Identities/MBR-002853
Gold, golden identity

Lisa Payne

3 source records from 2 feeds.

MBR-002853Verified3 records

Golden record

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

First nameCLM
Lisa
Middle name—
—
Last nameCLM
Payne
Date of birthCLM
1977-09-12
GenderCLM
M
Member IDCLM
UHC-24880-90
SSNCLM
•••-••-0941
PhoneCLM
9568563305
Email—
—
AddressCLM
6546 Pine Dr
CityCLM
Tucson
StateCLM
AZ
ZIPTPA
85769
GroupCLM
GRP-2494
PlanCLM
SELECT-EPO
Min confidence
0.97
Sources
CLM ×2TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.970.970.97CLMCLM-425918TPATPA-61461CLMCLM-425917IDMBR-002853
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-425918CLM2026-01-09Lisa Payneflagged1977-09-12——6546 Pine Dr, Tucson, AZRule0.97D2 ssn4 + dob + last name
TPA-61461TPA2026-03-04Lisa Payneflagged1977-09-12——6546 Pine Dr, Tucson, AZRule0.97D2 ssn4 + dob + last name
CLM-425917CLM2026-07-24Lisa Payneflagged1977-09-12UHC-24880-909568563305—Rule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-425918CLMCLM-425917CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-61461 TPACLM-425917CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-425918CLMTPA-61461 TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-425918 → UHC-24880-90 (Lisa Payne)
    ACT-008271, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically9663cdcccd
    matching_agent, CLM-425917, identity id MBR-002853, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-425918
  • 2026-10-19 19:54:38Record linked automatically2b31de4fb3
    matching_agent, TPA-61461, identity id MBR-002853, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-425918
  • 2026-10-19 19:54:38Record linked automatically543928e16e
    matching_agent, CLM-425918, identity id MBR-002853, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61461
  • 2026-10-19 19:52:08Record linked automatically387d79e0af
    matching_agent, CLM-425917, identity id MBR-002853, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-425918
  • 2026-10-19 19:52:08Record linked automatically3bee38df24
    matching_agent, TPA-61461, identity id MBR-002853, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-425918
  • 2026-10-19 19:52:08Record linked automaticallyb93efdc4ea
    matching_agent, CLM-425918, identity id MBR-002853, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61461
  • 2026-10-19 19:45:41Record linked automatically7e8179656f
    matching_agent, CLM-425917, identity id MBR-002853, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-425918
  • 2026-10-19 19:45:41Record linked automaticallyd774ec7137
    matching_agent, TPA-61461, identity id MBR-002853, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-425918
  • 2026-10-19 19:45:41Record linked automaticallyd42a770b1a
    matching_agent, CLM-425918, identity id MBR-002853, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61461
  • 2026-10-19 19:32:31Record linked automaticallyca5c859ee2
    matching_agent, CLM-425917, identity id MBR-002853, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-425918
  • 2026-10-19 19:32:31Record linked automaticallybaeb8bb9eb
    matching_agent, TPA-61461, identity id MBR-002853, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-425918
  • 2026-10-19 19:32:31Record linked automatically9b6cdd1a52
    matching_agent, CLM-425918, identity id MBR-002853, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61461
  • 2026-10-19 19:31:28Record linked automaticallycf95f0738e
    scoring_agent, CLM-425918, identity id MBR-014041, confidence 1, method probabilistic, matched record CLM-425920, policy version 1
  • 2026-10-19 19:31:28Record linked automatically74efe7c817
    scoring_agent, TPA-61461, identity id MBR-002975, confidence 1, method probabilistic, matched record CLM-426032, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0304672026-02-17Summit Regional Medical Center
in network
99285$1,712.00—DeniedDenied
CLM-2026-0262422026-01-02Sunrise Skin Care Associates
in network
11403, 99213$728.00$391.36ApprovedApproved