Identities/MBR-006359

Gold, golden identity

Patricia T Parker

5 source records from 3 feeds.

MBR-006359Verified5 records

Golden record

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

First nameENR: Patricia
Middle nameENR: T
Last nameENR: Parker
Date of birthENR: 1956-07-15
GenderENR: M
Member IDENR: UHC-37191-05
SSNENR: •••-••-3439
PhoneENR: 7607475927
EmailCLM: patricia.parker47@outlook.com
AddressENR: 2919 Lake View Rd
CityENR: Tucson
StateENR: AZ
ZIPENR: 85743
GroupENR: GRP-3659
PlanENR: OPTIONS-PPO

Min confidence

1.00

Sources

CLM ×3ENR ×1TPA ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
CLM-431543	CLM	2026-01-21	Patricia Parkerflagged	1956-07-15	—	7607475927	2919 Lake View Rd, Tucson, AZ	Scored	1.00	—
CLM-431542	CLM	2026-01-21	Patricia Parkerflagged	1956-07-15	—	7607475927	2919 Lake View Rd, Tucson, AZ	Scored	1.00	—
CLM-431541	CLM	2026-05-18	Patricia Parkerflagged	—	UHC-37191-05	—	2919 Lake View Rd, Tucson, AZ	Scored	1.00	—
ENR-141422	ENR	2026-05-20	Patricia Parkerflagged	1956-07-15	UHC-37191-05	7607475927	2919 Lake View Rd, Tucson, AZ	Scored	1.00	—
TPA-63937	TPA	2026-09-07	Patricia Parkerflagged	1956-07-15	—	—	2919 Lake View Rd, Tucson, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-431543CLMCLM-431541CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431542CLMCLM-431541CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431543CLMTPA-63937TPA1.00Scoredweighted 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-431542CLMTPA-63937TPA1.00Scoredweighted 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-141422ENRTPA-63937TPA1.00Scoredweighted 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-431543CLMCLM-431542CLM0.97RuleD2 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-431543CLMENR-141422ENR0.97RuleD2 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

▶CLM-431542CLMENR-141422ENR0.97RuleD2 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

