Identities/MBR-006563

Gold, golden identity

Priya F Cook

6 source records from 3 feeds.

MBR-006563Verified6 records

Golden record

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

First namePRV: Priya
Middle nameENR: F
Last nameENR: Cook
Date of birthENR: 1956-08-04
GenderENR: M
Member IDENR: UHC-96152-36
SSNENR: •••-••-0412
PhoneENR: 8593901606
EmailPRV: priya.cook@icloud.com
AddressENR: 8550 Cedar Ln
CityENR: Eden Prairie
StateENR: MN
ZIPENR: 55326
GroupENR: GRP-2513
PlanENR: MEDICARE-ADV-B

Min confidence

0.99

Sources

ENR ×1CLM ×4PRV ×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-109005	ENR	2026-01-22	Pirya Cookflagged	1956-08-04	UHC-96152-36	8593901606	8550 Cedar Ln, Eden Prairie, MN	Scored	0.99	—
CLM-406887	CLM	2026-03-25	Priya Cookflagged	1956-08-04	UHC-96152-36	—	8550 Cedar Ln, Eden Prairie, MN	Scored	1.00	—
CLM-406888	CLM	2026-05-28	Priya Cookflagged	1956-08-04	—	—	8550 Cedar Ln, Eden Prairie, MN	Scored	1.00	—
CLM-406890	CLM	2026-07-24	Priya Cookflagged	1956-08-04	—	8593901606	8550 Cedar Ln, Eden Prairie, MN	Scored	1.00	—
CLM-406889	CLM	2026-07-24	Priya Cookflagged	1956-08-04	—	8593901606	8550 Cedar Ln, Eden Prairie, MN	Scored	1.00	—
PRV-22026	PRV	2026-08-25	Priya Cookflagged	1956-08-04	—	8593901606	8550 Cedar Ln, Eden Prairie, MN	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-406887CLMCLM-406888CLM 1.00Scoredweighted 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-406887CLMCLM-406889CLM1.00Scoredweighted 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-406887CLMCLM-406890CLM1.00Scoredweighted 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-406887CLMPRV-22026PRV1.00Scoredweighted 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-406888CLM PRV-22026PRV1.00Scoredweighted 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-406890CLMPRV-22026PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-406889CLMPRV-22026PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-109005ENRPRV-22026PRV0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-109005ENRCLM-406887CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-109005ENRCLM-406888CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-109005ENRCLM-406889CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	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-406888CLM CLM-406889CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-406890CLMCLM-406889CLM0.97RuleD2 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

