Identities/MBR-002772
Gold, golden identity

Helen West

3 source records from 1 feed.

MBR-002772Verified3 records

Golden record

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

First nameCLM
Helen
Middle name—
—
Last nameCLM
West
Date of birthCLM
1953-01-09
GenderCLM
M
Member IDCLM
UHC-20637-25
SSNCLM
•••-••-6388
PhoneCLM
9737254148
Email—
—
AddressCLM
5497 Lincoln Way
CityCLM
Mesa
StateCLM
AZ
ZIPCLM
85289
GroupCLM
GRP-7621
PlanCLM
SELECT-EPO
Min confidence
0.96
Sources
CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.961.001.00CLMCLM-411866CLMCLM-411867CLMCLM-411865IDMBR-002772
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-411866CLM2026-01-09Helen Westflagged—UHC-20637-25—5497 Lincoln Way, Mesa, AZRule0.96D3 member id + name
CLM-411867CLM2026-05-31Helen Westflagged1953-01-09UHC-20637-25—5497 Lincoln Way, Mesa, AZScored1.00—
CLM-411865CLM2026-08-21Helen Westflagged1953-01-09—97372541485497 Lincoln Way, Mesa, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-411867CLMCLM-411865CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-411866CLMCLM-411867CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-411865 → UHC-20637-25 (Helen West)
    ACT-005300, Claims processor
  • Care coordination outreachProposed
    Helen West: 3 claims, no attributed provider
    ACT-017984, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automaticallyc49fde1466
    scoring_agent, CLM-411865, identity id MBR-002772, confidence 1, method probabilistic, matched record CLM-411867, policy version 1
  • 2026-10-22 12:43:53Record linked automatically7a380f3dff
    scoring_agent, CLM-411867, identity id MBR-002772, confidence 1, method probabilistic, matched record CLM-411865, policy version 1
  • 2026-10-22 12:43:53Record linked automatically2d37acfeca
    matching_agent, CLM-411866, identity id MBR-002772, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-411867
  • 2026-10-19 19:54:38Record linked automatically86c33ab4a4
    scoring_agent, CLM-411865, identity id MBR-002772, confidence 1, method probabilistic, matched record CLM-411867, policy version 1
  • 2026-10-19 19:54:38Record linked automatically23134a3352
    scoring_agent, CLM-411867, identity id MBR-002772, confidence 1, method probabilistic, matched record CLM-411865, policy version 1
  • 2026-10-19 19:54:38Record linked automatically3ecf9cba97
    matching_agent, CLM-411866, identity id MBR-002772, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-411867
  • 2026-10-19 19:52:08Record linked automatically276c0ebdf3
    scoring_agent, CLM-411865, identity id MBR-002772, confidence 1, method probabilistic, matched record CLM-411867, policy version 1
  • 2026-10-19 19:52:08Record linked automatically7e28ed0c42
    scoring_agent, CLM-411867, identity id MBR-002772, confidence 1, method probabilistic, matched record CLM-411865, policy version 1
  • 2026-10-19 19:52:08Record linked automatically2fbfff6442
    matching_agent, CLM-411866, identity id MBR-002772, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-411867
  • 2026-10-19 19:45:41Record linked automatically58fa450bc0
    scoring_agent, CLM-411865, identity id MBR-002772, confidence 1, method probabilistic, matched record CLM-411867, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyfe0f47e70e
    scoring_agent, CLM-411867, identity id MBR-002772, confidence 1, method probabilistic, matched record CLM-411865, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyf69f59d47c
    matching_agent, CLM-411866, identity id MBR-002772, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-411867
  • 2026-10-19 19:32:31Record linked automatically0b2709e04e
    scoring_agent, CLM-411865, identity id MBR-002772, confidence 1, method probabilistic, matched record CLM-411867, policy version 1
  • 2026-10-19 19:32:31Record linked automatically64cbebdb53
    scoring_agent, CLM-411867, identity id MBR-002772, confidence 1, method probabilistic, matched record CLM-411865, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf114b4b967
    matching_agent, CLM-411866, identity id MBR-002772, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-411867
  • 2026-10-19 19:31:28Record linked automatically796998c10b
    scoring_agent, CLM-411866, identity id MBR-006122, confidence 1, method probabilistic, matched record CLM-411867, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7a727e8326
    scoring_agent, CLM-411865, identity id MBR-006122, confidence 1, method probabilistic, matched record CLM-411867, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya7ad9989d3
    scoring_agent, CLM-411867, identity id MBR-006122, confidence 1, method probabilistic, matched record ENR-115737, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0150222026-08-09Lakeside Reference Lab
in network
87086$52.00$0.00ApprovedApproved
CLM-2026-0181172026-05-22Sunrise Counseling Center
in network
90791$453.00$230.86ApprovedApproved
CLM-2026-0016782025-12-21Valley Cardiovascular Associates
in network
93458, 93015$9,378.00$3,518.76ApprovedApproved