Identities/MBR-004236

Gold, golden identity

Martha J Harvey

5 source records from 3 feeds.

MBR-004236Verified5 records

Golden record

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

First nameENR: Martha
Middle nameENR: J
Last nameENR: Harvey
Date of birthENR: 1988-01-08
GenderCLM: M
Member IDENR: UHC-12386-49
SSNENR: •••-••-3415
PhoneENR: 8038914734
EmailENR: martha.harvey75@aol.com
AddressENR: 6664 Union St
CityENR: Denver
StateENR: CO
ZIPENR: 80282
GroupENR: GRP-8917
PlanENR: MEDICARE-ADV-B

Min confidence

1.00

Sources

CLM ×3TPA ×1ENR ×1

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
CLM-431503	CLM	2026-01-14	Martha Harveyflagged	1988-01-08	—	—	6664 Union St, Denver, CO	Scored	1.00	—
CLM-431502	CLM	2026-01-26	Martha Harveyflagged	1988-01-08	UHC-12386-49	8038914734	6664 Union St, Denver, CO	Scored	1.00	—
TPA-63910	TPA	2026-05-13	Martha Harveyflagged	1988-01-08	—	—	6664 Union St, Denver, CO	Scored	1.00	—
CLM-431504	CLM	2026-06-10	Martha Harveyflagged	1988-01-08	—	8038914734	6664 Union St, Denver, CO	Scored	1.00	—
ENR-141382	ENR	2026-07-31	Martha Harveyflagged	1988-01-08	UHC-12386-49	8038914734	6664 Union St, Denver, CO	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-431503CLMCLM-431502CLM1.00Scoredweighted 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

▶TPA-63910TPACLM-431504CLM1.00Scoredweighted 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-431504CLMENR-141382ENR1.00Scoredweighted 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-431502CLMENR-141382ENR0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-431503CLMENR-141382ENR0.97RuleD2 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-63910TPAENR-141382ENR0.97RuleD2 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

▶CLM-431503CLMTPA-63910TPA0.97RuleD2 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431502CLMCLM-431504CLM0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431503CLMCLM-431504CLM0.93Scoredweighted 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

