Identities/MBR-005656

Gold, golden identity

Mary Mason

6 source records from 2 feeds.

MBR-005656Verified6 records

Golden record

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

First nameCLM: Mary
Middle name—: —
Last nameCLM: Mason
Date of birthCLM: 1942-05-25
GenderCLM: M
Member IDCLM: UHC-32557-02
SSNCLM: •••-••-2805
PhoneCLM: 4494413410
Email—: —
AddressCLM: 3145 Main St
CityCLM: Fresno
StateCLM: CA
ZIPCLM: 93784
GroupCLM: GRP-1608
PlanCLM: CHOICE-PLUS-PPO

Min confidence

0.99

Sources

CLM ×5TPA ×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-432199	CLM	2026-01-19	Mary Masonflagged	1942-05-25	UHC-32557-02	—	3145 Main St, Fresno, CA	Scored	1.00	—
CLM-432200	CLM	2026-01-19	Mary Masonflagged	1942-05-25	UHC-32557-02	—	3145 Main St, Fresno, CA	Scored	1.00	—
CLM-432197	CLM	2026-01-24	Mary Masoonflagged	1942-05-25	UHC-32557-02	4494413410	3145 Main St, Fresno, CA	Rule	0.99	D1 member id + dob exact
CLM-432198	CLM	2026-03-19	Mary Masonflagged	1942-05-25	UHC-32557-02	4494413410	3145 Main St, Fresno, CA	Scored	1.00	—
CLM-432201	CLM	2026-04-15	Mary Masonflagged	1942-05-25	UHC-32557-02	—	3145 Main St, Fresno, CA	Rule	0.99	D1 member id + dob exact
TPA-64214	TPA	2026-06-08	Mary Masonflagged	1942-05-25	—	—	3145 Main St, Fresno, CA	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-432199CLMTPA-64214TPA1.00Scoredweighted 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-432200CLMTPA-64214TPA1.00Scoredweighted 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-432198CLMTPA-64214TPA1.00Scoredweighted 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-432199CLMCLM-432197CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-432200CLMCLM-432197CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-432199CLMCLM-432198CLM0.99RuleD1 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-432200CLMCLM-432198CLM0.99RuleD1 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-432197CLMCLM-432198CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	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

