Identities/MBR-003885

Gold, golden identity

Joan Fowler

5 source records from 4 feeds.

MBR-003885Verified5 records

Golden record

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

First nameENR: Joan
Middle name—: —
Last nameENR: Fowler
Date of birthENR: 1983-10-14
GenderPRV: M
Member IDENR: UHC-85183-78
SSNENR: •••-••-2782
PhoneENR: 7126109526
EmailPRV: joan.fowler@aol.com
AddressENR: 7025 Sage Ct
CityENR: Fresno
StateENR: CA
ZIPENR: 93722
GroupENR: GRP-7640
PlanENR: MEDICARE-ADV-A

Min confidence

0.98

Sources

CLM ×2PRV ×1TPA ×1ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

Identity graph

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

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

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
CLM-425071	CLM	2026-01-13	Joen Fowlerflagged	1983-10-14	—	7126109526	7025 Sage Ct, Fresno, CA	Scored	0.98	—
CLM-425070	CLM	2026-04-11	Joan Fowlerflagged	1983-10-14	—	7126109526	7025 Sage Ct, Fresno, CA	Scored	1.00	—
PRV-27369	PRV	2026-07-24	Joan Fowlerflagged	1983-10-14	UHC-85183-78	7126109526	7025 Sage Ct, Fresno, CA	Scored	1.00	—
TPA-61055	TPA	2026-08-04	Joan Fowlerflagged	1983-10-14	—	—	7025 Sage Ct, Fresno, CA	Scored	1.00	—
ENR-132776	ENR	2026-09-23	Joan Fowlerflagged	1983-10-14	UHC-85183-78	7126109526	7025 Sage Ct, Fresno, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-425070CLMENR-132776ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425070CLMPRV-27369PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425070CLMTPA-61055TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-27369PRVTPA-61055TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-27369PRVENR-132776ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-425071CLMCLM-425070CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425071CLMENR-132776ENR0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425071CLMPRV-27369PRV0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425071CLMTPA-61055TPA0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61055TPAENR-132776ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-425070 → UHC-85183-78 (Joan Fowler)
ACT-002583, Claims processor
Orphan claim re-pointedExecuted
CLM-425071 → UHC-85183-78 (Joan Fowler)
ACT-003918, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically9a166c215f
scoring_agent, ENR-132776, identity id MBR-003885, confidence 1, method probabilistic, matched record CLM-425070, policy version 1
2026-10-22 12:43:53Record linked automaticallyb4fc52f3bb
scoring_agent, TPA-61055, identity id MBR-003885, confidence 1, method probabilistic, matched record CLM-425070, policy version 1
2026-10-22 12:43:53Record linked automaticallycc9c039392
scoring_agent, PRV-27369, identity id MBR-003885, confidence 1, method probabilistic, matched record CLM-425070, policy version 1
2026-10-22 12:43:53Record linked automatically5d18f80850
scoring_agent, CLM-425070, identity id MBR-003885, confidence 1, method probabilistic, matched record PRV-27369, policy version 1
2026-10-22 12:43:53Record linked automatically370a9373d6
scoring_agent, CLM-425071, identity id MBR-003885, confidence 0.98, method probabilistic, matched record CLM-425070, policy version 1
2026-10-19 19:54:38Record linked automaticallyc0d448ea4a
scoring_agent, ENR-132776, identity id MBR-003885, confidence 1, method probabilistic, matched record CLM-425070, policy version 1
2026-10-19 19:54:38Record linked automatically2b59a8895d
scoring_agent, TPA-61055, identity id MBR-003885, confidence 1, method probabilistic, matched record CLM-425070, policy version 1
2026-10-19 19:54:38Record linked automatically1c70482b5a
scoring_agent, PRV-27369, identity id MBR-003885, confidence 1, method probabilistic, matched record CLM-425070, policy version 1
2026-10-19 19:54:38Record linked automatically0c270b601b
