Identities/MBR-005627

Gold, golden identity

Mary Y Powell

5 source records from 2 feeds.

MBR-005627Verified5 records

Golden record

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

First nameCLM: Mary
Middle nameCLM: Y
Last nameCLM: Powell
Date of birthCLM: 2007-09-09
GenderCLM: M
Member IDCLM: UHC-10162-80
SSNCLM: •••-••-8784
PhoneCLM: 3326072968
EmailTPA: mary.powell@hotmail.com
AddressCLM: 2667 Indian School Rd
CityCLM: Atlanta
StateCLM: GA
ZIPCLM: 30336
GroupCLM: GRP-4338
PlanCLM: NAVIGATE-HMO

Min confidence

0.96

Sources

CLM ×3TPA ×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
CLM-413011	CLM	2026-01-18	Mary Powellflagged	2007-09-09	UHC-10162-80	3326072968	2667 Indian School Rd, Atlanta, GA	Scored	1.00	—
TPA-55722	TPA	2026-03-13	Mary Powellflagged	2007-09-09	—	—	2667 Indian School Rd, Atlanta, GA	Scored	1.00	—
TPA-55723	TPA	2026-03-13	Mary Powellflagged	2007-09-09	—	—	2667 Indian School Rd, Atlanta, GA	Scored	1.00	—
CLM-413010	CLM	2026-04-29	Mary Powellflagged	—	UHC-10162-80	3326072968	2667 Indian School Rd Apt 37, Atlanta, GA	Rule	0.96	D3 member id + name
CLM-413012	CLM	2026-08-01	Mary Powellflagged	2007-09-09	UHC-10162-80	—	2667 Indian School Rd, 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-55722 TPACLM-413012CLM1.00Scoredweighted 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-55723 TPACLM-413012CLM1.00Scoredweighted 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

▶CLM-413011CLM TPA-55722 TPA1.00Scoredweighted 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

▶CLM-413011CLM TPA-55723 TPA1.00Scoredweighted 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-55722 TPATPA-55723 TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-413011CLM CLM-413012CLM0.99RuleD1 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-413011CLM CLM-413010CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-413010CLMCLM-413012CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-55722 TPACLM-413010CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

▶TPA-55723 TPACLM-413010CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Care coordination outreachProposed
Mary Powell: 3 claims, no attributed provider
ACT-018219, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically3c6727b992
scoring_agent, CLM-413012, identity id MBR-005627, confidence 1, method probabilistic, matched record TPA-55722, policy version 1
2026-10-19 19:54:38Record linked automatically18331ff08a
matching_agent, CLM-413010, identity id MBR-005627, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-413011
2026-10-19 19:54:38Record linked automaticallyf2a3337d0a
scoring_agent, TPA-55723, identity id MBR-005627, confidence 1, method probabilistic, matched record CLM-413011, policy version 1
2026-10-19 19:54:38Record linked automatically05063467ce
scoring_agent, TPA-55722, identity id MBR-005627, confidence 1, method probabilistic, matched record CLM-413011, policy version 1
2026-10-19 19:54:38Record linked automatically42277d43d6
scoring_agent, CLM-413011, identity id MBR-005627, confidence 1, method probabilistic, matched record TPA-55722, policy version 1
2026-10-19 19:52:08Record linked automatically8054b53223
scoring_agent, CLM-413012, identity id MBR-005627, confidence 1, method probabilistic, matched record TPA-55722, policy version 1
2026-10-19 19:52:08Record linked automatically463808653d
matching_agent, CLM-413010, identity id MBR-005627, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-413011
2026-10-19 19:52:08Record linked automatically35ae23b24d
scoring_agent, TPA-55723, identity id MBR-005627, confidence 1, method probabilistic, matched record CLM-413011, policy version 1
2026-10-19 19:52:08Record linked automaticallyeef05e3cf5
scoring_agent, TPA-55722, identity id MBR-005627, confidence 1, method probabilistic, matched record CLM-413011, policy version 1
2026-10-19 19:52:08Record linked automatically03b5597574
scoring_agent, CLM-413011, identity id MBR-005627, confidence 1, method probabilistic, matched record TPA-55722, policy version 1
2026-10-19 19:45:42Record linked automatically447a2b2fde
scoring_agent, CLM-413012, identity id MBR-005627, confidence 1, method probabilistic, matched record TPA-55722, policy version 1
2026-10-19 19:45:42Record linked automatically98ba7436a6
matching_agent, CLM-413010, identity id MBR-005627, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-413011
2026-10-19 19:45:42Record linked automatically471f88d35d
scoring_agent, TPA-55723, identity id MBR-005627, confidence 1, method probabilistic, matched record CLM-413011, policy version 1
2026-10-19 19:45:42Record linked automatically69c5b4df93
scoring_agent, TPA-55722, identity id MBR-005627, confidence 1, method probabilistic, matched record CLM-413011, policy version 1
2026-10-19 19:45:42Record linked automatically06016680d1
scoring_agent, CLM-413011, identity id MBR-005627, confidence 1, method probabilistic, matched record TPA-55722, policy version 1
2026-10-19 19:32:31Record linked automaticallyfb34a457c0
scoring_agent, CLM-413012, identity id MBR-005627, confidence 1, method probabilistic, matched record TPA-55722, policy version 1
2026-10-19 19:32:31Record linked automatically2d1dde7b2f
matching_agent, CLM-413010, identity id MBR-005627, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-413011
2026-10-19 19:32:31Record linked automatically0306d8d2c6
scoring_agent, TPA-55723, identity id MBR-005627, confidence 1, method probabilistic, matched record CLM-413011, policy version 1
2026-10-19 19:32:31Record linked automaticallyba54c825cb
scoring_agent, TPA-55722, identity id MBR-005627, confidence 1, method probabilistic, matched record CLM-413011, policy version 1
2026-10-19 19:32:31Record linked automaticallye8c6bdc7cc
scoring_agent, CLM-413011, identity id MBR-005627, confidence 1, method probabilistic, matched record TPA-55722, policy version 1
2026-10-19 19:31:28Record linked automatically7c8460f544
matching_agent, CLM-413011, identity id MBR-024798, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117189
2026-10-19 19:31:28Record linked automaticallyfc66f3b079
scoring_agent, CLM-413012, identity id MBR-022767, confidence 1, method probabilistic, matched record TPA-55700, policy version 1
2026-10-19 19:31:28Record linked automatically8bf7cb3e4f
scoring_agent, TPA-55723, identity id MBR-014970, confidence 1, method probabilistic, matched record CLM-413057, policy version 1
2026-10-19 19:31:28Record linked automatically8fe7c1fe03
matching_agent, CLM-413010, identity id MBR-004462, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117188

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-2026-009045	2026-07-10	Sunrise Cardiovascular Associates out of network	93224	$269.00	—	Denied	Denied
CLM-2026-010478	2026-03-28	Meadow Clinical Laboratories in network	83036	$62.00	$0.00	Approved	Approved
CLM-2026-028861	2025-12-29	Northgate Internal Medicine Associates in network	99214	$235.00	—	Needs review	Needs review