Identities/MBR-002412

Gold, golden identity

Susan X Cunningham

6 source records from 4 feeds.

MBR-002412Verified6 records

Golden record

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

First namePRV: Susan
Middle nameENR: X
Last nameENR: Cunningham
Date of birthENR: 1972-05-03
GenderPRV: M
Member IDENR: UHC-54309-49
SSNENR: •••-••-2841
PhoneENR: 3028957021
EmailENR: susan.cunningham5@aol.com
AddressENR: 1351 Baseline Rd
CityENR: Gilbert
StateENR: AZ
ZIPENR: 85266
GroupENR: GRP-6205
PlanENR: MEDICARE-ADV-B

Min confidence

0.99

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-412768	CLM	2026-01-08	Susan Cunninghamflagged	1972-05-03	UHC-54309-49	—	1351 Baseline Rd, Gilbert, AZ	Scored	1.00	—
TPA-55612	TPA	2026-03-04	Susan Cunninghamflagged	1972-05-03	—	—	1351 Baseline Rd, Gilbert, AZ	Scored	1.00	—
CLM-412767	CLM	2026-04-03	Susan Cunninghamflagged	1972-05-03	UHC-54309-49	—	—	Rule	0.99	D1 member id + dob exact
CLM-412769	CLM	2026-05-29	Susan Cunninghamflagged	1972-05-03	UHC-54309-49	—	1351 Baseline Rd, Gilbert, AZ	Scored	1.00	—
PRV-23687	PRV	2026-06-28	Susan Cunninghamflagged	1972-05-03	UHC-54309-49	3028957021	1351 Baseline Rd Apt 33, Gilbert, AZ	Scored	1.00	—
ENR-116774	ENR	2026-09-15	Ssuan Cunninghamflagged	1972-05-03	UHC-54309-49	3028957021	1351 Baseline Rd, Gilbert, AZ	Scored	0.99	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-55612 TPACLM-412769CLM1.00Scoredweighted 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

▶TPA-55612 TPAPRV-23687PRV1.00Scoredweighted 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-412768CLMTPA-55612 TPA1.00Scoredweighted 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

▶TPA-55612 TPAENR-116774ENR0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-412768CLMCLM-412767CLM0.99RuleD1 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
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-412768CLMCLM-412769CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-412767CLMCLM-412769CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-412768CLMENR-116774ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-412767CLMENR-116774ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-412769CLMENR-116774ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-23687PRVENR-116774ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	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-412768CLMPRV-23687PRV0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-412767CLMPRV-23687PRV0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-412769CLMPRV-23687PRV0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-55612 TPACLM-412767CLM0.83Scoredweighted 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

