Identities/MBR-002944
Gold, golden identity

Alice X Baker

5 source records from 3 feeds.

MBR-002944Verified5 recordsOpen steward case

Golden record

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

First namePRV
Alice
Middle namePRV
X
Last namePRV
Baker
Date of birthPRV
1952-04-16
GenderPRV
M
Member IDPRV
UHC-01066-48
SSNCLM
•••-••-0987
PhonePRV
7382400525
EmailPRV
alice.baker@hotmail.com
AddressPRV
2666 Church St
CityPRV
Gilbert
StatePRV
AZ
ZIPCLM
85211
GroupCLM
GRP-5877
PlanCLM
SELECT-EPO
Min confidence
0.99
Sources
PRV ×1TPA ×1CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.001.000.991.00PRVPRV-23991TPATPA-56056CLMCLM-413787CLMCLM-413789CLMCLM-413788IDMBR-002944
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
PRV-23991PRV2026-01-10Alice Bakerflagged1952-04-16UHC-01066-4873824005252666 Church St, Gilbert, AZRule0.99D1 member id + dob exact
TPA-56056TPA2026-03-31Alice Bakerflagged1952-04-16——2666 Church St, Gilbert, AZScored1.00—
CLM-413787CLM2026-04-15Alice Bakerflagged1952-04-16——2666 Church St, Gilbert, AZScored1.00—
CLM-413789CLM2026-07-03Alice Bakerflagged1952-04-16UHC-01066-48—2666 Church St, Gilbert, AZRule0.99D1 member id + dob exact
CLM-413788CLM2026-10-12Alice Bakerflagged1952-04-16—73824005252666 Church St, Gilbert, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-56056TPACLM-413787CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-56056TPACLM-413788CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413787CLMCLM-413788CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-23991PRVCLM-413789CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-56056TPACLM-413789CLM0.97RuleD2 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
▶PRV-23991PRVCLM-413788CLM0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-23991PRVCLM-413787CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413789CLMCLM-413788CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413787CLMCLM-413789CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-23991PRVTPA-56056TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Alice Baker: 2 plan codes across sources → canonical SELECT-EPO
    ACT-000145, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-413787 → UHC-01066-48 (Alice Baker)
    ACT-007916, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-413788 → UHC-01066-48 (Alice Baker)
    ACT-009664, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyff0c419b23
    scoring_agent, CLM-413788, identity id MBR-002944, confidence 1, method probabilistic, matched record TPA-56056, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6f90a92fd6
    matching_agent, CLM-413789, identity id MBR-002944, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23991
  • 2026-10-19 19:54:38Record linked automaticallyf6ad9c0710
    scoring_agent, CLM-413787, identity id MBR-002944, confidence 1, method probabilistic, matched record TPA-56056, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8b8a8fe9a9
    scoring_agent, TPA-56056, identity id MBR-002944, confidence 1, method probabilistic, matched record CLM-413787, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4fd317f01c
    matching_agent, PRV-23991, identity id MBR-002944, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413789
  • 2026-10-19 19:52:08Record linked automatically4ff1c1d508
    scoring_agent, CLM-413788, identity id MBR-002944, confidence 1, method probabilistic, matched record TPA-56056, policy version 1
  • 2026-10-19 19:52:08Record linked automatically8574c3bb62
    matching_agent, CLM-413789, identity id MBR-002944, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23991
  • 2026-10-19 19:52:08Record linked automatically13a9de2b4a
    scoring_agent, CLM-413787, identity id MBR-002944, confidence 1, method probabilistic, matched record TPA-56056, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyadf47d58ff
    scoring_agent, TPA-56056, identity id MBR-002944, confidence 1, method probabilistic, matched record CLM-413787, policy version 1
  • 2026-10-19 19:52:08Record linked automatically9a1863c6a0
    matching_agent, PRV-23991, identity id MBR-002944, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413789
  • 2026-10-19 19:45:41Record linked automaticallyeecf2685a7
    scoring_agent, CLM-413788, identity id MBR-002944, confidence 1, method probabilistic, matched record TPA-56056, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallya553c21455
    matching_agent, CLM-413789, identity id MBR-002944, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23991
  • 2026-10-19 19:45:41Record linked automaticallyc49205d6ac
    scoring_agent, CLM-413787, identity id MBR-002944, confidence 1, method probabilistic, matched record TPA-56056, policy version 1
  • 2026-10-19 19:45:41Record linked automatically1b43db5a1b
    scoring_agent, TPA-56056, identity id MBR-002944, confidence 1, method probabilistic, matched record CLM-413787, policy version 1
  • 2026-10-19 19:45:41Record linked automatically91bda9f402
    matching_agent, PRV-23991, identity id MBR-002944, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413789
  • 2026-10-19 19:32:31Record linked automatically6359f54a1b
    scoring_agent, CLM-413788, identity id MBR-002944, confidence 1, method probabilistic, matched record TPA-56056, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyab8c92d66d
    matching_agent, CLM-413789, identity id MBR-002944, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23991
  • 2026-10-19 19:32:31Record linked automatically277f640f66
    scoring_agent, CLM-413787, identity id MBR-002944, confidence 1, method probabilistic, matched record TPA-56056, policy version 1
  • 2026-10-19 19:32:31Record linked automatically171731ae79
    scoring_agent, TPA-56056, identity id MBR-002944, confidence 1, method probabilistic, matched record CLM-413787, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya0f77f6e2c
    matching_agent, PRV-23991, identity id MBR-002944, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413789
  • 2026-10-19 19:31:28Record linked automaticallyc71ca829ba
    scoring_agent, CLM-413788, identity id MBR-044637, confidence 1, method probabilistic, matched record ENR-118132, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallybf88782b29
    matching_agent, CLM-413787, identity id MBR-020197, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118131
  • 2026-10-19 19:31:28Record linked automaticallye4a1740f92
    matching_agent, PRV-23991, identity id MBR-016942, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117836
  • 2026-10-19 19:31:28Record linked automatically6d06119f6f
    matching_agent, CLM-413789, identity id MBR-016940, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118135

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0316972026-09-30Summit Regional Medical Center
in network
99283, 99284$2,412.00$984.50ApprovedApproved
CLM-2026-0012052026-05-29Sunrise Behavioral Health
in network
70553$2,444.00—Needs reviewNeeds review
CLM-2026-0249202026-04-01Meadow Internal Medicine Associates
in network
93000$89.00—Needs reviewNeeds review
CLM-2026-0249192026-04-01Meadow Internal Medicine Associates
in network
93000$89.00$30.18ApprovedApproved