Identities/MBR-003825
Gold, golden identity

Sean Li

2 source records from 2 feeds.

MBR-003825Verified2 records

Golden record

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

First nameCLM
Sean
Middle name—
—
Last nameCLM
Li
Date of birthCLM
1947-11-05
GenderTPA
F
Member IDCLM
UHC-37052-49
SSNCLM
•••-••-5656
PhoneCLM
7755911817
Email—
—
AddressCLM
8935 Cedar Ln
CityCLM
Gilbert
StateCLM
AZ
ZIPCLM
85289
GroupCLM
GRP-2426
PlanCLM
NAVIGATE-HMO
Min confidence
0.97
Sources
CLM ×1TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.970.97CLMCLM-415434TPATPA-56770IDMBR-003825
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-415434CLM2026-01-13Sean Liflagged1947-11-05UHC-37052-4977559118178935 Cedar Ln, Gilbert, AZRule0.97D2 ssn4 + dob + last name
TPA-56770TPA2026-05-05Seean Liflagged1947-11-05——8935 Cedar Ln, Gilbert, AZRule0.97D2 ssn4 + dob + last name

Evidence

1 scored pair among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶CLM-415434CLMTPA-56770TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Sean Li: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000191, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically301ad23a0b
    matching_agent, TPA-56770, identity id MBR-003825, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-415434
  • 2026-10-19 19:54:38Record linked automaticallya43dd70325
    matching_agent, CLM-415434, identity id MBR-003825, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-56770
  • 2026-10-19 19:52:08Record linked automatically535c8183a3
    matching_agent, TPA-56770, identity id MBR-003825, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-415434
  • 2026-10-19 19:52:08Record linked automatically98cf6642d2
    matching_agent, CLM-415434, identity id MBR-003825, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-56770
  • 2026-10-19 19:45:42Record linked automaticallya66ba1f27e
    matching_agent, TPA-56770, identity id MBR-003825, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-415434
  • 2026-10-19 19:45:42Record linked automaticallyc17e93556d
    matching_agent, CLM-415434, identity id MBR-003825, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-56770
  • 2026-10-19 19:32:31Record linked automatically93c81ea494
    matching_agent, TPA-56770, identity id MBR-003825, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-415434
  • 2026-10-19 19:32:31Record linked automaticallyd9bc8dfbc9
    matching_agent, CLM-415434, identity id MBR-003825, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-56770
  • 2026-10-19 19:31:28Record linked automatically804228fd4c
    scoring_agent, CLM-415434, identity id MBR-030377, confidence 0.94, method probabilistic, matched record ENR-120201, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6a96142756
    matching_agent, TPA-56770, identity id MBR-007333, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415583

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0167582025-12-30Heritage Imaging Center
in network
76700, 71046, 74177$3,175.00$456.51ApprovedApproved