Identities/MBR-002082
Gold, golden identity

Heather Fuller

6 source records from 3 feeds.

MBR-002082Verified6 records

Golden record

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

First nameENR
Heather
Middle name—
—
Last nameENR
Fuller
Date of birthENR
1938-09-04
GenderENR
M
Member IDENR
UHC-97671-82
SSNENR
•••-••-6795
PhoneENR
9303423348
EmailENR
heather.fuller80@hotmail.com
AddressENR
5849 Mesa Dr
CityENR
Minneapolis
StateENR
MN
ZIPENR
55478
GroupENR
GRP-1643
PlanENR
MEDICARE-ADV-B
Min confidence
1.00
Sources
ENR ×1TPA ×2CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.001.001.00ENRENR-131218TPATPA-60496CLMCLM-423864CLMCLM-423863CLMCLM-423862TPATPA-60495IDMBR-002082
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
ENR-131218ENR2026-01-07Heather Fullerflagged1938-09-04UHC-97671-8293034233485849 Mesa Dr, Minneapolis, MNScored1.00—
TPA-60496TPA2026-01-18Heather Fullerflagged1938-09-04——5849 Mesa Dr, Minneapolis, MNScored1.00—
CLM-423864CLM2026-04-19Heather Fullerflagged1938-09-04UHC-97671-82—5849 Mesa Dr, Minneapolis, MNScored1.00—
CLM-423863CLM2026-05-31Heather Fullerflagged1938-09-04UHC-97671-8293034233485849 Mesa Dr, Minneapolis, MNScored1.00—
CLM-423862CLM2026-10-03Heather Fullerflagged1938-09-04——5849 Mesa Dr, Minneapolis, MNScored1.00—
TPA-60495TPA2026-10-15Heather Fullerflagged1938-09-04UHC-97671-82—5849 Mesa Dr, Minneapolis, MNScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-60496TPACLM-423862CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-60496TPACLM-423863CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-60496TPACLM-423864 CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-60496TPATPA-60495TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-423862CLMTPA-60495TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-131218ENRTPA-60496TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-131218ENRCLM-423863CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-423864 CLMCLM-423863CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-131218ENRCLM-423864 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-131218ENRTPA-60495TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-423864 CLMTPA-60495TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-423863CLMTPA-60495TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-131218ENRCLM-423862CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-423864 CLMCLM-423862CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-423863CLMCLM-423862CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Heather Fuller: 2 plan codes across sources → canonical MEDICARE-ADV-B
    ACT-000108, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-423862 → UHC-97671-82 (Heather Fuller)
    ACT-002852, Claims processor
  • Care coordination outreachProposed
    Heather Fuller: 3 claims, no attributed provider
    ACT-017931, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyc9578a1530
    scoring_agent, TPA-60495, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1bbce2348b
    scoring_agent, CLM-423862, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye4cbaf6bfd
    scoring_agent, CLM-423863, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:54:38Record linked automatically413f9121a3
    scoring_agent, CLM-423864, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0647731c18
    scoring_agent, TPA-60496, identity id MBR-002082, confidence 1, method probabilistic, matched record ENR-131218, policy version 1
  • 2026-10-19 19:54:38Record linked automatically9e2e165b35
    scoring_agent, ENR-131218, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:52:08Record linked automatically004949e804
    scoring_agent, TPA-60495, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallycae7250d9f
    scoring_agent, CLM-423862, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:52:08Record linked automatically7a2c3b7dba
    scoring_agent, CLM-423863, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:52:08Record linked automatically3f4d893999
    scoring_agent, CLM-423864, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:52:08Record linked automatically6a61157eea
    scoring_agent, TPA-60496, identity id MBR-002082, confidence 1, method probabilistic, matched record ENR-131218, policy version 1
  • 2026-10-19 19:52:08Record linked automatically94b30f126d
    scoring_agent, ENR-131218, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:45:41Record linked automatically0a89b7fce2
    scoring_agent, TPA-60495, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:45:41Record linked automatically3087bbc080
    scoring_agent, CLM-423862, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:45:41Record linked automatically3498ac9341
    scoring_agent, CLM-423863, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyad23a62acf
    scoring_agent, CLM-423864, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:45:41Record linked automatically002dc591ca
    scoring_agent, TPA-60496, identity id MBR-002082, confidence 1, method probabilistic, matched record ENR-131218, policy version 1
  • 2026-10-19 19:45:41Record linked automatically33403c7075
    scoring_agent, ENR-131218, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:32:31Record linked automatically384279036b
    scoring_agent, TPA-60495, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc6da08ae3d
    scoring_agent, CLM-423862, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:32:31Record linked automatically676caa6021
    scoring_agent, CLM-423863, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0db9f3b646
    scoring_agent, CLM-423864, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7c24b25ac5
    scoring_agent, TPA-60496, identity id MBR-002082, confidence 1, method probabilistic, matched record ENR-131218, policy version 1
  • 2026-10-19 19:32:31Record linked automatically567df721fe
    scoring_agent, ENR-131218, identity id MBR-002082, confidence 1, method probabilistic, matched record TPA-60496, policy version 1
  • 2026-10-19 19:31:28Record linked automatically421546e46e
    scoring_agent, CLM-423862, identity id MBR-030208, confidence 1, method probabilistic, matched record ENR-131402, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyed82504a5a
    scoring_agent, ENR-131218, identity id MBR-015929, confidence 1, method probabilistic, matched record TPA-60440, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc78b29f40f
    scoring_agent, CLM-423863, identity id MBR-015404, confidence 1, method probabilistic, matched record CLM-423864, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf43ab83f88
    scoring_agent, CLM-423864, identity id MBR-015404, confidence 1, method probabilistic, matched record ENR-131403, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0e4f60d676
    scoring_agent, TPA-60495, identity id MBR-010314, confidence 0.98, method probabilistic, matched record ENR-131389, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0057462026-10-01Riverside Orthopedic Specialists
in network
29881$8,777.00—Needs reviewNeeds review
CLM-2026-0051352026-05-28Pinecrest Bone and Joint Center
in network
29881, 73721$7,115.00—DeniedDenied
CLM-2026-0051342026-05-28Pinecrest Bone and Joint Center
in network
29881, 73721$7,115.00$2,288.17ApprovedApproved
CLM-2026-0036542026-04-07Pinecrest Primary Care Associates
in network
90471, 99395, 99203$510.00$295.12ApprovedApproved