Identities/MBR-006716
Gold, golden identity

Pamela Hayes

5 source records from 2 feeds.

MBR-006716Verified5 records

Golden record

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

First nameENR
Pamela
Middle name—
—
Last nameENR
Hayes
Date of birthENR
1967-07-20
GenderENR
M
Member IDENR
UHC-15386-32
SSNCLM
•••-••-0790
PhoneENR
9569671033
EmailENR
pamela.hayes@proton.me
AddressENR
3336 Valley View Dr
CityENR
Atlanta
StateENR
GA
ZIPENR
30325
GroupENR
GRP-8427
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
ENR ×2CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.991.000.991.001.00ENRENR-131838ENRENR-131839CLMCLM-424360CLMCLM-424362CLMCLM-424361IDMBR-006716
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-131838ENR2026-01-22Pamela Hayesflagged1967-07-20UHC-15386-3295696710333336 Valley View Dr, Atlanta, GARule0.99D1 member id + dob exact
ENR-131839ENR2026-02-09Pamela Hayesflagged1967-07-20UHC-15386-3295696710333336 Valley View Dr, Atlanta, GAScored1.00—
CLM-424360CLM2026-06-08Pamela Haayesflagged1967-07-20UHC-15386-32—3336 Valley View Dr, Atlanta, GARule0.99D1 member id + dob exact
CLM-424362CLM2026-07-18Pamela Hayesflagged1967-07-20——3336 Valley View Dr, Atlanta, GAScored1.00—
CLM-424361CLM2026-09-26Pamela Hayesflagged1967-07-20——3336 Valley View Dr, Atlanta, GAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-131839ENRCLM-424361CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424362CLM CLM-424361CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-131839ENRCLM-424362CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-131838ENRCLM-424360CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-131839ENRCLM-424360CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-424360CLM CLM-424362CLM 0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-131838ENRENR-131839ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-424360CLM CLM-424361CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-131838ENRCLM-424361CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-131838ENRCLM-424362CLM 0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-424362 → UHC-15386-32 (Pamela Hayes)
    ACT-005460, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-424361 → UHC-15386-32 (Pamela Hayes)
    ACT-006634, Claims processor
  • Care coordination outreachProposed
    Pamela Hayes: 3 claims, no attributed provider
    ACT-018306, Next-best-action
  • Duplicate member record retiredExecuted
    Pamela Hayes: 2 enrollment records collapsed into UHC-15386-32
    ACT-022725, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically64133a772c
    scoring_agent, CLM-424361, identity id MBR-006716, confidence 1, method probabilistic, matched record ENR-131839, policy version 1
  • 2026-10-22 12:43:53Record linked automaticallyc012da6a45
    scoring_agent, CLM-424362, identity id MBR-006716, confidence 1, method probabilistic, matched record ENR-131839, policy version 1
  • 2026-10-22 12:43:53Record linked automatically1195a0a993
    matching_agent, CLM-424360, identity id MBR-006716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131838
  • 2026-10-22 12:43:53Record linked automatically00fe7610f2
    scoring_agent, ENR-131839, identity id MBR-006716, confidence 1, method probabilistic, matched record CLM-424362, policy version 1
  • 2026-10-22 12:43:53Record linked automatically19fce10740
    matching_agent, ENR-131838, identity id MBR-006716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131839
  • 2026-10-19 19:54:38Record linked automaticallyfe759e0937
    scoring_agent, CLM-424361, identity id MBR-006716, confidence 1, method probabilistic, matched record ENR-131839, policy version 1
  • 2026-10-19 19:54:38Record linked automatically25045e1994
    scoring_agent, CLM-424362, identity id MBR-006716, confidence 1, method probabilistic, matched record ENR-131839, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallybce49f82ef
    matching_agent, CLM-424360, identity id MBR-006716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131838
  • 2026-10-19 19:54:38Record linked automatically8bc309c094
    scoring_agent, ENR-131839, identity id MBR-006716, confidence 1, method probabilistic, matched record CLM-424362, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6a744bc2e6
    matching_agent, ENR-131838, identity id MBR-006716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131839
  • 2026-10-19 19:52:09Record linked automaticallye110a93c5e
    scoring_agent, CLM-424361, identity id MBR-006716, confidence 1, method probabilistic, matched record ENR-131839, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyff4c94dc81
    scoring_agent, CLM-424362, identity id MBR-006716, confidence 1, method probabilistic, matched record ENR-131839, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyeffcd22535
    matching_agent, CLM-424360, identity id MBR-006716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131838
  • 2026-10-19 19:52:09Record linked automaticallyaaf5839f51
    scoring_agent, ENR-131839, identity id MBR-006716, confidence 1, method probabilistic, matched record CLM-424362, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4b364ce7cc
    matching_agent, ENR-131838, identity id MBR-006716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131839
  • 2026-10-19 19:45:42Record linked automaticallyd6d102bf79
    scoring_agent, CLM-424361, identity id MBR-006716, confidence 1, method probabilistic, matched record ENR-131839, policy version 1
  • 2026-10-19 19:45:42Record linked automatically72e085fda5
    scoring_agent, CLM-424362, identity id MBR-006716, confidence 1, method probabilistic, matched record ENR-131839, policy version 1
  • 2026-10-19 19:45:42Record linked automatically885f547885
    matching_agent, CLM-424360, identity id MBR-006716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131838
  • 2026-10-19 19:45:42Record linked automatically780b491b94
    scoring_agent, ENR-131839, identity id MBR-006716, confidence 1, method probabilistic, matched record CLM-424362, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2df55ef5eb
    matching_agent, ENR-131838, identity id MBR-006716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131839
  • 2026-10-19 19:32:31Record linked automaticallye2f304a3d2
    scoring_agent, CLM-424361, identity id MBR-006716, confidence 1, method probabilistic, matched record ENR-131839, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye4d704e20c
    scoring_agent, CLM-424362, identity id MBR-006716, confidence 1, method probabilistic, matched record ENR-131839, policy version 1
  • 2026-10-19 19:32:31Record linked automatically420d33475c
    matching_agent, CLM-424360, identity id MBR-006716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131838
  • 2026-10-19 19:32:31Record linked automaticallyafb356abc5
    scoring_agent, ENR-131839, identity id MBR-006716, confidence 1, method probabilistic, matched record CLM-424362, policy version 1
  • 2026-10-19 19:32:31Record linked automatically307e4c1922
    matching_agent, ENR-131838, identity id MBR-006716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131839
  • 2026-10-19 19:31:28Record linked automaticallyf29c707854
    scoring_agent, CLM-424360, identity id MBR-040949, confidence 0.99, method probabilistic, matched record ENR-132059, policy version 1
  • 2026-10-19 19:31:28Record linked automatically45d07ea03e
    scoring_agent, ENR-131839, identity id MBR-019993, confidence 1, method probabilistic, matched record CLM-424197, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallybbe0235951
    matching_agent, ENR-131838, identity id MBR-019993, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424199
  • 2026-10-19 19:31:28Record linked automaticallydc71aa72c5
    matching_agent, CLM-424361, identity id MBR-017174, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132061
  • 2026-10-19 19:31:28Record linked automatically1103c9a36b
    scoring_agent, CLM-424362, identity id MBR-006474, confidence 1, method probabilistic, matched record TPA-60718, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0199372026-08-15Riverside Primary Care Associates
in network
99214$290.00$149.80ApprovedApproved
CLM-2026-0156452026-07-06Mesa Family Practice
in network
99203, 36415$242.00$120.04ApprovedApproved
CLM-2026-0154392026-05-19Evergreen Medical Group
in network
99395$249.00$124.38ApprovedApproved