor
  • Care coordination outreachProposed
    Priya Tucker: 4 claims, no attributed provider
    ACT-017911, Next-best-action
  • Duplicate member record retiredExecuted
    Priya Tucker: 2 enrollment records collapsed into UHC-26060-45
    ACT-021969, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically8e20bbf33b
    matching_agent, ENR-115489, identity id MBR-001814, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411742
  • 2026-10-22 12:43:53Record linked automatically16c83c5aca
    scoring_agent, ENR-115488, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411741, policy version 1
  • 2026-10-22 12:43:53Record linked automatically7b917323d7
    scoring_agent, CLM-411739, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411741, policy version 1
  • 2026-10-22 12:43:53Record linked automatically4f5c2df73a
    scoring_agent, CLM-411741, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411742, policy version 1
  • 2026-10-22 12:43:53Record linked automatically2e339b005b
    matching_agent, CLM-411740, identity id MBR-001814, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411741
  • 2026-10-22 12:43:53Record linked automatically56b02e955c
    scoring_agent, CLM-411742, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411741, policy version 1
  • 2026-10-19 19:54:38Record linked automatically82516b01e9
    matching_agent, ENR-115489, identity id MBR-001814, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411742
  • 2026-10-19 19:54:38Record linked automaticallyafbc2090e2
    scoring_agent, ENR-115488, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411741, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5181085dbf
    scoring_agent, CLM-411739, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411741, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya6fbd1f671
    scoring_agent, CLM-411741, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411742, policy version 1
  • 2026-10-19 19:54:38Record linked automatically47f07f5abd
    matching_agent, CLM-411740, identity id MBR-001814, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411741
  • 2026-10-19 19:54:38Record linked automaticallya123fa9949
    scoring_agent, CLM-411742, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411741, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyb14b7f0135
    matching_agent, ENR-115489, identity id MBR-001814, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411742
  • 2026-10-19 19:52:08Record linked automatically7584fc87ab
    scoring_agent, ENR-115488, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411741, policy version 1
  • 2026-10-19 19:52:08Record linked automatically83c63bfe08
    scoring_agent, CLM-411739, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411741, policy version 1
  • 2026-10-19 19:52:08Record linked automatically70254be746
    scoring_agent, CLM-411741, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411742, policy version 1
  • 2026-10-19 19:52:08Record linked automatically7ad842d781
    matching_agent, CLM-411740, identity id MBR-001814, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411741
  • 2026-10-19 19:52:08Record linked automaticallya7ca45152c
    scoring_agent, CLM-411742, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411741, policy version 1
  • 2026-10-19 19:45:41Record linked automatically4d30cca3ea
    matching_agent, ENR-115489, identity id MBR-001814, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411742
  • 2026-10-19 19:45:41Record linked automatically6af3bf323e
    scoring_agent, ENR-115488, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411741, policy version 1
  • 2026-10-19 19:45:41Record linked automatically8181dfbb94
    scoring_agent, CLM-411739, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411741, policy version 1
  • 2026-10-19 19:45:41Record linked automatically88d72d1f06
    scoring_agent, CLM-411741, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411742, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallya31159d0bc
    matching_agent, CLM-411740, identity id MBR-001814, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411741
  • 2026-10-19 19:45:41Record linked automatically1bc52507d2
    scoring_agent, CLM-411742, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411741, policy version 1
  • 2026-10-19 19:32:31Record linked automatically34d540ffbb
    matching_agent, ENR-115489, identity id MBR-001814, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411742
  • 2026-10-19 19:32:31Record linked automaticallyaacaed10ad
    scoring_agent, ENR-115488, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411741, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4ede9322db
    scoring_agent, CLM-411739, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411741, policy version 1
  • 2026-10-19 19:32:31Record linked automatically040ee76f33
    scoring_agent, CLM-411741, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411742, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyefac9fc0a2
    matching_agent, CLM-411740, identity id MBR-001814, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411741
  • 2026-10-19 19:32:31Record linked automatically7e06969108
    scoring_agent, CLM-411742, identity id MBR-001814, confidence 1, method probabilistic, matched record CLM-411741, policy version 1
  • 2026-10-19 19:31:28Record linked automatically082a020284
    matching_agent, CLM-411741, identity id MBR-041244, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115570
  • 2026-10-19 19:31:28Record linked automaticallye2c51c67bf
    scoring_agent, CLM-411739, identity id MBR-035944, confidence 1, method probabilistic, matched record CLM-411738, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9ce1432044
    matching_agent, CLM-411740, identity id MBR-035944, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411739
  • 2026-10-19 19:31:28Record linked automaticallyc21144caa3
    scoring_agent, ENR-115489, identity id MBR-012624, confidence 1, method probabilistic, matched record TPA-55190, policy version 1
  • 2026-10-19 19:31:28Record linked automatically3f3d389594
    matching_agent, CLM-411742, identity id MBR-002513, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115571

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0100032026-01-22Sunrise Community Hospital
in network
99285, 96374, 71046$2,296.00$1,112.80ApprovedApproved
CLM-2026-0106972025-07-24Unity Internal Medicine Associates
out of network
93000, 99214$332.00—DeniedDenied
CLM-2026-0117142026-01-19Mesa Orthopedic Specialists
in network
27447$48,085.00—DeniedDenied
CLM-2026-0270262025-12-16Pinecrest Clinical Laboratories
in network
80061$64.00—Needs reviewNeeds review
CLM-2026-0270252025-12-16Sunrise Clinical Laboratories
in network
80061$64.00$0.00ApprovedApproved