Identities/MBR-006487

Gold, golden identity

Dorothy Austin

6 source records from 3 feeds.

MBR-006487Verified6 records

Golden record

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

First nameENR: Dorothy
Middle name—: —
Last nameENR: Austin
Date of birthENR: 1949-11-11
GenderENR: M
Member IDENR: UHC-48631-14
SSNENR: •••-••-1976
PhoneENR: 4625337469
EmailENR: dorothy.austin99@outlook.com
AddressENR: 8657 Oak St
CityENR: Los Angeles
StateENR: CA
ZIPENR: 90068
GroupENR: GRP-2488
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.98

Sources

ENR ×2CLM ×3TPA ×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
ENR-123746	ENR	2026-01-21	Austin Dorothyflagged	1949-11-11	UHC-48631-14	4625337469	8657 Oak St, Los Angeles, CA	Rule	0.99	D1 member id + dob exact
CLM-418059	CLM	2026-03-30	Dorothy Austinflagged	1949-11-11	—	—	8657 Oak St, Los Angeles, CA	Scored	1.00	—
CLM-418061	CLM	2026-06-12	Dorothy Austinflagged	1949-11-11	—	—	8657 Oak St, Los Angeles, CA	Scored	1.00	—
ENR-123745	ENR	2026-07-07	Dorothy Austinflagged	1949-11-11	UHC-48631-14	4625337469	8657 Oak St, Los Angeles, CA	Scored	1.00	—
TPA-57977	TPA	2026-09-02	Dot Austynflagged	1949-11-11	—	—	8657 Oak St, Los Angeles, CA	Scored	0.98	—
CLM-418060	CLM	2026-10-11	Dorothy Austinflagged	1949-11-11	UHC-48631-14	—	8657 Oak St, Los Angeles, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-418059CLMCLM-418060CLM1.00Scoredweighted 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-418061CLMCLM-418060CLM1.00Scoredweighted 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-418059CLMCLM-418061CLM1.00Scoredweighted 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-418059CLMENR-123745 ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-418061CLMENR-123745 ENR1.00Scoredweighted 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-123746ENRCLM-418060CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-123745 ENRCLM-418060CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-123746ENRENR-123745 ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 5Conflicts: noneGuard: none

