Identities/MBR-005790
Gold, golden identity

Julia Cook

3 source records from 1 feed.

MBR-005790Verified3 records

Golden record

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

First nameCLM
Julia
Middle name—
—
Last nameCLM
Cook
Date of birthCLM
1977-05-13
GenderCLM
M
Member IDCLM
UHC-57532-94
SSNCLM
•••-••-5904
Phone—
—
Email—
—
AddressCLM
9050 Highland Ave
CityCLM
Scottsdale
StateCLM
AZ
ZIPCLM
85217
GroupCLM
GRP-0589
PlanCLM
OPTIONS-PPO
Min confidence
0.97
Sources
CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.000.97CLMCLM-412005CLMCLM-412007CLMCLM-412006IDMBR-005790
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-412005CLM2026-01-19Julia Cookflagged1977-05-13——9050 Highland Ave, Scottsdale, AZScored1.00—
CLM-412007CLM2026-01-24Julia Cookflagged1977-05-13——9050 Highland Ave, Scottsdale, AZScored1.00—
CLM-412006CLM2026-05-29Julia Cookflagged1977-05-13UHC-57532-94——Rule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-412005CLM CLM-412007CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-412005CLM CLM-412006CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-412007CLMCLM-412006CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-412005 → UHC-57532-94 (Julia Cook)
    ACT-005609, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-412007 → UHC-57532-94 (Julia Cook)
    ACT-009385, Claims processor
  • Care coordination outreachProposed
    Julia Cook: 3 claims, no attributed provider
    ACT-018232, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically390691a9d6
    matching_agent, CLM-412006, identity id MBR-005790, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-412005
  • 2026-10-22 12:43:53Record linked automaticallydd71434be4
    scoring_agent, CLM-412007, identity id MBR-005790, confidence 1, method probabilistic, matched record CLM-412005, policy version 1
  • 2026-10-22 12:43:53Record linked automatically886b489886
    scoring_agent, CLM-412005, identity id MBR-005790, confidence 1, method probabilistic, matched record CLM-412007, policy version 1
  • 2026-10-19 19:54:38Record linked automatically2bddf9fb5c
    matching_agent, CLM-412006, identity id MBR-005790, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-412005
  • 2026-10-19 19:54:38Record linked automaticallya82a6a1fc1
    scoring_agent, CLM-412007, identity id MBR-005790, confidence 1, method probabilistic, matched record CLM-412005, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0ce92f5bdd
    scoring_agent, CLM-412005, identity id MBR-005790, confidence 1, method probabilistic, matched record CLM-412007, policy version 1
  • 2026-10-19 19:52:08Record linked automatically835aa3a42f
    matching_agent, CLM-412006, identity id MBR-005790, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-412005
  • 2026-10-19 19:52:08Record linked automatically7b2151bd3f
    scoring_agent, CLM-412007, identity id MBR-005790, confidence 1, method probabilistic, matched record CLM-412005, policy version 1
  • 2026-10-19 19:52:08Record linked automatically47f400967a
    scoring_agent, CLM-412005, identity id MBR-005790, confidence 1, method probabilistic, matched record CLM-412007, policy version 1
  • 2026-10-19 19:45:42Record linked automatically168632f8a4
    matching_agent, CLM-412006, identity id MBR-005790, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-412005
  • 2026-10-19 19:45:42Record linked automaticallycc36d3fc1e
    scoring_agent, CLM-412007, identity id MBR-005790, confidence 1, method probabilistic, matched record CLM-412005, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1989b9b57f
    scoring_agent, CLM-412005, identity id MBR-005790, confidence 1, method probabilistic, matched record CLM-412007, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyea66ef7a48
    matching_agent, CLM-412006, identity id MBR-005790, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-412005
  • 2026-10-19 19:32:31Record linked automaticallyd2f5116c54
    scoring_agent, CLM-412007, identity id MBR-005790, confidence 1, method probabilistic, matched record CLM-412005, policy version 1
  • 2026-10-19 19:32:31Record linked automatically938feeef19
    scoring_agent, CLM-412005, identity id MBR-005790, confidence 1, method probabilistic, matched record CLM-412007, policy version 1
  • 2026-10-19 19:31:28Record linked automatically1cb4faf06c
    matching_agent, CLM-412006, identity id MBR-016525, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-55328
  • 2026-10-19 19:31:28Record linked automaticallye81b702a1a
    matching_agent, CLM-412005, identity id MBR-016525, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-55328
  • 2026-10-19 19:31:28Record linked automatically3351e2d6a3
    matching_agent, CLM-412007, identity id MBR-009499, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115908

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0202762026-04-25Canyon Cardiovascular Associates
in network
93306$956.00$0.00ApprovedApproved
CLM-2026-0306912025-12-28Desert Medical Group
in network
93000$113.00$45.06ApprovedApproved
CLM-2026-0161582026-01-04Pinecrest Family Practice
in network
90471$32.00$0.00ApprovedApproved