▶ENR-109005ENRCLM-406890CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	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-406888CLM CLM-406890CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-406890 → UHC-96152-36 (Priya Cook)
ACT-003186, Claims processor
Orphan claim re-pointedExecuted
CLM-406889 → UHC-96152-36 (Priya Cook)
ACT-003478, Claims processor
Orphan claim re-pointedExecuted
CLM-406888 → UHC-96152-36 (Priya Cook)
ACT-008719, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically32ff0d578d
scoring_agent, PRV-22026, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406887, policy version 1
2026-10-19 19:54:38Record linked automaticallyf5c30f7c87
scoring_agent, CLM-406889, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406887, policy version 1
2026-10-19 19:54:38Record linked automaticallyb2a2cc31ae
scoring_agent, CLM-406890, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406887, policy version 1
2026-10-19 19:54:38Record linked automaticallyfbd293009d
scoring_agent, CLM-406888, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406887, policy version 1
2026-10-19 19:54:38Record linked automatically423d02d4c9
scoring_agent, CLM-406887, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406888, policy version 1
2026-10-19 19:54:38Record linked automaticallye4f2f2c69a
scoring_agent, ENR-109005, identity id MBR-006563, confidence 0.99, method probabilistic, matched record PRV-22026, policy version 1
2026-10-19 19:52:09Record linked automaticallyafd07c8a57
scoring_agent, PRV-22026, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406887, policy version 1
2026-10-19 19:52:09Record linked automatically2b189f8b5c
scoring_agent, CLM-406889, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406887, policy version 1
2026-10-19 19:52:09Record linked automatically62ef90d0df
scoring_agent, CLM-406890, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406887, policy version 1
2026-10-19 19:52:09Record linked automaticallyf29566c77d
scoring_agent, CLM-406888, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406887, policy version 1
2026-10-19 19:52:09Record linked automatically05cfdad81f
scoring_agent, CLM-406887, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406888, policy version 1
2026-10-19 19:52:09Record linked automaticallyb7baa40628
scoring_agent, ENR-109005, identity id MBR-006563, confidence 0.99, method probabilistic, matched record PRV-22026, policy version 1
2026-10-19 19:45:42Record linked automaticallyd57a0a9491
scoring_agent, PRV-22026, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406887, policy version 1
2026-10-19 19:45:42Record linked automaticallye83cb36d2e
scoring_agent, CLM-406889, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406887, policy version 1
2026-10-19 19:45:42Record linked automaticallyab22af51a1
scoring_agent, CLM-406890, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406887, policy version 1
2026-10-19 19:45:42Record linked automaticallyaa72d4b320
scoring_agent, CLM-406888, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406887, policy version 1
2026-10-19 19:45:42Record linked automaticallyaeeaf28fa0
scoring_agent, CLM-406887, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406888, policy version 1
2026-10-19 19:45:42Record linked automatically662aa94e03
scoring_agent, ENR-109005, identity id MBR-006563, confidence 0.99, method probabilistic, matched record PRV-22026, policy version 1
2026-10-19 19:32:31Record linked automaticallyc5738b3278
scoring_agent, PRV-22026, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406887, policy version 1
2026-10-19 19:32:31Record linked automatically3d59ecc2c9
scoring_agent, CLM-406889, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406887, policy version 1
2026-10-19 19:32:31Record linked automatically86f2ad2008
scoring_agent, CLM-406890, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406887, policy version 1
2026-10-19 19:32:31Record linked automatically065bba2c00
scoring_agent, CLM-406888, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406887, policy version 1
2026-10-19 19:32:31Record linked automaticallye1bf491c7e
scoring_agent, CLM-406887, identity id MBR-006563, confidence 1, method probabilistic, matched record CLM-406888, policy version 1
2026-10-19 19:32:31Record linked automatically35da08ef20
scoring_agent, ENR-109005, identity id MBR-006563, confidence 0.99, method probabilistic, matched record PRV-22026, policy version 1
2026-10-19 19:31:28Record linked automatically25bc6a62f4
scoring_agent, PRV-22026, identity id MBR-028726, confidence 1, method probabilistic, matched record CLM-406787, policy version 1
2026-10-19 19:31:28Record linked automaticallybf61cea44c
scoring_agent, CLM-406890, identity id MBR-013397, confidence 1, method probabilistic, matched record TPA-53074, policy version 1
2026-10-19 19:31:28Record linked automaticallyffb18d0fd1
matching_agent, CLM-406888, identity id MBR-012764, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109061
2026-10-19 19:31:28Record linked automatically442abb3309
matching_agent, CLM-406889, identity id MBR-012764, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109061
2026-10-19 19:31:28Record linked automatically45ba495ebd
scoring_agent, CLM-406887, identity id MBR-011653, confidence 1, method probabilistic, matched record CLM-406886, 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-2026-008105	2026-06-14	Harbor Family Practice in network	99213	$164.00	$81.68	Approved	Approved
CLM-2026-006996	2026-07-08	Unity Primary Care Associates in network	99214	$298.00	$164.76	Approved	Approved
CLM-2026-027958	2026-04-29	Meadow Regional Medical Center in network	99283, 99285, 71046	$3,450.00	$1,747.50	Approved	Approved
CLM-2026-033465	2026-02-21	Summit Imaging Center in network	70553	$1,886.00	—	Denied	Denied
CLM-2026-033464	2026-02-21	Summit Imaging Center in network	70553	$1,886.00	$225.36	Approved	Approved