Identities/MBR-005447

Gold, golden identity

Dorothy J Spencer

5 source records from 3 feeds.

MBR-005447Verified5 records

Golden record

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

First nameENR: Dorothy
Middle nameENR: J
Last nameENR: Spencer
Date of birthENR: 1945-06-17
GenderENR: F
Member IDENR: UHC-83167-50
SSNENR: •••-••-5800
PhoneENR: 4587363297
Email—: —
AddressENR: 8053 Meadow Ln
CityENR: Atlanta
StateENR: GA
ZIPENR: 30333
GroupENR: GRP-7610
PlanENR: NAVIGATE-HMO

Min confidence

0.99

Sources

TPA ×1ENR ×2CLM ×2

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
TPA-54918	TPA	2026-01-18	Dorothy Spencerflagged	1945-06-17	—	4587363297	8053 Meadow Ln, Atlanta, GA	Scored	1.00	—
ENR-114729	ENR	2026-05-07	Dorothy Spencerflagged	1945-06-17	UHC-83167-50	4587363297	8053 Meadow Ln, Atlanta, GA	Scored	1.00	—
CLM-411195	CLM	2026-05-10	Dorothy Spencerflagged	1945-06-17	UHC-83167-50	4587363297	8053 Meadow Ln, Atlanta, GA	Scored	1.00	—
ENR-114728	ENR	2026-05-29	Dorothy Spencerflagged	1945-06-17	UHC-83167-50	4587363297	8053 Meadow Ln, Atlanta, GA	Rule	0.99	D1 member id + dob exact
CLM-411196	CLM	2026-08-10	Dorothy Spencerflagged	1945-06-17	UHC-83167-50	—	8053 Meadow Ln, Atlanta, GA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-54918TPACLM-411195CLM 1.00Scoredweighted 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

▶TPA-54918TPACLM-411196CLM1.00Scoredweighted 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-54918TPAENR-114729ENR1.00Scoredweighted 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-114729ENRCLM-411195CLM 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-114729ENRCLM-411196CLM0.99RuleD1 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-411195CLM CLM-411196CLM0.99RuleD1 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-114728ENRCLM-411196CLM0.99RuleD1 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-114729ENRENR-114728ENR0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-411195CLM ENR-114728ENR0.99RuleD1 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

▶TPA-54918TPAENR-114728ENR0.94Scoredweighted 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

Actions

What downstream consumers did with this identity

Duplicate member record retiredExecuted
Dorothy Spencer: 2 enrollment records collapsed into UHC-83167-50
ACT-022550, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically712b2ff221
scoring_agent, CLM-411196, identity id MBR-005447, confidence 1, method probabilistic, matched record TPA-54918, policy version 1
2026-10-19 19:54:38Record linked automatically1d1f630242
matching_agent, ENR-114728, identity id MBR-005447, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114729
2026-10-19 19:54:38Record linked automatically374869da0a
scoring_agent, CLM-411195, identity id MBR-005447, confidence 1, method probabilistic, matched record TPA-54918, policy version 1
2026-10-19 19:54:38Record linked automatically564700e3f7
scoring_agent, ENR-114729, identity id MBR-005447, confidence 1, method probabilistic, matched record TPA-54918, policy version 1
2026-10-19 19:54:38Record linked automatically3d3e037f40
scoring_agent, TPA-54918, identity id MBR-005447, confidence 1, method probabilistic, matched record ENR-114729, policy version 1
2026-10-19 19:52:08Record linked automatically433fc62bf8
scoring_agent, CLM-411196, identity id MBR-005447, confidence 1, method probabilistic, matched record TPA-54918, policy version 1
2026-10-19 19:52:08Record linked automatically3a336ff162
matching_agent, ENR-114728, identity id MBR-005447, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114729
2026-10-19 19:52:08Record linked automatically99fdd762d2
scoring_agent, CLM-411195, identity id MBR-005447, confidence 1, method probabilistic, matched record TPA-54918, policy version 1
2026-10-19 19:52:08Record linked automatically131e0015d2
scoring_agent, ENR-114729, identity id MBR-005447, confidence 1, method probabilistic, matched record TPA-54918, policy version 1
2026-10-19 19:52:08Record linked automatically137420dad9
scoring_agent, TPA-54918, identity id MBR-005447, confidence 1, method probabilistic, matched record ENR-114729, policy version 1
2026-10-19 19:45:42Record linked automatically76c2887895
scoring_agent, CLM-411196, identity id MBR-005447, confidence 1, method probabilistic, matched record TPA-54918, policy version 1
2026-10-19 19:45:42Record linked automatically10672bdf93
matching_agent, ENR-114728, identity id MBR-005447, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114729
2026-10-19 19:45:42Record linked automatically21ee528525
scoring_agent, CLM-411195, identity id MBR-005447, confidence 1, method probabilistic, matched record TPA-54918, policy version 1
2026-10-19 19:45:42Record linked automaticallyf979dc008a
scoring_agent, ENR-114729, identity id MBR-005447, confidence 1, method probabilistic, matched record TPA-54918, policy version 1
2026-10-19 19:45:42Record linked automaticallyb37ea910d1
scoring_agent, TPA-54918, identity id MBR-005447, confidence 1, method probabilistic, matched record ENR-114729, policy version 1
2026-10-19 19:32:31Record linked automatically5bda1aa36a
scoring_agent, CLM-411196, identity id MBR-005447, confidence 1, method probabilistic, matched record TPA-54918, policy version 1
2026-10-19 19:32:31Record linked automaticallyeef417a076
matching_agent, ENR-114728, identity id MBR-005447, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114729
2026-10-19 19:32:31Record linked automatically65a530c25e
scoring_agent, CLM-411195, identity id MBR-005447, confidence 1, method probabilistic, matched record TPA-54918, policy version 1
2026-10-19 19:32:31Record linked automatically8da7b8a9fa
scoring_agent, ENR-114729, identity id MBR-005447, confidence 1, method probabilistic, matched record TPA-54918, policy version 1
2026-10-19 19:32:31Record linked automatically177de6eaec
scoring_agent, TPA-54918, identity id MBR-005447, confidence 1, method probabilistic, matched record ENR-114729, policy version 1
2026-10-19 19:31:28Record linked automatically71da05ac0c
scoring_agent, TPA-54918, identity id MBR-026513, confidence 1, method probabilistic, matched record CLM-411080, policy version 1
2026-10-19 19:31:28Record linked automatically237f15ec6f
matching_agent, CLM-411195, identity id MBR-019978, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411196
2026-10-19 19:31:28Record linked automatically32bf9cb193
matching_agent, CLM-411196, identity id MBR-019978, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411195
2026-10-19 19:31:28Record linked automaticallyf2bb947258
matching_agent, ENR-114728, identity id MBR-016657, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23306
2026-10-19 19:31:28Record linked automatically035658c507
matching_agent, ENR-114729, identity id MBR-008574, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411121

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-2026-026557	2026-07-21	Mesa Diabetes Center in network	99214	$229.00	—	Denied	Denied
CLM-2026-026556	2026-07-21	Mesa Diabetes Center in network	99214	$229.00	$66.98	Approved	Approved
CLM-2026-003917	2026-04-18	Meadow Family Practice in network	90471, 99213	$228.00	$121.52	Approved	Approved