Identities/MBR-005872
Gold, golden identity

Jacqueline James

3 source records from 3 feeds.

MBR-005872Verified3 records

Golden record

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

First nameENR
Jacqueline
Middle name—
—
Last nameCLM
James
Date of birthENR
1991-03-25
GenderCLM
F
Member IDENR
UHC-45653-48
SSNENR
•••-••-5352
PhoneCLM
6219511568
EmailTPA
jacqueline.james@outlook.com
AddressENR
4971 Desert Sky Blvd
CityENR
Plano
StateENR
TX
ZIPENR
75087
GroupENR
GRP-5203
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
TPA ×1CLM ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.99TPATPA-57606CLMCLM-417219ENRENR-122689IDMBR-005872
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
TPA-57606TPA2026-01-19Jacqueline Jamesflagged1991-03-25——4971 Desert Sky Blvd, Plano, TXScored0.99—
CLM-417219CLM2026-10-06Jacqueline Jamesflagged1991-03-25UHC-45653-486219511568—Rule0.99D1 member id + dob exact
ENR-122689ENR2026-10-07Jacqueline Jamseflagged1991-03-25UHC-45653-48—4971 Desert Sky Blvd, Plano, TXScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-57606 TPAENR-122689ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-417219CLMENR-122689ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-57606 TPACLM-417219CLM0.83Scoredweighted 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

  • Eligibility conflict resolvedProposed
    Jacqueline James: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000285, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically32d0bb2571
    scoring_agent, ENR-122689, identity id MBR-005872, confidence 0.99, method probabilistic, matched record TPA-57606, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya71ba11f6f
    matching_agent, CLM-417219, identity id MBR-005872, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122689
  • 2026-10-19 19:54:38Record linked automaticallycd0a2532ab
    scoring_agent, TPA-57606, identity id MBR-005872, confidence 0.99, method probabilistic, matched record ENR-122689, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallycbf550eb66
    scoring_agent, ENR-122689, identity id MBR-005872, confidence 0.99, method probabilistic, matched record TPA-57606, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyc81d2355fb
    matching_agent, CLM-417219, identity id MBR-005872, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122689
  • 2026-10-19 19:52:08Record linked automatically60152b5c0c
    scoring_agent, TPA-57606, identity id MBR-005872, confidence 0.99, method probabilistic, matched record ENR-122689, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4a89fa9edf
    scoring_agent, ENR-122689, identity id MBR-005872, confidence 0.99, method probabilistic, matched record TPA-57606, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya6612644d5
    matching_agent, CLM-417219, identity id MBR-005872, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122689
  • 2026-10-19 19:45:42Record linked automatically85a477f050
    scoring_agent, TPA-57606, identity id MBR-005872, confidence 0.99, method probabilistic, matched record ENR-122689, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyee9c9adc10
    scoring_agent, ENR-122689, identity id MBR-005872, confidence 0.99, method probabilistic, matched record TPA-57606, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf14ceabcd4
    matching_agent, CLM-417219, identity id MBR-005872, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122689
  • 2026-10-19 19:32:31Record linked automaticallyaf7415c0fb
    scoring_agent, TPA-57606, identity id MBR-005872, confidence 0.99, method probabilistic, matched record ENR-122689, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallybf1908d3c0
    scoring_agent, TPA-57606, identity id MBR-032141, confidence 1, method probabilistic, matched record ENR-122784, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6b7a0be89e
    scoring_agent, CLM-417219, identity id MBR-004737, confidence 1, method probabilistic, matched record TPA-57525, policy version 1
  • 2026-10-19 19:31:28Record linked automatically305ee41e4f
    matching_agent, ENR-122689, identity id MBR-001739, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-25074

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0012882026-09-12Northgate Primary Care Associates
out of network
99214, 36415$316.00$102.20ApprovedApproved