Identities/MBR-005813

Gold, golden identity

Mary U Daniels

5 source records from 4 feeds.

MBR-005813Verified5 records

Golden record

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

First nameENR: Mary
Middle nameENR: U
Last nameENR: Daniels
Date of birthENR: 1969-09-15
GenderENR: F
Member IDENR: UHC-02753-64
SSNENR: •••-••-6388
PhoneENR: 3262426146
EmailCLM: mary.daniels@proton.me
AddressENR: 3406 Market St
CityENR: Denver
StateENR: CO
ZIPENR: 80259
GroupENR: GRP-2080
PlanENR: OPTIONS-PPO

Min confidence

1.00

Sources

ENR ×1CLM ×2PRV ×1TPA ×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
ENR-104132	ENR	2026-01-19	Mary Danielsflagged	1969-09-15	UHC-02753-64	3262426146	3406 Market St, Denver, CO	Scored	1.00	—
CLM-403191	CLM	2026-05-09	Mary Danielsflagged	1969-09-15	UHC-02753-64	3262426146	—	Scored	1.00	—
PRV-20903	PRV	2026-08-15	Mary Danielsflagged	1969-09-15	—	3262426146	3406 Market St, Denver, CO	Scored	1.00	—
TPA-51370	TPA	2026-09-24	Mary Danielsflagged	1969-09-15	—	3262426146	3406 Market St, Denver, CO	Scored	1.00	—
CLM-403192	CLM	2026-09-30	Mary Danielsflagged	1969-09-15	UHC-02753-64	—	3406 Market St, Denver, CO	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶PRV-20903PRVCLM-403192CLM1.00Scoredweighted 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-51370TPACLM-403192CLM1.00Scoredweighted 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-104132ENRPRV-20903PRV1.00Scoredweighted 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-403191CLMPRV-20903PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-403191CLMTPA-51370TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-20903PRVTPA-51370TPA1.00Scoredweighted 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

▶ENR-104132ENRCLM-403191CLM0.99RuleD1 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
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-104132ENRCLM-403192CLM0.99RuleD1 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-403191CLMCLM-403192CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-104132ENRTPA-51370TPA0.97RuleD2 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically667506cc3e
scoring_agent, CLM-403192, identity id MBR-005813, confidence 1, method probabilistic, matched record PRV-20903, policy version 1
2026-10-19 19:54:38Record linked automatically9191ecdc3e
scoring_agent, TPA-51370, identity id MBR-005813, confidence 1, method probabilistic, matched record CLM-403191, policy version 1
2026-10-19 19:54:38Record linked automatically45ac3a32e3
scoring_agent, PRV-20903, identity id MBR-005813, confidence 1, method probabilistic, matched record ENR-104132, policy version 1
2026-10-19 19:54:38Record linked automatically3a54ccc515
scoring_agent, CLM-403191, identity id MBR-005813, confidence 1, method probabilistic, matched record PRV-20903, policy version 1
2026-10-19 19:54:38Record linked automaticallyab5773b19f
scoring_agent, ENR-104132, identity id MBR-005813, confidence 1, method probabilistic, matched record PRV-20903, policy version 1
2026-10-19 19:52:08Record linked automatically365d5aa9f0
scoring_agent, CLM-403192, identity id MBR-005813, confidence 1, method probabilistic, matched record PRV-20903, policy version 1
2026-10-19 19:52:08Record linked automaticallyf431a67319
scoring_agent, TPA-51370, identity id MBR-005813, confidence 1, method probabilistic, matched record CLM-403191, policy version 1
2026-10-19 19:52:08Record linked automatically0c99f3c186
scoring_agent, PRV-20903, identity id MBR-005813, confidence 1, method probabilistic, matched record ENR-104132, policy version 1
2026-10-19 19:52:08Record linked automaticallyb76ccb3300
scoring_agent, CLM-403191, identity id MBR-005813, confidence 1, method probabilistic, matched record PRV-20903, policy version 1
2026-10-19 19:52:08Record linked automatically36012cbf3c
scoring_agent, ENR-104132, identity id MBR-005813, confidence 1, method probabilistic, matched record PRV-20903, policy version 1
2026-10-19 19:45:42Record linked automatically9640f991d4
scoring_agent, CLM-403192, identity id MBR-005813, confidence 1, method probabilistic, matched record PRV-20903, policy version 1
2026-10-19 19:45:42Record linked automatically657f808de2
scoring_agent, TPA-51370, identity id MBR-005813, confidence 1, method probabilistic, matched record CLM-403191, policy version 1
2026-10-19 19:45:42Record linked automatically77cbe84be9
scoring_agent, PRV-20903, identity id MBR-005813, confidence 1, method probabilistic, matched record ENR-104132, policy version 1
2026-10-19 19:45:42Record linked automatically6edd491367
scoring_agent, CLM-403191, identity id MBR-005813, confidence 1, method probabilistic, matched record PRV-20903, policy version 1
2026-10-19 19:45:42Record linked automaticallyd8ba4e72c4
scoring_agent, ENR-104132, identity id MBR-005813, confidence 1, method probabilistic, matched record PRV-20903, policy version 1
2026-10-19 19:32:31Record linked automaticallya6079c8100
scoring_agent, CLM-403192, identity id MBR-005813, confidence 1, method probabilistic, matched record PRV-20903, policy version 1
2026-10-19 19:32:31Record linked automatically4f06f88e51
scoring_agent, TPA-51370, identity id MBR-005813, confidence 1, method probabilistic, matched record CLM-403191, policy version 1
2026-10-19 19:32:31Record linked automatically677ffd21a0
scoring_agent, PRV-20903, identity id MBR-005813, confidence 1, method probabilistic, matched record ENR-104132, policy version 1
2026-10-19 19:32:31Record linked automaticallyf870fe313b
scoring_agent, CLM-403191, identity id MBR-005813, confidence 1, method probabilistic, matched record PRV-20903, policy version 1
2026-10-19 19:32:31Record linked automaticallyb45807c0ce
scoring_agent, ENR-104132, identity id MBR-005813, confidence 1, method probabilistic, matched record PRV-20903, policy version 1
2026-10-19 19:31:28Record linked automaticallyfca68c3b2f
matching_agent, TPA-51370, identity id MBR-039061, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103918
2026-10-19 19:31:28Record linked automaticallyb9aef60784
matching_agent, PRV-20903, identity id MBR-017886, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51353
2026-10-19 19:31:28Record linked automaticallyb053e7c77d
matching_agent, CLM-403192, identity id MBR-017145, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104185
2026-10-19 19:31:28Record linked automaticallye18743bfe0
scoring_agent, CLM-403191, identity id MBR-017145, confidence 1, method probabilistic, matched record CLM-403190, policy version 1
2026-10-19 19:31:28Record linked automatically1db4c38a5d
matching_agent, ENR-104132, identity id MBR-015460, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104131

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-2026-026726	2026-08-28	Northgate Bone and Joint Center out of network	29881	$7,693.00	—	Denied	Denied
CLM-2026-010058	2026-05-02	Mesa Dermatology Clinic in network	99213	$190.00	$42.80	Approved	Approved