▶CLM-431502CLMTPA-63910TPA0.93Scoredweighted 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-431503 → UHC-12386-49 (Martha Harvey)
ACT-001687, Claims processor
Orphan claim re-pointedExecuted
CLM-431504 → UHC-12386-49 (Martha Harvey)
ACT-010282, Claims processor
Care coordination outreachProposed
Martha Harvey: 3 claims, no attributed provider
ACT-018109, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically5e9cfb4c21
scoring_agent, ENR-141382, identity id MBR-004236, confidence 1, method probabilistic, matched record CLM-431504, policy version 1
2026-10-19 19:54:38Record linked automatically3062b52038
scoring_agent, CLM-431504, identity id MBR-004236, confidence 1, method probabilistic, matched record TPA-63910, policy version 1
2026-10-19 19:54:38Record linked automatically9dc0a00376
scoring_agent, TPA-63910, identity id MBR-004236, confidence 1, method probabilistic, matched record CLM-431504, policy version 1
2026-10-19 19:54:38Record linked automaticallya60c75863c
scoring_agent, CLM-431502, identity id MBR-004236, confidence 1, method probabilistic, matched record CLM-431503, policy version 1
2026-10-19 19:54:38Record linked automatically22ac9970b9
scoring_agent, CLM-431503, identity id MBR-004236, confidence 1, method probabilistic, matched record CLM-431502, policy version 1
2026-10-19 19:52:08Record linked automatically19b0c4aa94
scoring_agent, ENR-141382, identity id MBR-004236, confidence 1, method probabilistic, matched record CLM-431504, policy version 1
2026-10-19 19:52:08Record linked automaticallybb1d54d569
scoring_agent, CLM-431504, identity id MBR-004236, confidence 1, method probabilistic, matched record TPA-63910, policy version 1
2026-10-19 19:52:08Record linked automaticallyeb627d8532
scoring_agent, TPA-63910, identity id MBR-004236, confidence 1, method probabilistic, matched record CLM-431504, policy version 1
2026-10-19 19:52:08Record linked automaticallyd0fdbdd8c3
scoring_agent, CLM-431502, identity id MBR-004236, confidence 1, method probabilistic, matched record CLM-431503, policy version 1
2026-10-19 19:52:08Record linked automaticallydd1e4b3f57
scoring_agent, CLM-431503, identity id MBR-004236, confidence 1, method probabilistic, matched record CLM-431502, policy version 1
2026-10-19 19:45:42Record linked automaticallyc4d0f26265
scoring_agent, ENR-141382, identity id MBR-004236, confidence 1, method probabilistic, matched record CLM-431504, policy version 1
2026-10-19 19:45:42Record linked automatically4d2d75f1f4
scoring_agent, CLM-431504, identity id MBR-004236, confidence 1, method probabilistic, matched record TPA-63910, policy version 1
2026-10-19 19:45:42Record linked automatically0d08bfff73
scoring_agent, TPA-63910, identity id MBR-004236, confidence 1, method probabilistic, matched record CLM-431504, policy version 1
2026-10-19 19:45:42Record linked automatically3ea795b6d2
scoring_agent, CLM-431502, identity id MBR-004236, confidence 1, method probabilistic, matched record CLM-431503, policy version 1
2026-10-19 19:45:42Record linked automatically07d5ea44f4
scoring_agent, CLM-431503, identity id MBR-004236, confidence 1, method probabilistic, matched record CLM-431502, policy version 1
2026-10-19 19:32:31Record linked automaticallyf78d8496b2
scoring_agent, ENR-141382, identity id MBR-004236, confidence 1, method probabilistic, matched record CLM-431504, policy version 1
2026-10-19 19:32:31Record linked automaticallyecc1431267
scoring_agent, CLM-431504, identity id MBR-004236, confidence 1, method probabilistic, matched record TPA-63910, policy version 1
2026-10-19 19:32:31Record linked automaticallyf72413b0c6
scoring_agent, TPA-63910, identity id MBR-004236, confidence 1, method probabilistic, matched record CLM-431504, policy version 1
2026-10-19 19:32:31Record linked automatically9fabfd5e31
scoring_agent, CLM-431502, identity id MBR-004236, confidence 1, method probabilistic, matched record CLM-431503, policy version 1
2026-10-19 19:32:31Record linked automaticallyd8fded0cbc
scoring_agent, CLM-431503, identity id MBR-004236, confidence 1, method probabilistic, matched record CLM-431502, policy version 1
2026-10-19 19:31:28Record linked automatically20b2bff078
matching_agent, ENR-141382, identity id MBR-038822, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-431353
2026-10-19 19:31:28Record linked automatically2fc51ffde1
matching_agent, CLM-431504, identity id MBR-038108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141585
2026-10-19 19:31:28Record linked automaticallyffb856c21e
scoring_agent, CLM-431502, identity id MBR-018287, confidence 1, method probabilistic, matched record CLM-431501, policy version 1
2026-10-19 19:31:28Record linked automaticallybcd6bab439
scoring_agent, TPA-63910, identity id MBR-013004, confidence 1, method probabilistic, matched record CLM-431759, policy version 1
2026-10-19 19:31:28Record linked automaticallyf8e043c447
matching_agent, CLM-431503, identity id MBR-008733, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-141584

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-2026-034037	2026-05-12	Northgate Medical Group in network	99203, 99395	$523.00	$284.26	Approved	Approved
CLM-2026-013601	2025-12-15	Mesa Diabetes Center in network	95251	$150.00	$53.00	Approved	Approved
CLM-2026-001419	2025-12-27	Harbor Digestive Health Center in network	43239, 88305	$2,721.00	—	Denied	Denied