Identities/MBR-004252

Gold, golden identity

Aisha Y Gilbert

6 source records from 4 feeds.

MBR-004252Verified6 records

Golden record

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

First nameENR: Aisha
Middle nameENR: Y
Last nameENR: Gilbert
Date of birthENR: 1971-08-08
GenderENR: F
Member IDCLM: UHC-36576-92
SSNENR: •••-••-1402
PhonePRV: 5039566880
EmailENR: aisha.gilbert75@hotmail.com
AddressTPA: 7169 Mountain View Dr
CityTPA: Sacramento
StateTPA: CA
ZIPTPA: 95849
GroupENR: GRP-7831
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

CLM ×3ENR ×1PRV ×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

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-423961	CLM	2026-01-14	Aisha Gilbertflagged	1971-08-08	—	5039566880	8619 Elm St, Houston, TX	Scored	1.00	—
CLM-423962	CLM	2026-01-14	Aisha Gilbertflagged	1971-08-08	—	5039566880	8619 Elm St, Houston, TX	Scored	1.00	—
ENR-131329	ENR	2026-03-08	Aisha Gilbertflagged	1971-08-08	—	—	8619 Elm St, Houston, TX	Scored	1.00	—
PRV-27065	PRV	2026-04-07	Aisha Gilbertflagged	1971-08-08	—	5039566880	8619 Elm St Apt 13, Houston, TX	Scored	1.00	—
TPA-60550	TPA	2026-06-03	Aisha Gilbertflagged	1971-08-08	—	5039566880	7169 Mountain View Dr, Sacramento, CA	Scored	1.00	—
CLM-423963	CLM	2026-06-13	Aisha Gilbertflagged	1971-08-08	UHC-36576-92	5039566880	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-423961CLMCLM-423962CLM1.00Scoredweighted 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-423961CLMCLM-423963CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-423962CLMCLM-423963CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-131329ENRCLM-423963CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-27065PRVCLM-423963CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-60550TPACLM-423963CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-131329ENRPRV-27065PRV1.00Scoredweighted 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-423961CLMPRV-27065PRV0.94Scoredweighted 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-423962CLMPRV-27065PRV0.94Scoredweighted 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-423961CLMENR-131329ENR0.93Scoredweighted 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-423962CLMENR-131329ENR0.93Scoredweighted 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-423961CLMTPA-60550TPA0.79Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-423962CLMTPA-60550TPA0.79Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-27065PRVTPA-60550TPA0.79Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-131329ENRTPA-60550TPA0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-423961 → UHC-36576-92 (Aisha Gilbert)
ACT-007191, Claims processor
Orphan claim re-pointedExecuted
CLM-423962 → UHC-36576-92 (Aisha Gilbert)
ACT-009041, Claims processor
Outreach address correctedProposed
Aisha Gilbert: 8619 Elm St, Houston → 7169 Mountain View Dr, Sacramento
ACT-010846, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallye57f59e277
scoring_agent, CLM-423963, identity id MBR-004252, confidence 1, method probabilistic, matched record CLM-423961, policy version 1
2026-10-19 19:54:38Record linked automatically2bc7761f84
scoring_agent, TPA-60550, identity id MBR-004252, confidence 1, method probabilistic, matched record CLM-423963, policy version 1
2026-10-19 19:54:38Record linked automaticallyf371bf3eed
scoring_agent, PRV-27065, identity id MBR-004252, confidence 1, method probabilistic, matched record ENR-131329, policy version 1
2026-10-19 19:54:38Record linked automaticallyd45395bdbc
scoring_agent, ENR-131329, identity id MBR-004252, confidence 1, method probabilistic, matched record PRV-27065, policy version 1
2026-10-19 19:54:38Record linked automatically27cd83f4b7
scoring_agent, CLM-423962, identity id MBR-004252, confidence 1, method probabilistic, matched record CLM-423961, policy version 1
2026-10-19 19:54:38Record linked automatically557f9c9d64
scoring_agent, CLM-423961, identity id MBR-004252, confidence 1, method probabilistic, matched record CLM-423962, policy version 1
2026-10-19 19:52:08Record linked automaticallyaccdd35525
