Identities/MBR-003799
Gold, golden identity

Shirley Reyes

5 source records from 3 feeds.

MBR-003799Verified5 records

Golden record

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

First nameENR
Shirley
Middle name—
—
Last nameENR
Reyes
Date of birthENR
1940-05-17
GenderENR
F
Member IDENR
UHC-10284-93
SSNCLM
•••-••-7045
PhoneENR
5454095040
EmailENR
shirley.reyes87@yahoo.com
AddressENR
2986 Cedar Ln
CityENR
Orlando
StateENR
FL
ZIPENR
32883
GroupENR
GRP-8096
PlanENR
CORE-HMO
Min confidence
0.96
Sources
ENR ×1CLM ×3TPA ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.990.991.000.96ENRENR-137553CLMCLM-428613CLMCLM-428612CLMCLM-428611TPATPA-62646IDMBR-003799
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-137553ENR2026-01-12Shirley Reyesflagged1940-05-17UHC-10284-9354540950402986 Cedar Ln, Orlando, FLScored1.00—
CLM-428613CLM2026-05-01Shirley Reyesflagged1940-05-17UHC-10284-9354540950402986 Cedar Ln, Orlando, FLRule0.99D1 member id + dob exact
CLM-428612CLM2026-05-01Shirley Reyesflagged1940-05-17UHC-10284-9354540950402986 Cedar Ln, Orlando, FLRule0.99D1 member id + dob exact
CLM-428611CLM2026-08-10Shirley Reyesflagged1940-05-17—54540950402986 Cedar Ln, Orlando, FLScored1.00—
TPA-62646TPA2026-09-02Shirley Reyesflagged1939-05-17UHC-10284-93——Rule0.96D3 member id + name

Evidence

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

ABScoreMethodRuleDecision
▶ENR-137553ENRCLM-428611CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-137553ENRCLM-428612CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-428613CLMCLM-428612CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶ENR-137553ENRCLM-428613CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-428613CLMCLM-428611CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-428612CLMCLM-428611CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-137553ENRTPA-62646TPA0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.253month_day
Member ID1.004
Email1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-428613CLMTPA-62646TPA0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.253month_day
Member ID1.004
Email1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-428612CLMTPA-62646TPA0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.253month_day
Member ID1.004
Email1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-428611CLMTPA-62646TPA0.63Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.253month_day
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-428611 → UHC-10284-93 (Shirley Reyes)
    ACT-005688, Claims processor
  • Care coordination outreachProposed
    Shirley Reyes: 3 claims, no attributed provider
    ACT-018059, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically109babb6f5
    matching_agent, TPA-62646, identity id MBR-003799, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-137553
  • 2026-10-22 12:43:53Record linked automatically3cc8cc296d
    scoring_agent, CLM-428611, identity id MBR-003799, confidence 1, method probabilistic, matched record ENR-137553, policy version 1
  • 2026-10-22 12:43:53Record linked automatically1636c01bd5
    matching_agent, CLM-428612, identity id MBR-003799, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137553
  • 2026-10-22 12:43:53Record linked automatically58c898b340
    matching_agent, CLM-428613, identity id MBR-003799, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137553
  • 2026-10-22 12:43:53Record linked automatically41f50f6466
    scoring_agent, ENR-137553, identity id MBR-003799, confidence 1, method probabilistic, matched record CLM-428611, policy version 1
  • 2026-10-19 19:54:38Record linked automatically29c73a692c
    matching_agent, TPA-62646, identity id MBR-003799, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-137553
  • 2026-10-19 19:54:38Record linked automaticallyff9dc62b65
    scoring_agent, CLM-428611, identity id MBR-003799, confidence 1, method probabilistic, matched record ENR-137553, policy version 1
  • 2026-10-19 19:54:38Record linked automatically94be9f366b
    matching_agent, CLM-428612, identity id MBR-003799, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137553
  • 2026-10-19 19:54:38Record linked automatically841a9c726a
    matching_agent, CLM-428613, identity id MBR-003799, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137553
  • 2026-10-19 19:54:38Record linked automaticallybd9d4b4cdf
    scoring_agent, ENR-137553, identity id MBR-003799, confidence 1, method probabilistic, matched record CLM-428611, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyb74b254c0c
    matching_agent, TPA-62646, identity id MBR-003799, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-137553
  • 2026-10-19 19:52:08Record linked automaticallyd65d208eac
    scoring_agent, CLM-428611, identity id MBR-003799, confidence 1, method probabilistic, matched record ENR-137553, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyc7221eaa4d
    matching_agent, CLM-428612, identity id MBR-003799, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137553
  • 2026-10-19 19:52:08Record linked automatically3f369e2d41
    matching_agent, CLM-428613, identity id MBR-003799, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137553
  • 2026-10-19 19:52:08Record linked automatically4fac548a4d
    scoring_agent, ENR-137553, identity id MBR-003799, confidence 1, method probabilistic, matched record CLM-428611, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd09b658d81
    matching_agent, TPA-62646, identity id MBR-003799, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-137553
  • 2026-10-19 19:45:42Record linked automaticallya3e88bcf84
    scoring_agent, CLM-428611, identity id MBR-003799, confidence 1, method probabilistic, matched record ENR-137553, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2fa5e1afe4
    matching_agent, CLM-428612, identity id MBR-003799, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137553
  • 2026-10-19 19:45:42Record linked automatically5cf71fe399
    matching_agent, CLM-428613, identity id MBR-003799, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137553
  • 2026-10-19 19:45:42Record linked automatically3451edca25
    scoring_agent, ENR-137553, identity id MBR-003799, confidence 1, method probabilistic, matched record CLM-428611, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9b8dd8b392
    matching_agent, TPA-62646, identity id MBR-003799, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-137553
  • 2026-10-19 19:32:31Record linked automatically36eeb23d6b
    scoring_agent, CLM-428611, identity id MBR-003799, confidence 1, method probabilistic, matched record ENR-137553, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya4e4c1045b
    matching_agent, CLM-428612, identity id MBR-003799, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137553
  • 2026-10-19 19:32:31Record linked automatically3ba012c8f9
    matching_agent, CLM-428613, identity id MBR-003799, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137553
  • 2026-10-19 19:32:31Record linked automatically38b6a51e07
    scoring_agent, ENR-137553, identity id MBR-003799, confidence 1, method probabilistic, matched record CLM-428611, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0f2606befb
    matching_agent, CLM-428611, identity id MBR-033842, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-137810
  • 2026-10-19 19:31:28Record linked automaticallya91fe01691
    matching_agent, ENR-137553, identity id MBR-019489, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137551
  • 2026-10-19 19:31:28Record linked automaticallyb79d2b6109
    scoring_agent, CLM-428613, identity id MBR-001618, confidence 1, method probabilistic, matched record TPA-62578, policy version 1
  • 2026-10-19 19:31:28Record linked automatically447deebf26
    matching_agent, CLM-428612, identity id MBR-001618, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428614

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0164482026-07-07Canyon Reference Lab
out of network
83036$60.00—DeniedDenied
CLM-2026-0330392026-04-13Evergreen Family Practice
in network
99395, 99203, 90471$485.00$270.70ApprovedApproved
CLM-2026-0117832025-10-04Sunrise Imaging Center
in network
77067, 74177, 76700$3,238.00—DeniedDenied