▶TPA-57977TPACLM-418060CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3	nickname
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-418059CLMTPA-57977TPA0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3	nickname
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-418061CLMTPA-57977TPA0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3	nickname
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-123745 ENRTPA-57977TPA0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3	nickname
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-123746ENRCLM-418059CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-418059 → UHC-48631-14 (Dorothy Austin)
ACT-004019, Claims processor
Orphan claim re-pointedExecuted
CLM-418061 → UHC-48631-14 (Dorothy Austin)
ACT-007841, Claims processor
Care coordination outreachProposed
Dorothy Austin: 3 claims, no attributed provider
ACT-018286, Next-best-action
Duplicate member record retiredExecuted
Dorothy Austin: 2 enrollment records collapsed into UHC-48631-14
ACT-022685, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically3feb3614cb
scoring_agent, CLM-418060, identity id MBR-006487, confidence 1, method probabilistic, matched record CLM-418059, policy version 1
2026-10-19 19:54:38Record linked automatically30caba255f
scoring_agent, TPA-57977, identity id MBR-006487, confidence 0.98, method probabilistic, matched record CLM-418059, policy version 1
2026-10-19 19:54:38Record linked automaticallyc71edac49c
scoring_agent, ENR-123745, identity id MBR-006487, confidence 1, method probabilistic, matched record CLM-418059, policy version 1
2026-10-19 19:54:38Record linked automatically4153413424
scoring_agent, CLM-418061, identity id MBR-006487, confidence 1, method probabilistic, matched record CLM-418059, policy version 1
2026-10-19 19:54:38Record linked automaticallyc85100f693
scoring_agent, CLM-418059, identity id MBR-006487, confidence 1, method probabilistic, matched record ENR-123745, policy version 1
2026-10-19 19:54:38Record linked automatically84da560f1b
matching_agent, ENR-123746, identity id MBR-006487, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123745
2026-10-19 19:52:09Record linked automatically6fc7757eca
scoring_agent, CLM-418060, identity id MBR-006487, confidence 1, method probabilistic, matched record CLM-418059, policy version 1
2026-10-19 19:52:09Record linked automaticallye19de4e2e5
scoring_agent, TPA-57977, identity id MBR-006487, confidence 0.98, method probabilistic, matched record CLM-418059, policy version 1
2026-10-19 19:52:09Record linked automatically574ba8711c
scoring_agent, ENR-123745, identity id MBR-006487, confidence 1, method probabilistic, matched record CLM-418059, policy version 1
2026-10-19 19:52:09Record linked automaticallyec5593c2a4
scoring_agent, CLM-418061, identity id MBR-006487, confidence 1, method probabilistic, matched record CLM-418059, policy version 1
2026-10-19 19:52:09Record linked automatically2c0f612598
scoring_agent, CLM-418059, identity id MBR-006487, confidence 1, method probabilistic, matched record ENR-123745, policy version 1
2026-10-19 19:52:09Record linked automatically99f05ebf98
matching_agent, ENR-123746, identity id MBR-006487, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123745
2026-10-19 19:45:42Record linked automatically031efdbf8e
scoring_agent, CLM-418060, identity id MBR-006487, confidence 1, method probabilistic, matched record CLM-418059, policy version 1
2026-10-19 19:45:42Record linked automatically6ad6f02305
scoring_agent, TPA-57977, identity id MBR-006487, confidence 0.98, method probabilistic, matched record CLM-418059, policy version 1
2026-10-19 19:45:42Record linked automatically414fe530ca
scoring_agent, ENR-123745, identity id MBR-006487, confidence 1, method probabilistic, matched record CLM-418059, policy version 1
2026-10-19 19:45:42Record linked automatically1c85e0022d
scoring_agent, CLM-418061, identity id MBR-006487, confidence 1, method probabilistic, matched record CLM-418059, policy version 1
2026-10-19 19:45:42Record linked automatically3b70a04fca
scoring_agent, CLM-418059, identity id MBR-006487, confidence 1, method probabilistic, matched record ENR-123745, policy version 1
2026-10-19 19:45:42Record linked automatically59d3daf615
matching_agent, ENR-123746, identity id MBR-006487, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123745
2026-10-19 19:32:31Record linked automaticallye2491aad90
scoring_agent, CLM-418060, identity id MBR-006487, confidence 1, method probabilistic, matched record CLM-418059, policy version 1
2026-10-19 19:32:31Record linked automatically2abdcc40f5
scoring_agent, TPA-57977, identity id MBR-006487, confidence 0.98, method probabilistic, matched record CLM-418059, policy version 1
2026-10-19 19:32:31Record linked automaticallyb258cd2b3f
scoring_agent, ENR-123745, identity id MBR-006487, confidence 1, method probabilistic, matched record CLM-418059, policy version 1
2026-10-19 19:32:31Record linked automaticallyfb217ae1a4
scoring_agent, CLM-418061, identity id MBR-006487, confidence 1, method probabilistic, matched record CLM-418059, policy version 1
2026-10-19 19:32:31Record linked automatically8c6a5e73ec
scoring_agent, CLM-418059, identity id MBR-006487, confidence 1, method probabilistic, matched record ENR-123745, policy version 1
2026-10-19 19:32:31Record linked automatically8d17b7bd20
matching_agent, ENR-123746, identity id MBR-006487, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123745
2026-10-19 19:31:28Record linked automatically518fd0cadf
scoring_agent, TPA-57977, identity id MBR-019026, confidence 1, method probabilistic, matched record ENR-123907, policy version 1
2026-10-19 19:31:28Record linked automaticallyd88d2cb913
matching_agent, CLM-418059, identity id MBR-011062, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-123642
2026-10-19 19:31:28Record linked automatically73afe8cefb
matching_agent, ENR-123746, identity id MBR-008935, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123745
2026-10-19 19:31:28Record linked automatically059987c5b0
matching_agent, ENR-123745, identity id MBR-008935, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123746
2026-10-19 19:31:28Record linked automatically678b3912bf
scoring_agent, CLM-418060, identity id MBR-004050, confidence 1, method probabilistic, matched record CLM-418061, policy version 1
2026-10-19 19:31:28Record linked automatically955527d29c
scoring_agent, CLM-418061, identity id MBR-004050, confidence 1, method probabilistic, matched record PRV-25273, 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-2026-023358	2026-10-04	Pinecrest Regional Medical Center in network	99285, 71046	$2,601.00	$1,080.55	Approved	Approved
CLM-2026-024621	2026-05-10	Northgate Primary Care Associates out of network	99214, 99213	$474.00	$183.30	Approved	Approved
CLM-2026-010297	2026-03-27	Pinecrest Bone and Joint Center in network	99213	$157.00	$37.34	Approved	Approved