Identities/MBR-003168

Gold, golden identity

Priya Ellis

6 source records from 2 feeds.

MBR-003168Verified6 records

Golden record

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

First nameENR: Priya
Middle name—: —
Last nameENR: Ellis
Date of birthENR: 1997-01-20
GenderENR: F
Member IDENR: UHC-18180-64
SSNENR: •••-••-2323
Phone—: —
EmailENR: priya.ellis@hotmail.com
AddressENR: 6657 Meadow Ln
CityENR: San Diego
StateENR: CA
ZIPENR: 92106
GroupENR: GRP-4614
PlanENR: OPTIONS-PPO

Min confidence

0.97

Sources

CLM ×4ENR ×2

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-432645	CLM	2026-01-10	Prriya Elisflagged	1997-01-20	UHC-18180-64	—	6657 Meadow Ln, San Diego, CA	Rule	0.99	D1 member id + dob exact
ENR-142851	ENR	2026-02-07	Priya Ellisflagged	1997-01-20	UHC-18180-64	—	6657 Meadow Ln, San Diego, CA	Rule	0.99	D1 member id + dob exact
ENR-142852	ENR	2026-02-07	Priya Ellisflagged	1997-01-20	UHC-18180-64	—	6657 Meadow Ln, San Diego, CA	Rule	0.99	D1 member id + dob exact
CLM-432646	CLM	2026-03-21	Priya Ellisflagged	1997-01-20	UHC-18180-64	—	—	Rule	0.99	D1 member id + dob exact
CLM-432648	CLM	2026-04-11	Priya Ellisflagged	1997-01-20	—	—	6657 Meadow Ln, San Diego, CA	Rule	0.97	D2 ssn4 + dob + last name
CLM-432647	CLM	2026-04-19	Priya Ellisflagged	1997-01-20	UHC-18180-64	—	—	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶CLM-432645CLMCLM-432646CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-142851ENR CLM-432646CLM0.99RuleD1 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

▶ENR-142852ENR CLM-432646CLM0.99RuleD1 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-432645CLMCLM-432647CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.95	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

▶ENR-142851ENR CLM-432647CLM0.99RuleD1 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

▶ENR-142852ENR CLM-432647CLM0.99RuleD1 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-432646CLMCLM-432647CLM0.99RuleD1 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-432645CLMENR-142851ENR 0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.95	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-432645CLMENR-142852ENR 0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.95	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

▶ENR-142851ENR ENR-142852ENR 0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-432648CLMCLM-432647CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-432645CLMCLM-432648CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-142851ENR CLM-432648CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-142852ENR CLM-432648CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-432646CLMCLM-432648CLM0.83Scoredweighted 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

Orphan claim re-pointedExecuted
CLM-432648 → UHC-18180-64 (Priya Ellis)
ACT-007401, Claims processor
Care coordination outreachProposed
Priya Ellis: 4 claims, no attributed provider
ACT-018011, Next-best-action
Duplicate member record retiredExecuted
Priya Ellis: 2 enrollment records collapsed into UHC-18180-64
ACT-022192, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallye5a7f581ca
matching_agent, CLM-432647, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432645
2026-10-19 19:54:38Record linked automaticallyf5e6919918
matching_agent, CLM-432648, identity id MBR-003168, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-432645
2026-10-19 19:54:38Record linked automatically71b4a7d995
matching_agent, CLM-432646, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432645
2026-10-19 19:54:38Record linked automatically5531817f36
matching_agent, ENR-142852, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432645
2026-10-19 19:54:38Record linked automaticallybc905aeb7c
matching_agent, ENR-142851, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432645
2026-10-19 19:54:38Record linked automatically8f1e1a3c69
matching_agent, CLM-432645, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142851
2026-10-19 19:52:08Record linked automatically5b19e2d353
matching_agent, CLM-432647, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432645
2026-10-19 19:52:08Record linked automatically02026e9b61
matching_agent, CLM-432648, identity id MBR-003168, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-432645
2026-10-19 19:52:08Record linked automatically1b3252ae89
matching_agent, CLM-432646, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432645
2026-10-19 19:52:08Record linked automatically0324165da6
matching_agent, ENR-142852, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432645
2026-10-19 19:52:08Record linked automaticallyb70f96773d
matching_agent, ENR-142851, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432645
2026-10-19 19:52:08Record linked automatically3b1cc4c2dc
matching_agent, CLM-432645, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142851
2026-10-19 19:45:41Record linked automaticallyb98f0efde0
matching_agent, CLM-432647, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432645
2026-10-19 19:45:41Record linked automatically1b26d1be42
matching_agent, CLM-432648, identity id MBR-003168, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-432645
2026-10-19 19:45:41Record linked automatically5b78dc9914
matching_agent, CLM-432646, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432645
2026-10-19 19:45:41Record linked automatically0df17b83a1
matching_agent, ENR-142852, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432645
2026-10-19 19:45:41Record linked automaticallyfb70eb18cc
matching_agent, ENR-142851, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432645
2026-10-19 19:45:41Record linked automatically9339b74133
matching_agent, CLM-432645, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142851
2026-10-19 19:32:31Record linked automatically2808533465
matching_agent, CLM-432647, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432645
2026-10-19 19:32:31Record linked automatically62ec0f61ba
matching_agent, CLM-432648, identity id MBR-003168, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-432645
2026-10-19 19:32:31Record linked automatically1d93fe25d5
matching_agent, CLM-432646, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432645
2026-10-19 19:32:31Record linked automatically0086601b56
matching_agent, ENR-142852, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432645
2026-10-19 19:32:31Record linked automatically0cf35e8be9
matching_agent, ENR-142851, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432645
2026-10-19 19:32:31Record linked automatically1294289e9f
matching_agent, CLM-432645, identity id MBR-003168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142851
2026-10-19 19:31:28Record linked automatically2772610117
matching_agent, CLM-432647, identity id MBR-030137, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432646
2026-10-19 19:31:28Record linked automatically8397439245
matching_agent, CLM-432646, identity id MBR-030137, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-143049
2026-10-19 19:31:28Record linked automaticallya0871aead6
matching_agent, CLM-432648, identity id MBR-011073, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-143050

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-2026-025422	2026-04-04	Heritage Behavioral Health in network	90791, 90834	$666.00	$337.92	Approved	Approved
CLM-2026-022943	2026-03-28	Summit Clinical Laboratories in network	80053, 80061	$118.00	$0.00	Approved	Approved
CLM-2026-025704	2026-02-15	Lakeside Imaging Center in network	77067	$388.00	$0.00	Approved	Approved
CLM-2026-031882	2025-12-20	Evergreen Family Practice in network	90471, 99213	$185.00	$96.10	Approved	Approved