Identities/MBR-006331
Gold, golden identity

Mary Hamilton

3 source records from 2 feeds.

MBR-006331Verified3 records

Golden record

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

First nameCLM
Mary
Middle name—
—
Last nameCLM
Hamilton
Date of birthCLM
1961-07-01
GenderCLM
M
Member IDCLM
UHC-44059-63
SSN—
—
PhoneCLM
3598889997
Email—
—
AddressCLM
391 Union St
CityCLM
Tucson
StateCLM
AZ
ZIP—
—
GroupCLM
GRP-4939
PlanCLM
MEDICARE-ADV-A
Min confidence
0.94
Sources
CLM ×2TPA ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.000.94CLMCLM-428733TPATPA-62701CLMCLM-428734IDMBR-006331
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-428733CLM2026-01-21Mary Hamiltonflagged1961-07-01UHC-44059-63—391 Union St, Tucson, AZScored1.00—
TPA-62701TPA2026-03-09Mary Hamiltonflagged1961-07-01—3598889997391 Union St, Tucson, AZScored1.00—
CLM-428734CLM2026-03-31Mary Hamiltonflagged1961-07-01—3598889997391 Union St, Tucson, AZScored0.94—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-428733 CLMTPA-62701TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-62701TPACLM-428734CLM 0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-428733 CLMCLM-428734CLM 0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-428734 → UHC-44059-63 (Mary Hamilton)
    ACT-006103, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automaticallyf0b34e1d15
    scoring_agent, CLM-428734, identity id MBR-006331, confidence 0.94, method probabilistic, matched record TPA-62701, policy version 1
  • 2026-10-22 12:43:53Record linked automatically97ab652bd0
    scoring_agent, TPA-62701, identity id MBR-006331, confidence 1, method probabilistic, matched record CLM-428733, policy version 1
  • 2026-10-22 12:43:53Record linked automatically20a788e7cc
    scoring_agent, CLM-428733, identity id MBR-006331, confidence 1, method probabilistic, matched record TPA-62701, policy version 1
  • 2026-10-19 19:54:38Record linked automatically202c27a332
    scoring_agent, CLM-428734, identity id MBR-006331, confidence 0.94, method probabilistic, matched record TPA-62701, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1a32c732fd
    scoring_agent, TPA-62701, identity id MBR-006331, confidence 1, method probabilistic, matched record CLM-428733, policy version 1
  • 2026-10-19 19:54:38Record linked automatically7130e28eae
    scoring_agent, CLM-428733, identity id MBR-006331, confidence 1, method probabilistic, matched record TPA-62701, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0ede506a64
    scoring_agent, CLM-428734, identity id MBR-006331, confidence 0.94, method probabilistic, matched record TPA-62701, policy version 1
  • 2026-10-19 19:52:09Record linked automatically57854d4485
    scoring_agent, TPA-62701, identity id MBR-006331, confidence 1, method probabilistic, matched record CLM-428733, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc46f15aff0
    scoring_agent, CLM-428733, identity id MBR-006331, confidence 1, method probabilistic, matched record TPA-62701, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya8ad2eeff9
    scoring_agent, CLM-428734, identity id MBR-006331, confidence 0.94, method probabilistic, matched record TPA-62701, policy version 1
  • 2026-10-19 19:45:42Record linked automatically23269de4bc
    scoring_agent, TPA-62701, identity id MBR-006331, confidence 1, method probabilistic, matched record CLM-428733, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyde3fe78fb1
    scoring_agent, CLM-428733, identity id MBR-006331, confidence 1, method probabilistic, matched record TPA-62701, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3363d0fe47
    scoring_agent, CLM-428734, identity id MBR-006331, confidence 0.94, method probabilistic, matched record TPA-62701, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5d3d2e3621
    scoring_agent, TPA-62701, identity id MBR-006331, confidence 1, method probabilistic, matched record CLM-428733, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallydbbd1a8073
    scoring_agent, CLM-428733, identity id MBR-006331, confidence 1, method probabilistic, matched record TPA-62701, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd821cdae6a
    matching_agent, TPA-62701, identity id MBR-034181, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-428916
  • 2026-10-19 19:31:28Record linked automaticallyfc556dec5f
    scoring_agent, CLM-428734, identity id MBR-003222, confidence 1, method probabilistic, matched record PRV-28442, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2811dc17ca
    scoring_agent, CLM-428733, identity id MBR-003222, confidence 1, method probabilistic, matched record PRV-28442, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0179322026-02-15Harbor Medical Group
in network
36415, 99213, 99214$509.00—Needs reviewNeeds review
CLM-2026-0179312026-02-15Harbor Medical Group
in network
36415, 99213, 99214$509.00$302.56ApprovedApproved
CLM-2026-0206712025-12-18Sunrise Behavioral Health
in network
99214$297.00$124.14ApprovedApproved