Identities/MBR-005539

Gold, golden identity

Camila L James

6 source records from 3 feeds.

MBR-005539Verified6 records

Golden record

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

First nameCLM: Camila
Middle nameENR: L
Last nameENR: James
Date of birthENR: 1990-08-22
GenderENR: M
Member IDCLM: UHC-60493-89
SSNENR: •••-••-7328
PhoneENR: 9126168583
EmailENR: camila.james@gmail.com
AddressENR: 5779 Lincoln Way
CityENR: Charlotte
StateENR: NC
ZIPENR: 28261
GroupENR: GRP-8433
PlanENR: NAVIGATE-HMO

Min confidence

0.99

Sources

CLM ×3TPA ×2ENR ×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-401718	CLM	2026-01-18	Camila Jamesflagged	1990-08-22	UHC-60493-89	—	5779 Lincoln Way, Charlotte, NC	Scored	1.00	—
CLM-401717	CLM	2026-04-10	Camila Jamesflagged	1990-08-22	—	—	—	Scored	0.99	—
TPA-50755	TPA	2026-06-30	Camila Jamesflagged	1990-08-22	—	9126168583	5779 Lincoln Way, Charlotte, NC	Scored	1.00	—
TPA-50754	TPA	2026-06-30	Camila Jamesflagged	1990-08-22	—	9126168583	5779 Lincoln Way, Charlotte, NC	Scored	1.00	—
ENR-102249	ENR	2026-09-28	Camilla Jamesflagged	1990-08-22	—	9126168583	5779 Lincoln Way, Charlotte, NC	Scored	1.00	—
CLM-401719	CLM	2026-10-08	Camila Jamesflagged	1990-08-22	—	9126168583	5779 Lincoln Way, Charlotte, NC	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-401718 CLMCLM-401719CLM1.00Scoredweighted 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-50755TPACLM-401719CLM1.00Scoredweighted 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-50754TPACLM-401719CLM1.00Scoredweighted 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-401718 CLMTPA-50754TPA1.00Scoredweighted 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-50755TPATPA-50754TPA1.00Scoredweighted 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-401718 CLMTPA-50755TPA1.00Scoredweighted 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

