Identities/MBR-006165

Gold, golden identity

Doris L Robertson

5 source records from 3 feeds.

MBR-006165Verified5 records

Golden record

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

First nameENR: Doris
Middle nameENR: L
Last nameENR: Robertson
Date of birthENR: 1951-03-03
GenderENR: F
Member IDENR: UHC-59682-46
SSNENR: •••-••-4230
PhoneENR: 6268173802
EmailENR: doris.robertson@gmail.com
AddressENR: 1581 Canyon Rd
CityENR: Houston
StateENR: TX
ZIPENR: 77097
GroupENR: GRP-9192
PlanENR: OPTIONS-PPO

Min confidence

1.00

Sources

TPA ×2CLM ×2ENR ×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
TPA-52561	TPA	2026-01-20	Doris Robertsonflagged	1951-03-03	—	—	1581 Canyon Rd, Houston, TX	Scored	1.00	—
CLM-405783	CLM	2026-01-26	Doris Robertsonflagged	1951-03-03	—	6268173802	1581 Canyon Rd # 667, Houston, TX	Scored	1.00	—
CLM-405784	CLM	2026-02-17	Doris Robertsonflagged	1951-03-03	UHC-59682-46	—	1581 Canyon Rd, Houston, TX	Scored	1.00	—
TPA-52562	TPA	2026-07-29	Doris Robertsonflagged	1951-03-03	—	6268173802	1581 Canyon Rd, Houston, TX	Scored	1.00	—
ENR-107606	ENR	2026-09-03	Doris Robertsonflagged	1951-03-03	UHC-59682-46	6268173802	1581 Canyon Rd, Houston, TX	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-52561TPACLM-405783 CLM1.00Scoredweighted 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-52561TPACLM-405784CLM1.00Scoredweighted 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-405783 CLMCLM-405784CLM1.00Scoredweighted 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-52561TPAENR-107606ENR1.00Scoredweighted 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-52562TPAENR-107606ENR1.00Scoredweighted 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

▶TPA-52561TPATPA-52562TPA1.00Scoredweighted 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-405783 CLMTPA-52562TPA1.00Scoredweighted 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-405784CLMTPA-52562TPA1.00Scoredweighted 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-405784CLMENR-107606ENR0.99RuleD1 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-405783 CLMENR-107606ENR0.97RuleD2 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

Eligibility conflict resolvedProposed
Doris Robertson: 2 plan codes across sources → canonical OPTIONS-PPO
ACT-000296, Eligibility engine
Orphan claim re-pointedExecuted
CLM-405783 → UHC-59682-46 (Doris Robertson)
ACT-009658, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallycb292a936a
scoring_agent, ENR-107606, identity id MBR-006165, confidence 1, method probabilistic, matched record TPA-52561, policy version 1
2026-10-19 19:54:38Record linked automatically9006dae0ae
scoring_agent, TPA-52562, identity id MBR-006165, confidence 1, method probabilistic, matched record TPA-52561, policy version 1
2026-10-19 19:54:38Record linked automatically06cfe0fd9a
scoring_agent, CLM-405784, identity id MBR-006165, confidence 1, method probabilistic, matched record TPA-52561, policy version 1
2026-10-19 19:54:38Record linked automaticallya14f64d00e
scoring_agent, CLM-405783, identity id MBR-006165, confidence 1, method probabilistic, matched record TPA-52561, policy version 1
2026-10-19 19:54:38Record linked automatically5c2984c9bc
scoring_agent, TPA-52561, identity id MBR-006165, confidence 1, method probabilistic, matched record CLM-405783, policy version 1
2026-10-19 19:52:09Record linked automatically32e5e8e2b6
scoring_agent, ENR-107606, identity id MBR-006165, confidence 1, method probabilistic, matched record TPA-52561, policy version 1
2026-10-19 19:52:09Record linked automatically5cf766b549
scoring_agent, TPA-52562, identity id MBR-006165, confidence 1, method probabilistic, matched record TPA-52561, policy version 1
2026-10-19 19:52:09Record linked automatically52226cd8dc
scoring_agent, CLM-405784, identity id MBR-006165, confidence 1, method probabilistic, matched record TPA-52561, policy version 1
2026-10-19 19:52:09Record linked automaticallye72e1d6bab
scoring_agent, CLM-405783, identity id MBR-006165, confidence 1, method probabilistic, matched record TPA-52561, policy version 1
2026-10-19 19:52:09Record linked automaticallyd4b9993d9d
scoring_agent, TPA-52561, identity id MBR-006165, confidence 1, method probabilistic, matched record CLM-405783, policy version 1
2026-10-19 19:45:42Record linked automaticallyc14191ae5c
scoring_agent, ENR-107606, identity id MBR-006165, confidence 1, method probabilistic, matched record TPA-52561, policy version 1
2026-10-19 19:45:42Record linked automaticallyd8f575a151
scoring_agent, TPA-52562, identity id MBR-006165, confidence 1, method probabilistic, matched record TPA-52561, policy version 1
2026-10-19 19:45:42Record linked automaticallyf85a2131ac
scoring_agent, CLM-405784, identity id MBR-006165, confidence 1, method probabilistic, matched record TPA-52561, policy version 1
2026-10-19 19:45:42Record linked automaticallyf9e2e724ea
scoring_agent, CLM-405783, identity id MBR-006165, confidence 1, method probabilistic, matched record TPA-52561, policy version 1
2026-10-19 19:45:42Record linked automatically63ba7fa1fe
scoring_agent, TPA-52561, identity id MBR-006165, confidence 1, method probabilistic, matched record CLM-405783, policy version 1
2026-10-19 19:32:31Record linked automaticallye9cbc9a294
scoring_agent, ENR-107606, identity id MBR-006165, confidence 1, method probabilistic, matched record TPA-52561, policy version 1
2026-10-19 19:32:31Record linked automatically75779d7eef
scoring_agent, TPA-52562, identity id MBR-006165, confidence 1, method probabilistic, matched record TPA-52561, policy version 1
2026-10-19 19:32:31Record linked automaticallyd03dddf4d2
scoring_agent, CLM-405784, identity id MBR-006165, confidence 1, method probabilistic, matched record TPA-52561, policy version 1
2026-10-19 19:32:31Record linked automaticallyc6fea620c2
scoring_agent, CLM-405783, identity id MBR-006165, confidence 1, method probabilistic, matched record TPA-52561, policy version 1
2026-10-19 19:32:31Record linked automatically691457043f
scoring_agent, TPA-52561, identity id MBR-006165, confidence 1, method probabilistic, matched record CLM-405783, policy version 1
2026-10-19 19:31:28Record linked automaticallye7f079f9e8
matching_agent, ENR-107606, identity id MBR-034195, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405812
2026-10-19 19:31:28Record linked automatically384fd2f3d7
matching_agent, CLM-405784, identity id MBR-023818, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107579
2026-10-19 19:31:28Record linked automaticallyd0c5e89204
matching_agent, CLM-405783, identity id MBR-019373, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107573
2026-10-19 19:31:28Record linked automatically7e5030d4fa
matching_agent, TPA-52561, identity id MBR-018109, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107515

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-2026-019996	2026-02-13	Heritage GI Associates in network	88305	$328.00	$0.00	Approved	Approved
CLM-2026-031650	2026-01-18	Mesa Internal Medicine Associates in network	99232	$163.00	$0.00	Approved	Approved