▶CLM-431541CLMENR-141422ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-431541CLMTPA-63937TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-431543 → UHC-37191-05 (Patricia Parker)
ACT-002570, Claims processor
Orphan claim re-pointedExecuted
CLM-431542 → UHC-37191-05 (Patricia Parker)
ACT-006843, Claims processor
Care coordination outreachProposed
Patricia Parker: 3 claims, no attributed provider
ACT-018279, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automaticallyb2b70ab65e
scoring_agent, TPA-63937, identity id MBR-006359, confidence 1, method probabilistic, matched record CLM-431543, policy version 1
2026-10-22 12:43:53Record linked automatically6e8f58222f
scoring_agent, ENR-141422, identity id MBR-006359, confidence 1, method probabilistic, matched record TPA-63937, policy version 1
2026-10-22 12:43:53Record linked automatically20e0df24d0
scoring_agent, CLM-431541, identity id MBR-006359, confidence 1, method probabilistic, matched record CLM-431543, policy version 1
2026-10-22 12:43:53Record linked automatically3d99860fb2
scoring_agent, CLM-431542, identity id MBR-006359, confidence 1, method probabilistic, matched record TPA-63937, policy version 1
2026-10-22 12:43:53Record linked automaticallyd69ef1adb1
scoring_agent, CLM-431543, identity id MBR-006359, confidence 1, method probabilistic, matched record TPA-63937, policy version 1
2026-10-19 19:54:38Record linked automatically9244856375
scoring_agent, TPA-63937, identity id MBR-006359, confidence 1, method probabilistic, matched record CLM-431543, policy version 1
2026-10-19 19:54:38Record linked automatically5559f63412
scoring_agent, ENR-141422, identity id MBR-006359, confidence 1, method probabilistic, matched record TPA-63937, policy version 1
2026-10-19 19:54:38Record linked automaticallyf92d137f74
scoring_agent, CLM-431541, identity id MBR-006359, confidence 1, method probabilistic, matched record CLM-431543, policy version 1
2026-10-19 19:54:38Record linked automatically7fdcd7ea37
scoring_agent, CLM-431542, identity id MBR-006359, confidence 1, method probabilistic, matched record TPA-63937, policy version 1
2026-10-19 19:54:38Record linked automatically31da9fc6bf
scoring_agent, CLM-431543, identity id MBR-006359, confidence 1, method probabilistic, matched record TPA-63937, policy version 1
2026-10-19 19:52:09Record linked automatically3808589c0d
scoring_agent, TPA-63937, identity id MBR-006359, confidence 1, method probabilistic, matched record CLM-431543, policy version 1
2026-10-19 19:52:09Record linked automaticallyb975e3cb5e
scoring_agent, ENR-141422, identity id MBR-006359, confidence 1, method probabilistic, matched record TPA-63937, policy version 1
2026-10-19 19:52:09Record linked automatically4276bc9060
scoring_agent, CLM-431541, identity id MBR-006359, confidence 1, method probabilistic, matched record CLM-431543, policy version 1
2026-10-19 19:52:09Record linked automatically51e62fd904
scoring_agent, CLM-431542, identity id MBR-006359, confidence 1, method probabilistic, matched record TPA-63937, policy version 1
2026-10-19 19:52:09Record linked automaticallycd04ff0d8e
scoring_agent, CLM-431543, identity id MBR-006359, confidence 1, method probabilistic, matched record TPA-63937, policy version 1
2026-10-19 19:45:42Record linked automatically825faad0b1
scoring_agent, TPA-63937, identity id MBR-006359, confidence 1, method probabilistic, matched record CLM-431543, policy version 1
2026-10-19 19:45:42Record linked automatically72a430cc47
scoring_agent, ENR-141422, identity id MBR-006359, confidence 1, method probabilistic, matched record TPA-63937, policy version 1
2026-10-19 19:45:42Record linked automatically44c4506969
scoring_agent, CLM-431541, identity id MBR-006359, confidence 1, method probabilistic, matched record CLM-431543, policy version 1
2026-10-19 19:45:42Record linked automatically8cb58206d3
scoring_agent, CLM-431542, identity id MBR-006359, confidence 1, method probabilistic, matched record TPA-63937, policy version 1
2026-10-19 19:45:42Record linked automaticallye9ba446b16
scoring_agent, CLM-431543, identity id MBR-006359, confidence 1, method probabilistic, matched record TPA-63937, policy version 1
2026-10-19 19:32:31Record linked automaticallye74019b30d
scoring_agent, TPA-63937, identity id MBR-006359, confidence 1, method probabilistic, matched record CLM-431543, policy version 1
2026-10-19 19:32:31Record linked automaticallyee61e3dd63
scoring_agent, ENR-141422, identity id MBR-006359, confidence 1, method probabilistic, matched record TPA-63937, policy version 1
2026-10-19 19:32:31Record linked automatically42543d6c73
scoring_agent, CLM-431541, identity id MBR-006359, confidence 1, method probabilistic, matched record CLM-431543, policy version 1
2026-10-19 19:32:31Record linked automatically5be9d70818
scoring_agent, CLM-431542, identity id MBR-006359, confidence 1, method probabilistic, matched record TPA-63937, policy version 1
2026-10-19 19:32:31Record linked automaticallye2e6f50c1b
scoring_agent, CLM-431543, identity id MBR-006359, confidence 1, method probabilistic, matched record TPA-63937, policy version 1
2026-10-19 19:31:28Record linked automatically10f50d8a4a
matching_agent, CLM-431543, identity id MBR-039854, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-141626
2026-10-19 19:31:28Record linked automaticallya68ab78ae5
scoring_agent, CLM-431541, identity id MBR-039283, confidence 1, method probabilistic, matched record PRV-29211, policy version 1
2026-10-19 19:31:28Record linked automatically6930392e87
scoring_agent, CLM-431542, identity id MBR-039283, confidence 1, method probabilistic, matched record PRV-29211, policy version 1
2026-10-19 19:31:28Record linked automatically96c8a2325c
scoring_agent, TPA-63937, identity id MBR-014675, confidence 0.94, method probabilistic, matched record TPA-63938, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-015326	2026-05-09	Sunrise Internal Medicine Associates in network	99214	$261.00	$121.82	Approved	Approved
CLM-2026-020714	2026-01-09	Canyon Medical Group in network	99215	$377.00	$193.74	Approved	Approved
CLM-2026-004665	2025-12-28	Meadow Family Practice in network	99203, 99214	$449.00	$238.38	Approved	Approved