Identities/MBR-006364
Gold, golden identity

Douglas James

3 source records from 2 feeds.

MBR-006364Verified3 records

Golden record

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

First nameENR
Douglas
Middle name—
—
Last nameENR
James
Date of birthENR
1943-06-02
GenderCLM
F
Member IDENR
UHC-64300-08
SSNCLM
•••-••-0937
Phone—
—
Email—
—
AddressENR
8274 Ocean Ave
CityENR
Tempe
StateENR
AZ
ZIPENR
85235
GroupENR
GRP-3231
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
ENR ×1CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.99ENRENR-109610CLMCLM-407344CLMCLM-407343IDMBR-006364
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
ENR-109610ENR2026-01-21Douglas Jamesflagged1943-06-02UHC-64300-08—8274 Ocean Ave, Tempe, AZScored1.00—
CLM-407344CLM2026-04-22Douglas Jamesflagged1943-06-02——8274 Ocean Ave, Tempe, AZScored1.00—
CLM-407343CLM2026-06-05Douglas Jamesflagged1943-06-02UHC-64300-08——Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-109610ENRCLM-407344CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-109610ENRCLM-407343 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407344CLMCLM-407343 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Douglas James: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000305, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-407344 → UHC-64300-08 (Douglas James)
    ACT-002882, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically850ede5ac1
    matching_agent, CLM-407343, identity id MBR-006364, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109610
  • 2026-10-19 19:54:38Record linked automaticallyb313bcab74
    scoring_agent, CLM-407344, identity id MBR-006364, confidence 1, method probabilistic, matched record ENR-109610, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1571b1102e
    scoring_agent, ENR-109610, identity id MBR-006364, confidence 1, method probabilistic, matched record CLM-407344, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8721cd5fc0
    matching_agent, CLM-407343, identity id MBR-006364, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109610
  • 2026-10-19 19:52:09Record linked automaticallyeab5e3ded4
    scoring_agent, CLM-407344, identity id MBR-006364, confidence 1, method probabilistic, matched record ENR-109610, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya55a1d33bd
    scoring_agent, ENR-109610, identity id MBR-006364, confidence 1, method probabilistic, matched record CLM-407344, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1c647cca6e
    matching_agent, CLM-407343, identity id MBR-006364, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109610
  • 2026-10-19 19:45:42Record linked automatically56c955a5b0
    scoring_agent, CLM-407344, identity id MBR-006364, confidence 1, method probabilistic, matched record ENR-109610, policy version 1
  • 2026-10-19 19:45:42Record linked automatically85ac7aad76
    scoring_agent, ENR-109610, identity id MBR-006364, confidence 1, method probabilistic, matched record CLM-407344, policy version 1
  • 2026-10-19 19:32:31Record linked automatically99f8c683bc
    matching_agent, CLM-407343, identity id MBR-006364, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109610
  • 2026-10-19 19:32:31Record linked automatically7c699ec743
    scoring_agent, CLM-407344, identity id MBR-006364, confidence 1, method probabilistic, matched record ENR-109610, policy version 1
  • 2026-10-19 19:32:31Record linked automatically494a3b595f
    scoring_agent, ENR-109610, identity id MBR-006364, confidence 1, method probabilistic, matched record CLM-407344, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8db1a09617
    matching_agent, ENR-109610, identity id MBR-018312, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22156
  • 2026-10-19 19:31:28Record linked automaticallye32815f293
    matching_agent, CLM-407343, identity id MBR-013852, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109621
  • 2026-10-19 19:31:28Record linked automatically94341311e0
    matching_agent, CLM-407344, identity id MBR-013852, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109621

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0173552026-05-04Lakeside Behavioral Health
out of network
90837$240.00—DeniedDenied
CLM-2026-0058632026-04-02Valley Primary Care Associates
out of network
99203, 99213$423.00—DeniedDenied