Identities/MBR-003519
Gold, golden identity

Theresa C West

5 source records from 3 feeds.

MBR-003519Verified5 records

Golden record

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

First nameENR
Theresa
Middle nameENR
C
Last nameENR
West
Date of birthENR
1982-03-22
GenderCLM
M
Member IDENR
UHC-07177-15
SSNENR
•••-••-5971
PhoneCLM
4497337976
EmailENR
theresa.west99@outlook.com
AddressENR
8304 Baseline Rd
CityENR
San Diego
StateENR
CA
ZIPENR
92131
GroupENR
GRP-3491
PlanENR
SELECT-EPO
Min confidence
0.97
Sources
ENR ×1CLM ×3TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.000.971.001.00ENRENR-102795CLMCLM-402189CLMCLM-402188CLMCLM-402187TPATPA-50926IDMBR-003519
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
ENR-102795ENR2026-01-11Theresa Westflagged1982-03-22UHC-07177-15—8304 Baseline Rd, San Diego, CARule0.99D1 member id + dob exact
CLM-402189CLM2026-01-13Theresa Westflagged1982-03-22UHC-07177-15—8304 Baseline Rd, San Diego, CAScored1.00—
CLM-402188CLM2026-02-12Thresa Wetsflagged1982-03-22—44973379768304 Baseline Rd, San Diego, CARule0.97D2 ssn4 + dob + last name
CLM-402187CLM2026-06-23Theresa Westflagged—UHC-07177-154497337976—Scored1.00—
TPA-50926TPA2026-08-23Theresa Westflagged1982-03-22—4497337976—Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-402189CLMTPA-50926TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Email1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402187CLMTPA-50926TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-102795ENRCLM-402189CLM0.99RuleD1 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
▶ENR-102795ENRCLM-402188CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.933
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-102795ENRTPA-50926TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Email1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402188CLMTPA-50926TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.933
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402188CLMCLM-402187CLM0.97Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.933
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-102795ENRCLM-402187CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402189CLMCLM-402187CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-402188 → UHC-07177-15 (Theresa West)
    ACT-005809, Claims processor
  • Care coordination outreachProposed
    Theresa West: 3 claims, no attributed provider
    ACT-018034, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically33d4c37656
    scoring_agent, TPA-50926, identity id MBR-003519, confidence 1, method probabilistic, matched record CLM-402189, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye80215d626
    scoring_agent, CLM-402187, identity id MBR-003519, confidence 1, method probabilistic, matched record TPA-50926, policy version 1
  • 2026-10-19 19:54:38Record linked automatically951f13732b
    matching_agent, CLM-402188, identity id MBR-003519, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-102795
  • 2026-10-19 19:54:38Record linked automaticallyb81e4c59b8
    scoring_agent, CLM-402189, identity id MBR-003519, confidence 1, method probabilistic, matched record TPA-50926, policy version 1
  • 2026-10-19 19:54:38Record linked automatically3a5f1a3fb7
    matching_agent, ENR-102795, identity id MBR-003519, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402189
  • 2026-10-19 19:52:08Record linked automaticallyac9b2ed0ad
    scoring_agent, TPA-50926, identity id MBR-003519, confidence 1, method probabilistic, matched record CLM-402189, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyaf3c88de8d
    scoring_agent, CLM-402187, identity id MBR-003519, confidence 1, method probabilistic, matched record TPA-50926, policy version 1
  • 2026-10-19 19:52:08Record linked automatically495bb4f951
    matching_agent, CLM-402188, identity id MBR-003519, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-102795
  • 2026-10-19 19:52:08Record linked automatically15f8f8796d
    scoring_agent, CLM-402189, identity id MBR-003519, confidence 1, method probabilistic, matched record TPA-50926, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyda36d0cd53
    matching_agent, ENR-102795, identity id MBR-003519, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402189
  • 2026-10-19 19:45:42Record linked automaticallydf06546b8a
    scoring_agent, TPA-50926, identity id MBR-003519, confidence 1, method probabilistic, matched record CLM-402189, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8d4086e562
    scoring_agent, CLM-402187, identity id MBR-003519, confidence 1, method probabilistic, matched record TPA-50926, policy version 1
  • 2026-10-19 19:45:42Record linked automatically13106452c2
    matching_agent, CLM-402188, identity id MBR-003519, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-102795
  • 2026-10-19 19:45:42Record linked automaticallyfd65514e4d
    scoring_agent, CLM-402189, identity id MBR-003519, confidence 1, method probabilistic, matched record TPA-50926, policy version 1
  • 2026-10-19 19:45:42Record linked automatically216f839c86
    matching_agent, ENR-102795, identity id MBR-003519, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402189
  • 2026-10-19 19:32:31Record linked automaticallyf2fb8b0cc8
    scoring_agent, TPA-50926, identity id MBR-003519, confidence 1, method probabilistic, matched record CLM-402189, policy version 1
  • 2026-10-19 19:32:31Record linked automatically561f1ff1af
    scoring_agent, CLM-402187, identity id MBR-003519, confidence 1, method probabilistic, matched record TPA-50926, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7660a6d968
    matching_agent, CLM-402188, identity id MBR-003519, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-102795
  • 2026-10-19 19:32:31Record linked automaticallyef66335eba
    scoring_agent, CLM-402189, identity id MBR-003519, confidence 1, method probabilistic, matched record TPA-50926, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyffa3fd5024
    matching_agent, ENR-102795, identity id MBR-003519, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402189
  • 2026-10-19 19:31:28Record linked automaticallyd01ca2412f
    scoring_agent, TPA-50926, identity id MBR-008464, confidence 1, method probabilistic, matched record TPA-50925, policy version 1
  • 2026-10-19 19:31:28Record linked automatically427ef27cd2
    matching_agent, ENR-102795, identity id MBR-007423, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102796
  • 2026-10-19 19:31:28Record linked automaticallye2e2a898e4
    matching_agent, CLM-402188, identity id MBR-006556, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402189
  • 2026-10-19 19:31:28Record linked automatically436b1c8695
    matching_agent, CLM-402189, identity id MBR-006556, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102853
  • 2026-10-19 19:31:28Record linked automaticallyfaf4bf0b25
    matching_agent, CLM-402187, identity id MBR-001468, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-102852

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0047122026-05-31Mesa Orthopedic Specialists
in network
73721, 29881$11,732.00$4,090.76ApprovedApproved
CLM-2026-0168782026-01-10Desert Reference Lab
in network
83036, 85025$119.00$0.00ApprovedApproved
CLM-2026-0222972025-12-01Riverside Imaging Center
in network
76700, 70553$3,042.00$745.11ApprovedApproved