Identities/MBR-005529
Gold, golden identity

Patricia E Hamilton

2 source records from 2 feeds.

MBR-005529Verified2 records

Golden record

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

First nameENR
Patricia
Middle nameENR
E
Last nameENR
Hamilton
Date of birthENR
1979-09-02
GenderENR
M
Member IDENR
UHC-61712-73
SSNENR
•••-••-5642
PhoneENR
2556081288
EmailCLM
patricia.hamilton@gmail.com
AddressENR
2061 Pine Dr
CityENR
Nashville
StateENR
TN
ZIPENR
37286
GroupENR
GRP-1511
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
CLM ×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

0.990.99CLMCLM-401118ENRENR-101452IDMBR-005529
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-401118CLM2026-01-18Patricia Hamiltonflagged1979-09-02UHC-61712-73—2061 Pine Dr, Nashville, TNRule0.99D1 member id + dob exact
ENR-101452ENR2026-06-22Patricia Hamiltonflagged1979-09-02UHC-61712-7325560812882061 Pine Dr, Nashville, TNRule0.99D1 member id + dob exact

Evidence

1 scored pair among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶CLM-401118CLMENR-101452ENR 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Patricia Hamilton: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000274, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically3bad94a6ab
    matching_agent, ENR-101452, identity id MBR-005529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401118
  • 2026-10-19 19:54:38Record linked automaticallyf6f0b723fe
    matching_agent, CLM-401118, identity id MBR-005529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101452
  • 2026-10-19 19:52:08Record linked automaticallyabd0894a93
    matching_agent, ENR-101452, identity id MBR-005529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401118
  • 2026-10-19 19:52:08Record linked automatically0384ebd1d8
    matching_agent, CLM-401118, identity id MBR-005529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101452
  • 2026-10-19 19:45:42Record linked automatically565d8274cc
    matching_agent, ENR-101452, identity id MBR-005529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401118
  • 2026-10-19 19:45:42Record linked automatically7e42943092
    matching_agent, CLM-401118, identity id MBR-005529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101452
  • 2026-10-19 19:32:31Record linked automatically26f18d6a84
    matching_agent, ENR-101452, identity id MBR-005529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401118
  • 2026-10-19 19:32:31Record linked automatically65a799a3c0
    matching_agent, CLM-401118, identity id MBR-005529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101452
  • 2026-10-19 19:31:28Record linked automaticallyccb41b9f69
    scoring_agent, CLM-401118, identity id MBR-026974, confidence 1, method probabilistic, matched record PRV-20327, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9591450cec
    matching_agent, ENR-101452, identity id MBR-004226, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101453

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0272982026-01-15Evergreen Medical Group
in network
99214, 36415$263.00$133.06ApprovedApproved