Identities/MBR-004007

Gold, golden identity

Ann Gilbert

6 source records from 2 feeds.

MBR-004007Verified6 records

Golden record

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

First nameENR: Ann
Middle name—: —
Last nameENR: Gilbert
Date of birthENR: 2004-10-07
GenderENR: M
Member IDENR: UHC-20636-06
SSNENR: •••-••-4482
PhoneENR: 5677011970
EmailENR: ann.gilbert84@aol.com
AddressENR: 2196 Sage Ct
CityENR: Chandler
StateENR: AZ
ZIPENR: 85274
GroupENR: GRP-2553
PlanENR: NAVIGATE-HMO

Min confidence

0.99

Sources

ENR ×1CLM ×5

Updated

2026-10-19 19:54:36

run-mvfoap9e

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
ENR-104105	ENR	2026-01-13	Ann Gilbertflagged	2004-10-07	UHC-20636-06	5677011970	2196 Sage Ct, Chandler, AZ	Scored	1.00	—
CLM-403170	CLM	2026-06-26	Ann Gilbertflagged	2004-10-07	UHC-20636-06	—	2196 Sage Ct, Chandler, AZ	Scored	1.00	—
CLM-403166	CLM	2026-08-13	Ann Gilbertflagged	2004-10-07	—	5677011970	2196 Sage Ct, Chandler, AZ	Scored	1.00	—
CLM-403167	CLM	2026-08-16	Ann Gilbertflagged	2004-10-07	UHC-20636-06	—	2196 Sage Ct, Chandler, AZ	Scored	1.00	—
CLM-403169	CLM	2026-08-26	Ann Gilbertflagged	2004-10-07	UHC-20636-06	—	2196 Sage Ct, Chandler, AZ	Rule	0.99	D1 member id + dob exact
CLM-403168	CLM	2026-09-04	Ann Gilbertflagged	2004-10-07	UHC-20636-06	5677011970	2196 Sage Ct, Chandler, AZ	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶ENR-104105ENR CLM-403166CLM1.00Scoredweighted 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-403170CLM CLM-403166CLM1.00Scoredweighted 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

▶CLM-403166CLMCLM-403167CLM1.00Scoredweighted 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

▶CLM-403166CLMCLM-403168CLM1.00Scoredweighted 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

