Identities/MBR-004512

Gold, golden identity

Susan Burke

5 source records from 2 feeds.

MBR-004512Verified5 recordsOpen steward case

Golden record

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

First nameENR: Susan
Middle name—: —
Last nameENR: Burke
Date of birthENR: 1985-02-25
GenderENR: M
Member IDENR: UHC-70463-11
SSNENR: •••-••-2208
PhoneENR: 2824228292
EmailCLM: susan.burke@aol.com
AddressCLM: 4081 Oak St
CityCLM: Mesa
StateCLM: AZ
ZIPCLM: 85266
GroupENR: GRP-7184
PlanENR: MEDICARE-ADV-A

Min confidence

0.99

Sources

CLM ×4ENR ×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-410856	CLM	2026-01-15	Susan Burkeflagged	1985-02-25	UHC-70463-11	2824228292	4081 Oak St, Mesa, AZ	Rule	0.99	D1 member id + dob exact
CLM-410857	CLM	2026-01-15	Susan Burkeflagged	1985-02-25	UHC-70463-11	2824228292	4081 Oak St, Mesa, AZ	Rule	0.99	D1 member id + dob exact
ENR-114239	ENR	2026-02-18	Susan Burkeflagged	1985-02-25	UHC-70463-11	2824228292	—	Rule	0.99	D1 member id + dob exact
CLM-410859	CLM	2026-04-14	Susan Burkeflagged	1985-02-25	UHC-70463-11	—	4081 Oak St, Mesa, AZ	Rule	0.99	D1 member id + dob exact
CLM-410858	CLM	2026-04-30	Susan Burkeflagged	1985-02-25	UHC-70463-11	2824228292	—	Rule	0.99	D1 member id + dob exact

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-410856CLMCLM-410857CLM0.99RuleD1 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-410856CLMCLM-410858CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-410857CLMCLM-410858CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-114239ENRCLM-410858CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-410859CLM CLM-410858CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-410856CLMCLM-410859CLM 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-410857CLMCLM-410859CLM 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-114239ENRCLM-410859CLM 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-410856CLMENR-114239ENR0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-410857CLMENR-114239ENR0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Care coordination outreachProposed
Susan Burke: 4 claims, no attributed provider
ACT-018128, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically8110ec6555
matching_agent, CLM-410858, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410856
2026-10-19 19:54:38Record linked automatically6d31a2de07
matching_agent, CLM-410859, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410856
2026-10-19 19:54:38Record linked automatically65abdea154
matching_agent, ENR-114239, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410856
2026-10-19 19:54:38Record linked automaticallybe1c037c2f
matching_agent, CLM-410857, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410856
2026-10-19 19:54:38Record linked automatically39134311ad
matching_agent, CLM-410856, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410857
2026-10-19 19:52:08Record linked automaticallye78f999fb3
matching_agent, CLM-410858, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410856
2026-10-19 19:52:08Record linked automaticallyb824a9d4eb
matching_agent, CLM-410859, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410856
2026-10-19 19:52:08Record linked automaticallybaecc33c85
matching_agent, ENR-114239, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410856
2026-10-19 19:52:08Record linked automatically569766d6f1
matching_agent, CLM-410857, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410856
2026-10-19 19:52:08Record linked automatically7794e3b348
matching_agent, CLM-410856, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410857
2026-10-19 19:45:42Record linked automaticallycbdee5c18d
matching_agent, CLM-410858, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410856
2026-10-19 19:45:42Record linked automaticallyf00d0f1b2d
matching_agent, CLM-410859, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410856
2026-10-19 19:45:42Record linked automatically493bda030d
matching_agent, ENR-114239, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410856
2026-10-19 19:45:42Record linked automatically5ee2d90543
matching_agent, CLM-410857, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410856
2026-10-19 19:45:42Record linked automaticallyd10b9284a7
matching_agent, CLM-410856, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410857
2026-10-19 19:32:31Record linked automatically0a3a75cfab
matching_agent, CLM-410858, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410856
2026-10-19 19:32:31Record linked automatically9e8563ee72
matching_agent, CLM-410859, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410856
2026-10-19 19:32:31Record linked automaticallyf0b18ff6c2
matching_agent, ENR-114239, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410856
2026-10-19 19:32:31Record linked automatically0b11227a3a
matching_agent, CLM-410857, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410856
2026-10-19 19:32:31Record linked automatically7865c704f5
matching_agent, CLM-410856, identity id MBR-004512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410857
2026-10-19 19:31:28Record linked automatically199b8bb526
scoring_agent, CLM-410858, identity id MBR-029462, confidence 1, method probabilistic, matched record TPA-54805, policy version 1
2026-10-19 19:31:28Record linked automatically2233640fee
matching_agent, CLM-410859, identity id MBR-029462, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114366
2026-10-19 19:31:28Record linked automatically6722036141
scoring_agent, CLM-410856, identity id MBR-015581, confidence 1, method probabilistic, matched record CLM-410857, policy version 1
2026-10-19 19:31:28Record linked automaticallyec9f1ba6fb
scoring_agent, CLM-410857, identity id MBR-015581, confidence 1, method probabilistic, matched record CLM-410856, policy version 1
2026-10-19 19:31:28Record linked automatically5794f4505c
matching_agent, ENR-114239, identity id MBR-000177, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54770

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-2026-021323	2026-04-07	Cornerstone Family Practice out of network	99203, 99213	$339.00	$122.55	Approved	Approved
CLM-2026-027620	2026-04-02	Canyon Cardiovascular Associates out of network	93306, 93458	$7,058.00	$2,171.78	Approved	Approved
CLM-2026-030042	2025-12-15	Unity Diagnostic Imaging in network	76700	$330.00	$75.55	Approved	Approved
CLM-2026-019394	2025-12-06	Lakeside Regional Medical Center in network	99284, 99283	$2,539.00	$1,246.45	Approved	Approved