Identities/MBR-006518
Gold, golden identity

Ashley M Bowman

4 source records from 2 feeds.

MBR-006518Verified4 records

Golden record

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

First nameENR
Ashley
Middle nameENR
M
Last nameENR
Bowman
Date of birthENR
1954-07-27
GenderCLM
M
Member IDENR
UHC-55178-78
SSNCLM
•••-••-3065
PhoneENR
4277801336
EmailENR
ashley.bowman50@icloud.com
AddressENR
5161 Meadow Ln
CityENR
San Antonio
StateENR
TX
ZIPENR
78219
GroupENR
GRP-6238
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
ENR ×1CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.990.991.00ENRENR-135680CLMCLM-427216CLMCLM-427214CLMCLM-427215IDMBR-006518
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-135680ENR2026-01-21Ashley Bowmanflagged1954-07-27UHC-55178-7842778013365161 Meadow Ln, San Antonio, TXScored1.00—
CLM-427216CLM2026-02-20Ashley Bowmanflagged1954-07-27UHC-55178-78—5161 Meadow Ln, San Antonio, TXRule0.99D1 member id + dob exact
CLM-427214CLM2026-03-13Ashley Bowmanflagged1954-07-27UHC-55178-78——Rule0.99D1 member id + dob exact
CLM-427215CLM2026-07-15Ashley Bowmanflagged1954-07-27—4277801336—Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-135680ENRCLM-427215CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-135680ENRCLM-427214CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-427216CLMCLM-427214CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-135680ENRCLM-427216CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-427216CLMCLM-427215CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-427214CLMCLM-427215CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Ashley Bowman: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000312, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-427215 → UHC-55178-78 (Ashley Bowman)
    ACT-003256, Claims processor
  • Care coordination outreachProposed
    Ashley Bowman: 3 claims, no attributed provider
    ACT-018288, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically7c94e22ba6
    scoring_agent, CLM-427215, identity id MBR-006518, confidence 1, method probabilistic, matched record ENR-135680, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallybae4ff6bde
    matching_agent, CLM-427214, identity id MBR-006518, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135680
  • 2026-10-19 19:54:38Record linked automatically35354dde0d
    matching_agent, CLM-427216, identity id MBR-006518, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135680
  • 2026-10-19 19:54:38Record linked automatically3f8df01c63
    scoring_agent, ENR-135680, identity id MBR-006518, confidence 1, method probabilistic, matched record CLM-427215, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9f7e6b5c53
    scoring_agent, CLM-427215, identity id MBR-006518, confidence 1, method probabilistic, matched record ENR-135680, policy version 1
  • 2026-10-19 19:52:09Record linked automatically832c4eab19
    matching_agent, CLM-427214, identity id MBR-006518, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135680
  • 2026-10-19 19:52:09Record linked automaticallydb1a615023
    matching_agent, CLM-427216, identity id MBR-006518, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135680
  • 2026-10-19 19:52:09Record linked automaticallyec7803e992
    scoring_agent, ENR-135680, identity id MBR-006518, confidence 1, method probabilistic, matched record CLM-427215, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5254847f09
    scoring_agent, CLM-427215, identity id MBR-006518, confidence 1, method probabilistic, matched record ENR-135680, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyaf1ba689aa
    matching_agent, CLM-427214, identity id MBR-006518, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135680
  • 2026-10-19 19:45:42Record linked automatically6cd457389c
    matching_agent, CLM-427216, identity id MBR-006518, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135680
  • 2026-10-19 19:45:42Record linked automaticallyd65bddc5c0
    scoring_agent, ENR-135680, identity id MBR-006518, confidence 1, method probabilistic, matched record CLM-427215, policy version 1
  • 2026-10-19 19:32:31Record linked automatically760b094671
    scoring_agent, CLM-427215, identity id MBR-006518, confidence 1, method probabilistic, matched record ENR-135680, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf3852f4bc8
    matching_agent, CLM-427214, identity id MBR-006518, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135680
  • 2026-10-19 19:32:31Record linked automatically306d4b5a67
    matching_agent, CLM-427216, identity id MBR-006518, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135680
  • 2026-10-19 19:32:31Record linked automaticallyd529d80c88
    scoring_agent, ENR-135680, identity id MBR-006518, confidence 1, method probabilistic, matched record CLM-427215, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd46d2d454a
    matching_agent, CLM-427216, identity id MBR-037423, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136021
  • 2026-10-19 19:31:28Record linked automaticallye17cc29d0b
    scoring_agent, CLM-427215, identity id MBR-030651, confidence 1, method probabilistic, matched record TPA-61969, policy version 1
  • 2026-10-19 19:31:28Record linked automatically57426a3455
    scoring_agent, ENR-135680, identity id MBR-002596, confidence 1, method probabilistic, matched record TPA-61862, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0072742026-06-15Unity Primary Care Associates
out of network
99213, 99395$495.00—DeniedDenied
CLM-2026-0146552026-03-02Northgate Orthopedic Specialists
in network
27447$46,290.00—Needs reviewNeeds review
CLM-2026-0024042026-01-30Sunrise Cardiovascular Associates
in network
93458, 93015, 93306$8,651.00—Needs reviewNeeds review