Identities/MBR-003588
Gold, golden identity

Theresa W West

3 source records from 2 feeds.

MBR-003588Verified3 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
W
Last nameENR
West
Date of birthENR
1990-09-16
GenderENR
M
Member IDENR
UHC-89238-83
SSNENR
•••-••-7006
PhoneENR
2189108440
EmailENR
theresa.west2@gmail.com
AddressENR
1312 Main St
CityENR
Columbus
StateENR
OH
ZIP—
—
GroupENR
GRP-3603
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×2ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.99CLMCLM-428931CLMCLM-428932ENRENR-137924IDMBR-003588
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-428931CLM2026-01-12Theresa Westflagged1990-09-16UHC-89238-8321891084401312 Main St, Columbus, OHScored1.00—
CLM-428932CLM2026-02-26Theresa Westflagged1990-09-16——1312 Main St # 327, Columbus, OHScored1.00—
ENR-137924ENR2026-02-28Theresa Westflagged1990-09-16UHC-89238-8321891084401312 Main St, Columbus, OHRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-428931CLMCLM-428932CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-428931CLMENR-137924ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-428932CLMENR-137924ENR0.97RuleD2 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

  • Eligibility conflict resolvedProposed
    Theresa West: 2 plan codes across sources → canonical MEDICARE-ADV-B
    ACT-000177, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-428932 → UHC-89238-83 (Theresa West)
    ACT-006109, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically4a46b3ceb6
    matching_agent, ENR-137924, identity id MBR-003588, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428931
  • 2026-10-19 19:54:38Record linked automaticallyaf2f63b290
    scoring_agent, CLM-428932, identity id MBR-003588, confidence 1, method probabilistic, matched record CLM-428931, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf71e8f639a
    scoring_agent, CLM-428931, identity id MBR-003588, confidence 1, method probabilistic, matched record CLM-428932, policy version 1
  • 2026-10-19 19:52:08Record linked automatically0fb5912683
    matching_agent, ENR-137924, identity id MBR-003588, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428931
  • 2026-10-19 19:52:08Record linked automaticallyb297dbbfb1
    scoring_agent, CLM-428932, identity id MBR-003588, confidence 1, method probabilistic, matched record CLM-428931, policy version 1
  • 2026-10-19 19:52:08Record linked automatically7befbc494a
    scoring_agent, CLM-428931, identity id MBR-003588, confidence 1, method probabilistic, matched record CLM-428932, policy version 1
  • 2026-10-19 19:45:42Record linked automatically025570ca70
    matching_agent, ENR-137924, identity id MBR-003588, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428931
  • 2026-10-19 19:45:42Record linked automatically2553c54246
    scoring_agent, CLM-428932, identity id MBR-003588, confidence 1, method probabilistic, matched record CLM-428931, policy version 1
  • 2026-10-19 19:45:42Record linked automatically73556c5faf
    scoring_agent, CLM-428931, identity id MBR-003588, confidence 1, method probabilistic, matched record CLM-428932, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd73d762d90
    matching_agent, ENR-137924, identity id MBR-003588, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428931
  • 2026-10-19 19:32:31Record linked automatically95c98dc5d1
    scoring_agent, CLM-428932, identity id MBR-003588, confidence 1, method probabilistic, matched record CLM-428931, policy version 1
  • 2026-10-19 19:32:31Record linked automatically317ec5b6aa
    scoring_agent, CLM-428931, identity id MBR-003588, confidence 1, method probabilistic, matched record CLM-428932, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya25810dcea
    scoring_agent, CLM-428932, identity id MBR-019703, confidence 1, method probabilistic, matched record ENR-138212, policy version 1
  • 2026-10-19 19:31:28Record linked automatically1ea7ae0ed4
    scoring_agent, CLM-428931, identity id MBR-002878, confidence 0.99, method probabilistic, matched record PRV-28495, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0179482026-01-24Riverside Bone and Joint Center
out of network
27447$28,974.00—Needs reviewNeeds review
CLM-2026-0189482026-01-05Mesa Family Practice
in network
99214, 99395, 90471$568.00$322.16ApprovedApproved