Identities/MBR-005449
Gold, golden identity

Virginia H Cunningham

4 source records from 2 feeds.

MBR-005449Verified4 records

Golden record

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

First nameENR
Virginia
Middle nameENR
H
Last nameENR
Cunningham
Date of birthCLM
1956-10-16
GenderCLM
F
Member IDENR
UHC-75540-38
SSNENR
•••-••-0416
PhoneENR
3516813664
EmailENR
virginia.cunningham@icloud.com
AddressENR
2093 Bayshore Dr
CityENR
Charlotte
StateENR
NC
ZIPENR
28297
GroupENR
GRP-1189
PlanENR
SELECT-EPO
Min confidence
0.96
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

0.991.001.000.96CLMCLM-422706CLMCLM-422704CLMCLM-422705ENRENR-129740IDMBR-005449
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
CLM-422706CLM2026-01-18Virginia Cunninghamflagged1956-10-16UHC-75540-38—2093 Bayshore Dr, Charlotte, NCRule0.99D1 member id + dob exact
CLM-422704CLM2026-02-26Virginia Cunninghamflagged1956-10-16UHC-75540-3835168136642093 Bayshore Dr Apt 26, Charlotte, NCScored1.00—
CLM-422705CLM2026-05-25Virginia Cunninghamflagged1956-10-16——2093 Bayshore Dr, Charlotte, NCScored1.00—
ENR-129740ENR2026-06-04Virginia Cunninghamflagged1965-10-16UHC-75540-3835168136642093 Bayshore Dr, Charlotte, NCRule0.96D3 member id + name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-422704CLMCLM-422705CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422706CLMCLM-422704CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-422706CLMENR-129740ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Member ID1.004
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-422704CLMENR-129740ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-422706CLMCLM-422705CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422705CLMENR-129740ENR0.85Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-422705 → UHC-75540-38 (Virginia Cunningham)
    ACT-006753, Claims processor
  • Care coordination outreachProposed
    Virginia Cunningham: 3 claims, no attributed provider
    ACT-018205, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically9c673a861e
    matching_agent, ENR-129740, identity id MBR-005449, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-422706
  • 2026-10-19 19:54:38Record linked automatically8c8a7f909e
    scoring_agent, CLM-422705, identity id MBR-005449, confidence 1, method probabilistic, matched record CLM-422704, policy version 1
  • 2026-10-19 19:54:38Record linked automatically059639c0da
    scoring_agent, CLM-422704, identity id MBR-005449, confidence 1, method probabilistic, matched record CLM-422705, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8c773fcaf1
    matching_agent, CLM-422706, identity id MBR-005449, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422704
  • 2026-10-19 19:52:08Record linked automatically26537fdd88
    matching_agent, ENR-129740, identity id MBR-005449, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-422706
  • 2026-10-19 19:52:08Record linked automatically93bb09b838
    scoring_agent, CLM-422705, identity id MBR-005449, confidence 1, method probabilistic, matched record CLM-422704, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyf111f32f01
    scoring_agent, CLM-422704, identity id MBR-005449, confidence 1, method probabilistic, matched record CLM-422705, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyb927ef7952
    matching_agent, CLM-422706, identity id MBR-005449, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422704
  • 2026-10-19 19:45:42Record linked automatically1b95465151
    matching_agent, ENR-129740, identity id MBR-005449, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-422706
  • 2026-10-19 19:45:42Record linked automaticallyc6999953a6
    scoring_agent, CLM-422705, identity id MBR-005449, confidence 1, method probabilistic, matched record CLM-422704, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallydb77f66d16
    scoring_agent, CLM-422704, identity id MBR-005449, confidence 1, method probabilistic, matched record CLM-422705, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7f06401def
    matching_agent, CLM-422706, identity id MBR-005449, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422704
  • 2026-10-19 19:32:31Record linked automaticallyc6c7a051c5
    matching_agent, ENR-129740, identity id MBR-005449, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-422706
  • 2026-10-19 19:32:31Record linked automaticallyaf7aed334d
    scoring_agent, CLM-422705, identity id MBR-005449, confidence 1, method probabilistic, matched record CLM-422704, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye7f27e75da
    scoring_agent, CLM-422704, identity id MBR-005449, confidence 1, method probabilistic, matched record CLM-422705, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6dc254d542
    matching_agent, CLM-422706, identity id MBR-005449, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422704
  • 2026-10-19 19:31:28Record linked automatically18ad8379a3
    scoring_agent, CLM-422705, identity id MBR-040009, confidence 0.89, method probabilistic, matched record ENR-129890, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9f968e018f
    matching_agent, CLM-422706, identity id MBR-034303, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129891
  • 2026-10-19 19:31:28Record linked automatically3b816ddabc
    scoring_agent, CLM-422704, identity id MBR-021987, confidence 1, method probabilistic, matched record PRV-26688, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0203922026-04-14Northgate Orthopedic Specialists
in network
70553, 29881, 73721$9,949.00—Needs reviewNeeds review
CLM-2026-0029872026-01-27Mesa Diabetes Center
in network
95251, 83036$188.00$66.56ApprovedApproved
CLM-2026-0270522025-07-28Riverside Community Hospital
in network
99284, 96374$1,319.00—DeniedDenied