Identities/MBR-006193
Gold, golden identity

Pamela N Yang

4 source records from 2 feeds.

MBR-006193Verified4 records

Golden record

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

First nameENR
Pamela
Middle nameENR
N
Last nameENR
Yang
Date of birthENR
1945-01-06
GenderENR
M
Member IDENR
UHC-06553-73
SSNENR
•••-••-0593
PhoneENR
6856135362
Email—
—
AddressCLM
4873 Market St # 826
CityENR
Dallas
StateENR
TX
ZIPENR
75230
GroupENR
GRP-7329
PlanENR
NAVIGATE-HMO
Min confidence
0.97
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.970.970.990.99CLMCLM-409454CLMCLM-409453ENRENR-112439CLMCLM-409455IDMBR-006193
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-409454CLM2026-01-20Pamela Yangflagged1945-01-06——4873 Market St, Dallas, TXRule0.97D2 ssn4 + dob + last name
CLM-409453CLM2026-04-13Pamela Yangflagged1945-01-06——4873 Market St, Dallas, TXRule0.97D2 ssn4 + dob + last name
ENR-112439ENR2026-07-12Pamela Yangflagged1945-01-06UHC-06553-7368561353624873 Market St, Dallas, TXRule0.99D1 member id + dob exact
CLM-409455CLM2026-08-10Yang Pamelaflagged1945-01-06UHC-06553-73—4873 Market St # 826, Dallas, TXRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-112439ENRCLM-409455CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409454CLMCLM-409453CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409454CLMENR-112439ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409453CLMENR-112439ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Pamela Yang: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000297, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-409453 → UHC-06553-73 (Pamela Yang)
    ACT-001341, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-409454 → UHC-06553-73 (Pamela Yang)
    ACT-008988, Claims processor
  • Outreach address correctedProposed
    Pamela Yang: 4873 Market St, Dallas → 4873 Market St # 826, Dallas
    ACT-011021, Outreach
  • Care coordination outreachProposed
    Pamela Yang: 3 claims, no attributed provider
    ACT-018262, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically1cf9ce03e5
    matching_agent, CLM-409455, identity id MBR-006193, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112439
  • 2026-10-19 19:54:38Record linked automatically1549c9b3e9
    matching_agent, ENR-112439, identity id MBR-006193, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409455
  • 2026-10-19 19:54:38Record linked automatically9ed115bcc7
    matching_agent, CLM-409453, identity id MBR-006193, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-409454
  • 2026-10-19 19:54:38Record linked automaticallye18c30c65a
    matching_agent, CLM-409454, identity id MBR-006193, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-409453
  • 2026-10-19 19:52:09Record linked automaticallydc9201f247
    matching_agent, CLM-409455, identity id MBR-006193, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112439
  • 2026-10-19 19:52:09Record linked automaticallyb4d77bffb2
    matching_agent, ENR-112439, identity id MBR-006193, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409455
  • 2026-10-19 19:52:09Record linked automaticallya8663c47df
    matching_agent, CLM-409453, identity id MBR-006193, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-409454
  • 2026-10-19 19:52:09Record linked automatically364b5e2f67
    matching_agent, CLM-409454, identity id MBR-006193, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-409453
  • 2026-10-19 19:45:42Record linked automaticallyb8cb0c33f1
    matching_agent, CLM-409455, identity id MBR-006193, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112439
  • 2026-10-19 19:45:42Record linked automaticallyc3a70e85f9
    matching_agent, ENR-112439, identity id MBR-006193, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409455
  • 2026-10-19 19:45:42Record linked automaticallyb3f71a9578
    matching_agent, CLM-409453, identity id MBR-006193, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-409454
  • 2026-10-19 19:45:42Record linked automatically0afdbcf2b2
    matching_agent, CLM-409454, identity id MBR-006193, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-409453
  • 2026-10-19 19:32:31Record linked automatically5d753a57f2
    matching_agent, CLM-409455, identity id MBR-006193, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112439
  • 2026-10-19 19:32:31Record linked automatically4de6716217
    matching_agent, ENR-112439, identity id MBR-006193, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409455
  • 2026-10-19 19:32:31Record linked automatically444d4358c2
    matching_agent, CLM-409453, identity id MBR-006193, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-409454
  • 2026-10-19 19:32:31Record linked automaticallyda7922e058
    matching_agent, CLM-409454, identity id MBR-006193, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-409453
  • 2026-10-19 19:31:28Record linked automaticallya2d4338f81
    matching_agent, CLM-409455, identity id MBR-022963, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-112464
  • 2026-10-19 19:31:28Record linked automaticallya31964eb04
    matching_agent, CLM-409454, identity id MBR-011502, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22804
  • 2026-10-19 19:31:28Record linked automatically8dae9b8e17
    matching_agent, CLM-409453, identity id MBR-011502, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22804
  • 2026-10-19 19:31:28Record linked automaticallya088d3831b
    matching_agent, ENR-112439, identity id MBR-010013, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409438

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0085222026-08-04Unity Imaging Center
out of network
77067, 71046$398.00—DeniedDenied
CLM-2026-0000102026-03-08Lakeside Bone and Joint Center
in network
27447$47,694.00—Needs reviewNeeds review
CLM-2026-0290032025-12-14Unity Primary Care Associates
out of network
99395$328.00—DeniedDenied