▶ENR-102249 ENRCLM-401719CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-401718 CLMENR-102249 ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-50755TPAENR-102249 ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-50754TPAENR-102249 ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-401717CLMENR-102249 ENR0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Email	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-401718 CLMCLM-401717CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-401717CLMCLM-401719CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-401717CLMTPA-50754TPA0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-401717CLMTPA-50755TPA0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-401719 → UHC-60493-89 (Camila James)
ACT-001462, Claims processor
Orphan claim re-pointedExecuted
CLM-401717 → UHC-60493-89 (Camila James)
ACT-009919, Claims processor
Care coordination outreachProposed
Camila James: 3 claims, no attributed provider
ACT-018212, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallye9ef970854
scoring_agent, CLM-401719, identity id MBR-005539, confidence 1, method probabilistic, matched record CLM-401718, policy version 1
2026-10-19 19:54:38Record linked automatically8377b6f0be
scoring_agent, ENR-102249, identity id MBR-005539, confidence 1.00, method probabilistic, matched record CLM-401718, policy version 1
2026-10-19 19:54:38Record linked automatically84c69c90b7
scoring_agent, TPA-50754, identity id MBR-005539, confidence 1, method probabilistic, matched record CLM-401718, policy version 1
2026-10-19 19:54:38Record linked automatically5b6432cfda
scoring_agent, TPA-50755, identity id MBR-005539, confidence 1, method probabilistic, matched record CLM-401718, policy version 1
2026-10-19 19:54:38Record linked automaticallya7a1d0a781
scoring_agent, CLM-401717, identity id MBR-005539, confidence 0.99, method probabilistic, matched record ENR-102249, policy version 1
2026-10-19 19:54:38Record linked automaticallyfa738b0aa7
scoring_agent, CLM-401718, identity id MBR-005539, confidence 1, method probabilistic, matched record TPA-50755, policy version 1
2026-10-19 19:52:08Record linked automatically12da71bf20
scoring_agent, CLM-401719, identity id MBR-005539, confidence 1, method probabilistic, matched record CLM-401718, policy version 1
2026-10-19 19:52:08Record linked automatically62e7afe2d3
scoring_agent, ENR-102249, identity id MBR-005539, confidence 1.00, method probabilistic, matched record CLM-401718, policy version 1
2026-10-19 19:52:08Record linked automatically40b94daff7
scoring_agent, TPA-50754, identity id MBR-005539, confidence 1, method probabilistic, matched record CLM-401718, policy version 1
2026-10-19 19:52:08Record linked automaticallyc6f6c9d1a7
scoring_agent, TPA-50755, identity id MBR-005539, confidence 1, method probabilistic, matched record CLM-401718, policy version 1
2026-10-19 19:52:08Record linked automatically6a6cd0bfaa
scoring_agent, CLM-401717, identity id MBR-005539, confidence 0.99, method probabilistic, matched record ENR-102249, policy version 1
2026-10-19 19:52:08Record linked automatically00671ea4a9
scoring_agent, CLM-401718, identity id MBR-005539, confidence 1, method probabilistic, matched record TPA-50755, policy version 1
2026-10-19 19:45:42Record linked automaticallyef5c9ab350
scoring_agent, CLM-401719, identity id MBR-005539, confidence 1, method probabilistic, matched record CLM-401718, policy version 1
2026-10-19 19:45:42Record linked automatically30978d2d5e
scoring_agent, ENR-102249, identity id MBR-005539, confidence 1.00, method probabilistic, matched record CLM-401718, policy version 1
2026-10-19 19:45:42Record linked automaticallye7eb5dffc2
scoring_agent, TPA-50754, identity id MBR-005539, confidence 1, method probabilistic, matched record CLM-401718, policy version 1
2026-10-19 19:45:42Record linked automatically1654233abb
scoring_agent, TPA-50755, identity id MBR-005539, confidence 1, method probabilistic, matched record CLM-401718, policy version 1
2026-10-19 19:45:42Record linked automaticallyed54b3012f
scoring_agent, CLM-401717, identity id MBR-005539, confidence 0.99, method probabilistic, matched record ENR-102249, policy version 1
2026-10-19 19:45:42Record linked automaticallyfa9666dae3
scoring_agent, CLM-401718, identity id MBR-005539, confidence 1, method probabilistic, matched record TPA-50755, policy version 1
2026-10-19 19:32:31Record linked automaticallydc80178a76
scoring_agent, CLM-401719, identity id MBR-005539, confidence 1, method probabilistic, matched record CLM-401718, policy version 1
2026-10-19 19:32:31Record linked automatically31a413529f
scoring_agent, ENR-102249, identity id MBR-005539, confidence 1.00, method probabilistic, matched record CLM-401718, policy version 1
2026-10-19 19:32:31Record linked automatically4ad256c160
scoring_agent, TPA-50754, identity id MBR-005539, confidence 1, method probabilistic, matched record CLM-401718, policy version 1
2026-10-19 19:32:31Record linked automaticallye5813dbc2a
scoring_agent, TPA-50755, identity id MBR-005539, confidence 1, method probabilistic, matched record CLM-401718, policy version 1
2026-10-19 19:32:31Record linked automaticallyf2f099c11d
scoring_agent, CLM-401717, identity id MBR-005539, confidence 0.99, method probabilistic, matched record ENR-102249, policy version 1
2026-10-19 19:32:31Record linked automatically5fe782f78e
scoring_agent, CLM-401718, identity id MBR-005539, confidence 1, method probabilistic, matched record TPA-50755, policy version 1
2026-10-19 19:31:28Record linked automaticallyc0549e13ac
matching_agent, TPA-50754, identity id MBR-032321, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-102220
2026-10-19 19:31:28Record linked automatically6b848ceb5f
scoring_agent, CLM-401719, identity id MBR-030887, confidence 1, method probabilistic, matched record TPA-50768, policy version 1
2026-10-19 19:31:28Record linked automaticallyebac12e782
matching_agent, CLM-401717, identity id MBR-030268, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102246
2026-10-19 19:31:28Record linked automaticallyf64158d272
scoring_agent, CLM-401718, identity id MBR-022402, confidence 1, method probabilistic, matched record PRV-20529, policy version 1
2026-10-19 19:31:28Record linked automaticallyf8cafcbd38
scoring_agent, TPA-50755, identity id MBR-012884, confidence 1, method probabilistic, matched record CLM-401702, policy version 1
2026-10-19 19:31:28Record linked automaticallyb5a9592882
scoring_agent, ENR-102249, identity id MBR-004563, confidence 0.99, method probabilistic, matched record TPA-50765, policy version 1

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-2026-000581	2026-09-29	Unity Medical Group in network	99232	$208.00	$0.00	Approved	Approved
CLM-2026-032697	2026-03-05	Pinecrest Internal Medicine Associates in network	99232	$194.00	$0.00	Approved	Approved
CLM-2026-021324	2025-12-20	Harbor Medical Group out of network	99232	$163.00	—	Denied	Denied