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyd7a2a7dabd
scoring_agent, ENR-116774, identity id MBR-002412, confidence 0.99, method probabilistic, matched record TPA-55612, policy version 1
2026-10-19 19:54:38Record linked automatically84ac37b028
scoring_agent, PRV-23687, identity id MBR-002412, confidence 1, method probabilistic, matched record TPA-55612, policy version 1
2026-10-19 19:54:38Record linked automaticallyd6de76a0d9
scoring_agent, CLM-412769, identity id MBR-002412, confidence 1, method probabilistic, matched record TPA-55612, policy version 1
2026-10-19 19:54:38Record linked automatically105701b6d8
matching_agent, CLM-412767, identity id MBR-002412, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412768
2026-10-19 19:54:38Record linked automatically4cb43bf096
scoring_agent, TPA-55612, identity id MBR-002412, confidence 1, method probabilistic, matched record CLM-412768, policy version 1
2026-10-19 19:54:38Record linked automatically461b0c6b24
scoring_agent, CLM-412768, identity id MBR-002412, confidence 1, method probabilistic, matched record TPA-55612, policy version 1
2026-10-19 19:52:08Record linked automatically17e075fe4d
scoring_agent, ENR-116774, identity id MBR-002412, confidence 0.99, method probabilistic, matched record TPA-55612, policy version 1
2026-10-19 19:52:08Record linked automaticallyd1d41047a7
scoring_agent, PRV-23687, identity id MBR-002412, confidence 1, method probabilistic, matched record TPA-55612, policy version 1
2026-10-19 19:52:08Record linked automatically9a253b0d85
scoring_agent, CLM-412769, identity id MBR-002412, confidence 1, method probabilistic, matched record TPA-55612, policy version 1
2026-10-19 19:52:08Record linked automatically05284e86cf
matching_agent, CLM-412767, identity id MBR-002412, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412768
2026-10-19 19:52:08Record linked automatically09b6af54bc
scoring_agent, TPA-55612, identity id MBR-002412, confidence 1, method probabilistic, matched record CLM-412768, policy version 1
2026-10-19 19:52:08Record linked automatically66d2eff323
scoring_agent, CLM-412768, identity id MBR-002412, confidence 1, method probabilistic, matched record TPA-55612, policy version 1
2026-10-19 19:45:41Record linked automaticallya1a34d5559
scoring_agent, ENR-116774, identity id MBR-002412, confidence 0.99, method probabilistic, matched record TPA-55612, policy version 1
2026-10-19 19:45:41Record linked automaticallyc528df9836
scoring_agent, PRV-23687, identity id MBR-002412, confidence 1, method probabilistic, matched record TPA-55612, policy version 1
2026-10-19 19:45:41Record linked automatically64e8d54e51
scoring_agent, CLM-412769, identity id MBR-002412, confidence 1, method probabilistic, matched record TPA-55612, policy version 1
2026-10-19 19:45:41Record linked automaticallycf0ef203ce
matching_agent, CLM-412767, identity id MBR-002412, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412768
2026-10-19 19:45:41Record linked automatically37d8f60bd4
scoring_agent, TPA-55612, identity id MBR-002412, confidence 1, method probabilistic, matched record CLM-412768, policy version 1
2026-10-19 19:45:41Record linked automatically6de041999e
scoring_agent, CLM-412768, identity id MBR-002412, confidence 1, method probabilistic, matched record TPA-55612, policy version 1
2026-10-19 19:32:31Record linked automaticallydbfd4e9f37
scoring_agent, ENR-116774, identity id MBR-002412, confidence 0.99, method probabilistic, matched record TPA-55612, policy version 1
2026-10-19 19:32:31Record linked automaticallyf71a67d400
scoring_agent, PRV-23687, identity id MBR-002412, confidence 1, method probabilistic, matched record TPA-55612, policy version 1
2026-10-19 19:32:31Record linked automaticallydbd98c5eaa
scoring_agent, CLM-412769, identity id MBR-002412, confidence 1, method probabilistic, matched record TPA-55612, policy version 1
2026-10-19 19:32:31Record linked automatically86d60c56a1
matching_agent, CLM-412767, identity id MBR-002412, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412768
2026-10-19 19:32:31Record linked automatically58ecfba11e
scoring_agent, TPA-55612, identity id MBR-002412, confidence 1, method probabilistic, matched record CLM-412768, policy version 1
2026-10-19 19:32:31Record linked automatically891aa25001
scoring_agent, CLM-412768, identity id MBR-002412, confidence 1, method probabilistic, matched record TPA-55612, policy version 1
2026-10-19 19:31:28Record linked automatically20ac75326a
scoring_agent, ENR-116774, identity id MBR-026980, confidence 0.87, method probabilistic, matched record PRV-23743, policy version 1
2026-10-19 19:31:28Record linked automaticallye5508ee930
matching_agent, CLM-412767, identity id MBR-006707, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116877
2026-10-19 19:31:28Record linked automatically291a1fabab
scoring_agent, CLM-412768, identity id MBR-006707, confidence 1, method probabilistic, matched record TPA-55597, policy version 1
2026-10-19 19:31:28Record linked automaticallyed057f7716
scoring_agent, TPA-55612, identity id MBR-006551, confidence 0.92, method probabilistic, matched record CLM-412813, policy version 1
2026-10-19 19:31:28Record linked automatically137b76ba2d
matching_agent, PRV-23687, identity id MBR-002739, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-116563
2026-10-19 19:31:28Record linked automatically0bd8625e0d
matching_agent, CLM-412769, identity id MBR-001116, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116878

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-2026-013432	2026-05-15	Unity Reference Lab in network	83036	$68.00	$0.00	Approved	Approved
CLM-2026-000846	2026-03-24	Unity Bone and Joint Center in network	20610	$185.00	$39.70	Approved	Approved
CLM-2026-003497	2025-12-11	Evergreen Internal Medicine Associates in network	99214, 99215	$639.00	$376.18	Approved	Approved