▶CLM-432199CLMCLM-432200CLM0.99RuleD1 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-432199CLMCLM-432201CLM0.99RuleD1 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-432200CLMCLM-432201CLM0.99RuleD1 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-432197CLMCLM-432201CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-432198CLMCLM-432201CLM0.99RuleD1 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-432201CLMTPA-64214TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-432197CLMTPA-64214TPA0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Care coordination outreachProposed
Mary Mason: 5 claims, no attributed provider
ACT-018220, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically04dc2351ec
scoring_agent, TPA-64214, identity id MBR-005656, confidence 1, method probabilistic, matched record CLM-432199, policy version 1
2026-10-19 19:54:38Record linked automaticallybbf5c6d193
matching_agent, CLM-432201, identity id MBR-005656, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432199
2026-10-19 19:54:38Record linked automatically348eb5a014
scoring_agent, CLM-432198, identity id MBR-005656, confidence 1, method probabilistic, matched record TPA-64214, policy version 1
2026-10-19 19:54:38Record linked automatically962a7b2176
matching_agent, CLM-432197, identity id MBR-005656, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432199
2026-10-19 19:54:38Record linked automatically2bb86e1ad6
scoring_agent, CLM-432200, identity id MBR-005656, confidence 1, method probabilistic, matched record TPA-64214, policy version 1
2026-10-19 19:54:38Record linked automatically5bf178a6fd
scoring_agent, CLM-432199, identity id MBR-005656, confidence 1, method probabilistic, matched record TPA-64214, policy version 1
2026-10-19 19:52:08Record linked automaticallyecb9da60a4
scoring_agent, TPA-64214, identity id MBR-005656, confidence 1, method probabilistic, matched record CLM-432199, policy version 1
2026-10-19 19:52:08Record linked automaticallyd1feb139f8
matching_agent, CLM-432201, identity id MBR-005656, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432199
2026-10-19 19:52:08Record linked automatically133e1fd9fd
scoring_agent, CLM-432198, identity id MBR-005656, confidence 1, method probabilistic, matched record TPA-64214, policy version 1
2026-10-19 19:52:08Record linked automatically54fb742562
matching_agent, CLM-432197, identity id MBR-005656, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432199
2026-10-19 19:52:08Record linked automatically622a964f3a
scoring_agent, CLM-432200, identity id MBR-005656, confidence 1, method probabilistic, matched record TPA-64214, policy version 1
2026-10-19 19:52:08Record linked automatically40f2670b7c
scoring_agent, CLM-432199, identity id MBR-005656, confidence 1, method probabilistic, matched record TPA-64214, policy version 1
2026-10-19 19:45:42Record linked automaticallye4e0aff220
scoring_agent, TPA-64214, identity id MBR-005656, confidence 1, method probabilistic, matched record CLM-432199, policy version 1
2026-10-19 19:45:42Record linked automatically21c07aea95
matching_agent, CLM-432201, identity id MBR-005656, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432199
2026-10-19 19:45:42Record linked automaticallya17634f96f
scoring_agent, CLM-432198, identity id MBR-005656, confidence 1, method probabilistic, matched record TPA-64214, policy version 1
2026-10-19 19:45:42Record linked automaticallyff6a075f27
matching_agent, CLM-432197, identity id MBR-005656, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432199
2026-10-19 19:45:42Record linked automaticallya73c2fb853
scoring_agent, CLM-432200, identity id MBR-005656, confidence 1, method probabilistic, matched record TPA-64214, policy version 1
2026-10-19 19:45:42Record linked automatically838ea1c149
scoring_agent, CLM-432199, identity id MBR-005656, confidence 1, method probabilistic, matched record TPA-64214, policy version 1
2026-10-19 19:32:31Record linked automatically3333e0e61a
scoring_agent, TPA-64214, identity id MBR-005656, confidence 1, method probabilistic, matched record CLM-432199, policy version 1
2026-10-19 19:32:31Record linked automaticallye4007ef2c8
matching_agent, CLM-432201, identity id MBR-005656, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432199
2026-10-19 19:32:31Record linked automaticallycea6feefd1
scoring_agent, CLM-432198, identity id MBR-005656, confidence 1, method probabilistic, matched record TPA-64214, policy version 1
2026-10-19 19:32:31Record linked automaticallyf02bd5639c
matching_agent, CLM-432197, identity id MBR-005656, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432199
2026-10-19 19:32:31Record linked automatically4299e3fa2f
scoring_agent, CLM-432200, identity id MBR-005656, confidence 1, method probabilistic, matched record TPA-64214, policy version 1
2026-10-19 19:32:31Record linked automatically04c5ed3857
scoring_agent, CLM-432199, identity id MBR-005656, confidence 1, method probabilistic, matched record TPA-64214, policy version 1
2026-10-19 19:31:28Record linked automaticallyeb3b763dd9
scoring_agent, CLM-432200, identity id MBR-024403, confidence 1, method probabilistic, matched record ENR-142448, policy version 1
2026-10-19 19:31:28Record linked automatically6dc91da58a
scoring_agent, CLM-432199, identity id MBR-017900, confidence 1, method probabilistic, matched record CLM-432198, policy version 1
2026-10-19 19:31:28Record linked automatically4b53c4f30b
scoring_agent, CLM-432197, identity id MBR-017900, confidence 1, method probabilistic, matched record CLM-432198, policy version 1
2026-10-19 19:31:28Record linked automatically2a3d6951f7
scoring_agent, CLM-432198, identity id MBR-017900, confidence 1, method probabilistic, matched record CLM-432197, policy version 1
2026-10-19 19:31:28Record linked automatically4b1a39e871
matching_agent, TPA-64214, identity id MBR-016781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432491

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-2026-006883	2026-03-25	Meadow Primary Care Associates in network	99214, 36415	$310.00	—	Needs review	Needs review
CLM-2026-006882	2026-03-25	Meadow Primary Care Associates in network	99214, 36415	$310.00	$162.20	Approved	Approved
CLM-2026-018412	2026-02-25	Pinecrest Physical Therapy in network	97110	$124.00	$46.88	Approved	Approved
CLM-2026-018631	2025-12-16	Harbor Diagnostic Imaging in network	70553	$2,495.00	$646.80	Approved	Approved
CLM-2026-017217	2026-01-09	Riverside Medical Group in network	90471, 36415, 99395	$369.00	$209.56	Approved	Approved
CLM-2026-010899	2025-12-18	Riverside Regional Medical Center out of network	71046	$209.00	$0.00	Approved	Approved