Identities/MBR-003413
Gold, golden identity

Shirley E Obrien

5 source records from 2 feeds.

MBR-003413Verified5 records

Golden record

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

First nameCLM
Shirley
Middle nameCLM
E
Last nameCLM
Obrien
Date of birthCLM
1969-06-05
GenderCLM
M
Member IDCLM
UHC-62601-51
SSNCLM
•••-••-7881
PhoneCLM
4902453616
Email—
—
AddressCLM
5922 Maple Ave
CityCLM
Sacramento
StateCLM
CA
ZIP—
—
GroupCLM
GRP-4111
PlanCLM
MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×4TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.000.99CLMCLM-423072TPATPA-60138CLMCLM-423074CLMCLM-423073CLMCLM-423075IDMBR-003413
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-423072CLM2026-01-11Shirley Obrienflagged1969-06-05UHC-62601-5149024536165922 Maple Ave, Sacramento, CAScored1.00—
TPA-60138TPA2026-02-17Shirley Obrienflagged1969-06-05——5922 Maple Ave, Sacramento, CAScored1.00—
CLM-423074CLM2026-02-27Shirley Obrienflagged1969-06-05—4902453616—Scored1.00—
CLM-423073CLM2026-03-08Shirley Obrienflagged1969-06-05—49024536165922 Maple Ave, Sacramento, CAScored1.00—
CLM-423075CLM2026-09-12Shirley Obrienflagged1969-06-05UHC-62601-51—5922 Maple Ave, Sacramento, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-423072CLMCLM-423073CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-60138TPACLM-423073CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-423074CLMCLM-423073CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-423072CLMCLM-423074CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-423072CLMTPA-60138TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-423072CLMCLM-423075CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-423073CLMCLM-423075CLM0.97RuleD2 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
▶TPA-60138TPACLM-423075CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-60138TPACLM-423074CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-423074CLMCLM-423075CLM0.83Scoredweighted 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-423073 → UHC-62601-51 (Shirley Obrien)
    ACT-001779, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-423074 → UHC-62601-51 (Shirley Obrien)
    ACT-007228, Claims processor
  • Care coordination outreachProposed
    Shirley Obrien: 4 claims, no attributed provider
    ACT-018023, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically7282ecd537
    matching_agent, CLM-423075, identity id MBR-003413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423072
  • 2026-10-19 19:54:38Record linked automaticallybc35e6209d
    scoring_agent, CLM-423073, identity id MBR-003413, confidence 1, method probabilistic, matched record CLM-423072, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc8eac22368
    scoring_agent, CLM-423074, identity id MBR-003413, confidence 1, method probabilistic, matched record CLM-423072, policy version 1
  • 2026-10-19 19:54:38Record linked automatically77d71cc14e
    scoring_agent, TPA-60138, identity id MBR-003413, confidence 1, method probabilistic, matched record CLM-423072, policy version 1
  • 2026-10-19 19:54:38Record linked automatically914a694eb6
    scoring_agent, CLM-423072, identity id MBR-003413, confidence 1, method probabilistic, matched record TPA-60138, policy version 1
  • 2026-10-19 19:52:08Record linked automatically7e233269c0
    matching_agent, CLM-423075, identity id MBR-003413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423072
  • 2026-10-19 19:52:08Record linked automatically1efb39a596
    scoring_agent, CLM-423073, identity id MBR-003413, confidence 1, method probabilistic, matched record CLM-423072, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyafc2a3da41
    scoring_agent, CLM-423074, identity id MBR-003413, confidence 1, method probabilistic, matched record CLM-423072, policy version 1
  • 2026-10-19 19:52:08Record linked automatically427d2d6bb3
    scoring_agent, TPA-60138, identity id MBR-003413, confidence 1, method probabilistic, matched record CLM-423072, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallye299dbba90
    scoring_agent, CLM-423072, identity id MBR-003413, confidence 1, method probabilistic, matched record TPA-60138, policy version 1
  • 2026-10-19 19:45:41Record linked automatically200977a37f
    matching_agent, CLM-423075, identity id MBR-003413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423072
  • 2026-10-19 19:45:41Record linked automaticallyc43144dc46
    scoring_agent, CLM-423073, identity id MBR-003413, confidence 1, method probabilistic, matched record CLM-423072, policy version 1
  • 2026-10-19 19:45:41Record linked automatically873265800a
    scoring_agent, CLM-423074, identity id MBR-003413, confidence 1, method probabilistic, matched record CLM-423072, policy version 1
  • 2026-10-19 19:45:41Record linked automatically832ca82803
    scoring_agent, TPA-60138, identity id MBR-003413, confidence 1, method probabilistic, matched record CLM-423072, policy version 1
  • 2026-10-19 19:45:41Record linked automatically8e75a35275
    scoring_agent, CLM-423072, identity id MBR-003413, confidence 1, method probabilistic, matched record TPA-60138, policy version 1
  • 2026-10-19 19:32:31Record linked automatically46648fd11d
    matching_agent, CLM-423075, identity id MBR-003413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423072
  • 2026-10-19 19:32:31Record linked automaticallycb7ca97256
    scoring_agent, CLM-423073, identity id MBR-003413, confidence 1, method probabilistic, matched record CLM-423072, policy version 1
  • 2026-10-19 19:32:31Record linked automatically97e0a085ae
    scoring_agent, CLM-423074, identity id MBR-003413, confidence 1, method probabilistic, matched record CLM-423072, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8a4ab9bafe
    scoring_agent, TPA-60138, identity id MBR-003413, confidence 1, method probabilistic, matched record CLM-423072, policy version 1
  • 2026-10-19 19:32:31Record linked automatically17980d04d2
    scoring_agent, CLM-423072, identity id MBR-003413, confidence 1, method probabilistic, matched record TPA-60138, policy version 1
  • 2026-10-19 19:31:28Record linked automatically34d3e062b6
    matching_agent, CLM-423074, identity id MBR-041279, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130393
  • 2026-10-19 19:31:28Record linked automatically62debb708c
    scoring_agent, CLM-423072, identity id MBR-025827, confidence 0.99, method probabilistic, matched record CLM-423071, policy version 1
  • 2026-10-19 19:31:28Record linked automatically3011e481f7
    matching_agent, CLM-423073, identity id MBR-023302, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-130391

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0213982026-08-06Canyon Counseling Center
out of network
90791$397.00$128.65ApprovedApproved
CLM-2026-0017652026-02-21Valley Imaging Center
in network
70553, 77067$2,328.00$266.36ApprovedApproved
CLM-2026-0222562026-01-24Northgate Medical Group
in network
99213, 90471$189.00$87.18ApprovedApproved
CLM-2026-0045352025-12-06Lakeside Imaging Center
in network
71046, 74177$2,325.00$264.87ApprovedApproved