Identities/MBR-002487
Gold, golden identity

Patricia Le

4 source records from 2 feeds.

MBR-002487Verified4 records

Golden record

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

First nameCLM
Patricia
Middle name—
—
Last nameCLM
Le
Date of birthCLM
1963-01-08
GenderCLM
M
Member IDCLM
UHC-15651-83
SSNCLM
•••-••-1735
PhoneCLM
7436080593
Email—
—
AddressCLM
9221 Sunset Blvd
CityCLM
Atlanta
StateCLM
GA
ZIPCLM
30367
GroupCLM
GRP-7313
PlanCLM
OPTIONS-PPO
Min confidence
1.00
Sources
CLM ×3TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.00CLMCLM-400960TPATPA-50438CLMCLM-400959CLMCLM-400958IDMBR-002487
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-400960CLM2026-01-08Patricia Leflagged1963-01-08——9221 Sunset Blvd, Atlanta, GAScored1.00—
TPA-50438TPA2026-05-02Patricia Leflagged1963-01-08—74360805939221 Sunset Blvd, Atlanta, GAScored1.00—
CLM-400959CLM2026-05-11Patricia Leflagged1963-01-08—7436080593—Scored1.00—
CLM-400958CLM2026-10-01Patricia Leflagged1963-01-08UHC-15651-8374360805939221 Sunset Blvd, Atlanta, GAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-400960CLMCLM-400958CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-50438TPACLM-400958CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-50438TPACLM-400959CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-400960CLMTPA-50438TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-400959CLMCLM-400958CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-400960CLMCLM-400959CLM0.83Scoredweighted 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-400960 → UHC-15651-83 (Patricia Le)
    ACT-004712, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-400959 → UHC-15651-83 (Patricia Le)
    ACT-006402, Claims processor
  • Care coordination outreachProposed
    Patricia Le: 3 claims, no attributed provider
    ACT-017960, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyf6a7bd782e
    scoring_agent, CLM-400958, identity id MBR-002487, confidence 1, method probabilistic, matched record CLM-400960, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyfa14a2ad61
    scoring_agent, CLM-400959, identity id MBR-002487, confidence 1, method probabilistic, matched record TPA-50438, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8d753d7c1b
    scoring_agent, TPA-50438, identity id MBR-002487, confidence 1, method probabilistic, matched record CLM-400960, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb836214459
    scoring_agent, CLM-400960, identity id MBR-002487, confidence 1, method probabilistic, matched record TPA-50438, policy version 1
  • 2026-10-19 19:52:08Record linked automatically7e867561c1
    scoring_agent, CLM-400958, identity id MBR-002487, confidence 1, method probabilistic, matched record CLM-400960, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallye33f1e1a82
    scoring_agent, CLM-400959, identity id MBR-002487, confidence 1, method probabilistic, matched record TPA-50438, policy version 1
  • 2026-10-19 19:52:08Record linked automatically3da334e1e1
    scoring_agent, TPA-50438, identity id MBR-002487, confidence 1, method probabilistic, matched record CLM-400960, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallya1473b3428
    scoring_agent, CLM-400960, identity id MBR-002487, confidence 1, method probabilistic, matched record TPA-50438, policy version 1
  • 2026-10-19 19:45:41Record linked automatically4b1bf59c7c
    scoring_agent, CLM-400958, identity id MBR-002487, confidence 1, method probabilistic, matched record CLM-400960, policy version 1
  • 2026-10-19 19:45:41Record linked automatically70215ddd30
    scoring_agent, CLM-400959, identity id MBR-002487, confidence 1, method probabilistic, matched record TPA-50438, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallya4e2e15d3c
    scoring_agent, TPA-50438, identity id MBR-002487, confidence 1, method probabilistic, matched record CLM-400960, policy version 1
  • 2026-10-19 19:45:41Record linked automatically73b82109e3
    scoring_agent, CLM-400960, identity id MBR-002487, confidence 1, method probabilistic, matched record TPA-50438, policy version 1
  • 2026-10-19 19:32:31Record linked automatically014d72a21d
    scoring_agent, CLM-400958, identity id MBR-002487, confidence 1, method probabilistic, matched record CLM-400960, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0c4d80319f
    scoring_agent, CLM-400959, identity id MBR-002487, confidence 1, method probabilistic, matched record TPA-50438, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfb55364003
    scoring_agent, TPA-50438, identity id MBR-002487, confidence 1, method probabilistic, matched record CLM-400960, policy version 1
  • 2026-10-19 19:32:31Record linked automatically08e32cc34b
    scoring_agent, CLM-400960, identity id MBR-002487, confidence 1, method probabilistic, matched record TPA-50438, policy version 1
  • 2026-10-19 19:31:28Record linked automatically21c138def4
    matching_agent, CLM-400960, identity id MBR-026123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400959
  • 2026-10-19 19:31:28Record linked automaticallyde5f553d57
    matching_agent, CLM-400959, identity id MBR-026123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400962
  • 2026-10-19 19:31:28Record linked automatically0d4c132e51
    scoring_agent, CLM-400958, identity id MBR-015411, confidence 1, method probabilistic, matched record ENR-101330, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallycef72f67c6
    scoring_agent, TPA-50438, identity id MBR-014677, confidence 1, method probabilistic, matched record ENR-101445, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0180052026-09-26Riverside Orthopedic Specialists
in network
27447$46,395.00—Needs reviewNeeds review
CLM-2026-0190882026-03-27Sunrise Community Hospital
out of network
96374, 99284, 71046$1,654.00$646.20ApprovedApproved
CLM-2026-0128102025-12-11Sunrise Internal Medicine Associates
in network
99232, 99215$503.00—Needs reviewNeeds review