scoring_agent, CLM-423963, identity id MBR-004252, confidence 1, method probabilistic, matched record CLM-423961, policy version 1
2026-10-19 19:52:08Record linked automatically4832e3cf1d
scoring_agent, TPA-60550, identity id MBR-004252, confidence 1, method probabilistic, matched record CLM-423963, policy version 1
2026-10-19 19:52:08Record linked automaticallybb2ab1cebd
scoring_agent, PRV-27065, identity id MBR-004252, confidence 1, method probabilistic, matched record ENR-131329, policy version 1
2026-10-19 19:52:08Record linked automatically14aedd0b70
scoring_agent, ENR-131329, identity id MBR-004252, confidence 1, method probabilistic, matched record PRV-27065, policy version 1
2026-10-19 19:52:08Record linked automatically2932a832f9
scoring_agent, CLM-423962, identity id MBR-004252, confidence 1, method probabilistic, matched record CLM-423961, policy version 1
2026-10-19 19:52:08Record linked automatically15eaa2e458
scoring_agent, CLM-423961, identity id MBR-004252, confidence 1, method probabilistic, matched record CLM-423962, policy version 1
2026-10-19 19:45:42Record linked automatically44e00f08f8
scoring_agent, CLM-423963, identity id MBR-004252, confidence 1, method probabilistic, matched record CLM-423961, policy version 1
2026-10-19 19:45:42Record linked automatically5fda23fb83
scoring_agent, TPA-60550, identity id MBR-004252, confidence 1, method probabilistic, matched record CLM-423963, policy version 1
2026-10-19 19:45:42Record linked automatically9d9bb2985c
scoring_agent, PRV-27065, identity id MBR-004252, confidence 1, method probabilistic, matched record ENR-131329, policy version 1
2026-10-19 19:45:42Record linked automatically5e8b31afcb
scoring_agent, ENR-131329, identity id MBR-004252, confidence 1, method probabilistic, matched record PRV-27065, policy version 1
2026-10-19 19:45:42Record linked automaticallybda8cbf757
scoring_agent, CLM-423962, identity id MBR-004252, confidence 1, method probabilistic, matched record CLM-423961, policy version 1
2026-10-19 19:45:42Record linked automatically026ca1877d
scoring_agent, CLM-423961, identity id MBR-004252, confidence 1, method probabilistic, matched record CLM-423962, policy version 1
2026-10-19 19:32:31Record linked automatically5800986f3e
scoring_agent, CLM-423963, identity id MBR-004252, confidence 1, method probabilistic, matched record CLM-423961, policy version 1
2026-10-19 19:32:31Record linked automatically9ec3ce20bb
scoring_agent, TPA-60550, identity id MBR-004252, confidence 1, method probabilistic, matched record CLM-423963, policy version 1
2026-10-19 19:32:31Record linked automaticallyb74080a17b
scoring_agent, PRV-27065, identity id MBR-004252, confidence 1, method probabilistic, matched record ENR-131329, policy version 1
2026-10-19 19:32:31Record linked automaticallyc00e501356
scoring_agent, ENR-131329, identity id MBR-004252, confidence 1, method probabilistic, matched record PRV-27065, policy version 1
2026-10-19 19:32:31Record linked automatically38669437aa
scoring_agent, CLM-423962, identity id MBR-004252, confidence 1, method probabilistic, matched record CLM-423961, policy version 1
2026-10-19 19:32:31Record linked automaticallyd96f18d536
scoring_agent, CLM-423961, identity id MBR-004252, confidence 1, method probabilistic, matched record CLM-423962, policy version 1
2026-10-19 19:31:28Record linked automatically17ea8a426b
matching_agent, TPA-60550, identity id MBR-018317, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-131529
2026-10-19 19:31:28Record linked automatically8078e47eeb
matching_agent, PRV-27065, identity id MBR-014414, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131509
2026-10-19 19:31:28Record linked automaticallye19b6903a1
matching_agent, CLM-423963, identity id MBR-007262, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-131547

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-2026-029711	2026-05-24	Cornerstone Reference Lab in network	87086, 85025, 80061	$176.00	$0.00	Approved	Approved
CLM-2026-029222	2025-12-19	Northgate Orthopedic Specialists in network	73721, 29881	$12,143.00	$3,319.74	Approved	Approved
CLM-2026-022111	2025-12-15	Sunrise Heart Institute in network	93224	$416.00	$197.92	Approved	Approved