scoring_agent, CLM-425070, identity id MBR-003885, confidence 1, method probabilistic, matched record PRV-27369, policy version 1
2026-10-19 19:54:38Record linked automaticallyeb08444819
scoring_agent, CLM-425071, identity id MBR-003885, confidence 0.98, method probabilistic, matched record CLM-425070, policy version 1
2026-10-19 19:52:08Record linked automatically447bbb14bc
scoring_agent, ENR-132776, identity id MBR-003885, confidence 1, method probabilistic, matched record CLM-425070, policy version 1
2026-10-19 19:52:08Record linked automatically583d7443d1
scoring_agent, TPA-61055, identity id MBR-003885, confidence 1, method probabilistic, matched record CLM-425070, policy version 1
2026-10-19 19:52:08Record linked automaticallyb72f40ea7a
scoring_agent, PRV-27369, identity id MBR-003885, confidence 1, method probabilistic, matched record CLM-425070, policy version 1
2026-10-19 19:52:08Record linked automatically814ad62fea
scoring_agent, CLM-425070, identity id MBR-003885, confidence 1, method probabilistic, matched record PRV-27369, policy version 1
2026-10-19 19:52:08Record linked automatically71d3a40bb1
scoring_agent, CLM-425071, identity id MBR-003885, confidence 0.98, method probabilistic, matched record CLM-425070, policy version 1
2026-10-19 19:45:42Record linked automatically51d036051a
scoring_agent, ENR-132776, identity id MBR-003885, confidence 1, method probabilistic, matched record CLM-425070, policy version 1
2026-10-19 19:45:42Record linked automatically460d5b38bf
scoring_agent, TPA-61055, identity id MBR-003885, confidence 1, method probabilistic, matched record CLM-425070, policy version 1
2026-10-19 19:45:42Record linked automaticallyec802464c3
scoring_agent, PRV-27369, identity id MBR-003885, confidence 1, method probabilistic, matched record CLM-425070, policy version 1
2026-10-19 19:45:42Record linked automaticallycee5f1b084
scoring_agent, CLM-425070, identity id MBR-003885, confidence 1, method probabilistic, matched record PRV-27369, policy version 1
2026-10-19 19:45:42Record linked automatically6ec6f00c98
scoring_agent, CLM-425071, identity id MBR-003885, confidence 0.98, method probabilistic, matched record CLM-425070, policy version 1
2026-10-19 19:32:31Record linked automatically7d692b2d33
scoring_agent, ENR-132776, identity id MBR-003885, confidence 1, method probabilistic, matched record CLM-425070, policy version 1
2026-10-19 19:32:31Record linked automaticallya24319abc9
scoring_agent, TPA-61055, identity id MBR-003885, confidence 1, method probabilistic, matched record CLM-425070, policy version 1
2026-10-19 19:32:31Record linked automatically8b6fde047c
scoring_agent, PRV-27369, identity id MBR-003885, confidence 1, method probabilistic, matched record CLM-425070, policy version 1
2026-10-19 19:32:31Record linked automaticallyaff5ea2fd6
scoring_agent, CLM-425070, identity id MBR-003885, confidence 1, method probabilistic, matched record PRV-27369, policy version 1
2026-10-19 19:32:31Record linked automaticallyc4122b2eee
scoring_agent, CLM-425071, identity id MBR-003885, confidence 0.98, method probabilistic, matched record CLM-425070, policy version 1
2026-10-19 19:31:28Record linked automatically00d8237e58
matching_agent, PRV-27369, identity id MBR-015571, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27370
2026-10-19 19:31:28Record linked automatically09fe1ef0a7
matching_agent, CLM-425070, identity id MBR-012452, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-27402
2026-10-19 19:31:28Record linked automatically1d2ae5df3e
matching_agent, CLM-425071, identity id MBR-010262, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133043

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-004720	2026-03-06	Pinecrest Reference Lab in network	80053, 83036, 87086	$169.00	$0.00	Approved	Approved
CLM-2026-009906	2026-01-03	Riverside Diagnostic Imaging in network	76700	$412.00	$0.00	Approved	Approved