▶ENR-104105ENR CLM-403167CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-403170CLM CLM-403167CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-104105ENR CLM-403168CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-403170CLM CLM-403168CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-403167CLMCLM-403168CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-403169CLMCLM-403168CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-104105ENR CLM-403169CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-403170CLM CLM-403169CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-403167CLMCLM-403169CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-104105ENR CLM-403170CLM 0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-403166CLMCLM-403169CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-403166 → UHC-20636-06 (Ann Gilbert)
ACT-008787, Claims processor
Care coordination outreachProposed
Ann Gilbert: 5 claims, no attributed provider
ACT-018082, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyf7db405bb3
scoring_agent, CLM-403168, identity id MBR-004007, confidence 1, method probabilistic, matched record CLM-403166, policy version 1
2026-10-19 19:54:38Record linked automaticallyeb999094bd
matching_agent, CLM-403169, identity id MBR-004007, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104105
2026-10-19 19:54:38Record linked automaticallybdabececb9
scoring_agent, CLM-403167, identity id MBR-004007, confidence 1, method probabilistic, matched record CLM-403166, policy version 1
2026-10-19 19:54:38Record linked automaticallyae1025f761
scoring_agent, CLM-403166, identity id MBR-004007, confidence 1, method probabilistic, matched record ENR-104105, policy version 1
2026-10-19 19:54:38Record linked automatically01860c896e
scoring_agent, CLM-403170, identity id MBR-004007, confidence 1, method probabilistic, matched record CLM-403166, policy version 1
2026-10-19 19:54:38Record linked automaticallya5199508af
scoring_agent, ENR-104105, identity id MBR-004007, confidence 1, method probabilistic, matched record CLM-403166, policy version 1
2026-10-19 19:52:08Record linked automaticallyda57792698
scoring_agent, CLM-403168, identity id MBR-004007, confidence 1, method probabilistic, matched record CLM-403166, policy version 1
2026-10-19 19:52:08Record linked automatically453bd6332c
matching_agent, CLM-403169, identity id MBR-004007, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104105
2026-10-19 19:52:08Record linked automatically31f66c4714
scoring_agent, CLM-403167, identity id MBR-004007, confidence 1, method probabilistic, matched record CLM-403166, policy version 1
2026-10-19 19:52:08Record linked automatically902542d204
scoring_agent, CLM-403166, identity id MBR-004007, confidence 1, method probabilistic, matched record ENR-104105, policy version 1
2026-10-19 19:52:08Record linked automatically3cb79bce6d
scoring_agent, CLM-403170, identity id MBR-004007, confidence 1, method probabilistic, matched record CLM-403166, policy version 1
2026-10-19 19:52:08Record linked automaticallyaf858ebf99
scoring_agent, ENR-104105, identity id MBR-004007, confidence 1, method probabilistic, matched record CLM-403166, policy version 1
2026-10-19 19:45:42Record linked automatically6c91f197f9
scoring_agent, CLM-403168, identity id MBR-004007, confidence 1, method probabilistic, matched record CLM-403166, policy version 1
2026-10-19 19:45:42Record linked automatically2192376f32
matching_agent, CLM-403169, identity id MBR-004007, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104105
2026-10-19 19:45:42Record linked automatically9a2a0ef77c
scoring_agent, CLM-403167, identity id MBR-004007, confidence 1, method probabilistic, matched record CLM-403166, policy version 1
2026-10-19 19:45:42Record linked automatically7da1bdd479
scoring_agent, CLM-403166, identity id MBR-004007, confidence 1, method probabilistic, matched record ENR-104105, policy version 1
2026-10-19 19:45:42Record linked automaticallyc47f252f0c
scoring_agent, CLM-403170, identity id MBR-004007, confidence 1, method probabilistic, matched record CLM-403166, policy version 1
2026-10-19 19:45:42Record linked automaticallyfd33bf237f
scoring_agent, ENR-104105, identity id MBR-004007, confidence 1, method probabilistic, matched record CLM-403166, policy version 1
2026-10-19 19:32:31Record linked automaticallyaceb6fc895
scoring_agent, CLM-403168, identity id MBR-004007, confidence 1, method probabilistic, matched record CLM-403166, policy version 1
2026-10-19 19:32:31Record linked automatically32730899f2
matching_agent, CLM-403169, identity id MBR-004007, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104105
2026-10-19 19:32:31Record linked automaticallyb93b5d8c31
scoring_agent, CLM-403167, identity id MBR-004007, confidence 1, method probabilistic, matched record CLM-403166, policy version 1
2026-10-19 19:32:31Record linked automatically1d83dca2c3
scoring_agent, CLM-403166, identity id MBR-004007, confidence 1, method probabilistic, matched record ENR-104105, policy version 1
2026-10-19 19:32:31Record linked automatically595e09c45a
scoring_agent, CLM-403170, identity id MBR-004007, confidence 1, method probabilistic, matched record CLM-403166, policy version 1
2026-10-19 19:32:31Record linked automaticallyfd855f3996
scoring_agent, ENR-104105, identity id MBR-004007, confidence 1, method probabilistic, matched record CLM-403166, policy version 1
2026-10-19 19:31:28Record linked automaticallyfa3286ff9b
matching_agent, CLM-403166, identity id MBR-023953, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104155
2026-10-19 19:31:28Record linked automatically7e4b7f77db
scoring_agent, CLM-403167, identity id MBR-016254, confidence 1, method probabilistic, matched record TPA-51434, policy version 1
2026-10-19 19:31:28Record linked automatically5bacf0c858
scoring_agent, CLM-403168, identity id MBR-016254, confidence 1, method probabilistic, matched record TPA-51434, policy version 1
2026-10-19 19:31:28Record linked automatically1de5271ee7
matching_agent, ENR-104105, identity id MBR-014845, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104104
2026-10-19 19:31:28Record linked automatically957f105dc6
scoring_agent, CLM-403169, identity id MBR-010157, confidence 1, method probabilistic, matched record CLM-403170, policy version 1
2026-10-19 19:31:28Record linked automatically56ac38721e
scoring_agent, CLM-403170, identity id MBR-010157, confidence 1, method probabilistic, matched record ENR-104163, policy version 1

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-005087	2026-08-19	Harbor Regional Medical Center in network	99285	$2,502.00	$1,126.10	Approved	Approved
CLM-2026-007752	2026-07-20	Desert Internal Medicine Associates in network	80053, 93000, 99214	$410.00	$219.48	Approved	Approved
CLM-2026-017537	2026-07-02	Lakeside Behavioral Health out of network	90837	$228.00	—	Denied	Denied
CLM-2026-028201	2026-07-25	Sunrise Dermatology Clinic out of network	11102, 17110	$474.00	—	Denied	Denied
CLM-2026-018593	2026-06-17	Unity Internal Medicine Associates out of network	99215	$318.00	—	Denied	Denied