Identities/MBR-006765
Gold, golden identity

Shirley C Gilbert

3 source records from 1 feed.

MBR-006765Verified3 records

Golden record

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

First nameCLM
Shirley
Middle nameCLM
C
Last nameCLM
Gilbert
Date of birthCLM
1982-10-02
GenderCLM
M
Member IDCLM
UHC-05399-64
SSNCLM
•••-••-7915
PhoneCLM
5247431763
Email—
—
AddressCLM
8549 Lake View Rd
CityCLM
Minneapolis
StateCLM
MN
ZIPCLM
55408
GroupCLM
GRP-5251
PlanCLM
SELECT-EPO
Min confidence
1.00
Sources
CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.00CLMCLM-421600CLMCLM-421601CLMCLM-421602IDMBR-006765
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
CLM-421600CLM2026-01-22Shirley Gilbertflagged1982-10-02UHC-05399-64—8549 Lake View Rd, Minneapolis, MNScored1.00—
CLM-421601CLM2026-09-13Shirley Gilbertflagged1982-10-02——8549 Lake View Rd, Minneapolis, MNScored1.00—
CLM-421602CLM2026-09-20Shirley Gilbertflagged1982-10-02—52474317638549 Lake View Rd, Minneapolis, MNScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-421600CLMCLM-421601CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-421601CLM CLM-421602CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-421600CLMCLM-421602CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-421602 → UHC-05399-64 (Shirley Gilbert)
    ACT-002664, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-421601 → UHC-05399-64 (Shirley Gilbert)
    ACT-002767, Claims processor
  • Care coordination outreachProposed
    Shirley Gilbert: 3 claims, no attributed provider
    ACT-018313, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically8ff2c853cb
    scoring_agent, CLM-421602, identity id MBR-006765, confidence 1, method probabilistic, matched record CLM-421601, policy version 1
  • 2026-10-19 19:54:38Record linked automatically342c2b8f2f
    scoring_agent, CLM-421601, identity id MBR-006765, confidence 1, method probabilistic, matched record CLM-421600, policy version 1
  • 2026-10-19 19:54:38Record linked automatically69af56e0ed
    scoring_agent, CLM-421600, identity id MBR-006765, confidence 1, method probabilistic, matched record CLM-421601, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1263448259
    scoring_agent, CLM-421602, identity id MBR-006765, confidence 1, method probabilistic, matched record CLM-421601, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2a42689da1
    scoring_agent, CLM-421601, identity id MBR-006765, confidence 1, method probabilistic, matched record CLM-421600, policy version 1
  • 2026-10-19 19:52:09Record linked automatically398434b548
    scoring_agent, CLM-421600, identity id MBR-006765, confidence 1, method probabilistic, matched record CLM-421601, policy version 1
  • 2026-10-19 19:45:42Record linked automatically81e49ef5ff
    scoring_agent, CLM-421602, identity id MBR-006765, confidence 1, method probabilistic, matched record CLM-421601, policy version 1
  • 2026-10-19 19:45:42Record linked automatically734e5090c0
    scoring_agent, CLM-421601, identity id MBR-006765, confidence 1, method probabilistic, matched record CLM-421600, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4b6327e5ce
    scoring_agent, CLM-421600, identity id MBR-006765, confidence 1, method probabilistic, matched record CLM-421601, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfee0443968
    scoring_agent, CLM-421602, identity id MBR-006765, confidence 1, method probabilistic, matched record CLM-421601, policy version 1
  • 2026-10-19 19:32:31Record linked automatically18c9200764
    scoring_agent, CLM-421601, identity id MBR-006765, confidence 1, method probabilistic, matched record CLM-421600, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2790a3e3e5
    scoring_agent, CLM-421600, identity id MBR-006765, confidence 1, method probabilistic, matched record CLM-421601, policy version 1
  • 2026-10-19 19:31:28Record linked automatically5b64cdb588
    scoring_agent, CLM-421601, identity id MBR-014612, confidence 0.92, method probabilistic, matched record CLM-421603, policy version 1
  • 2026-10-19 19:31:28Record linked automatically4245f372d3
    matching_agent, CLM-421600, identity id MBR-014612, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421602
  • 2026-10-19 19:31:28Record linked automatically588fe2620a
    matching_agent, CLM-421602, identity id MBR-014612, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421603

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0050132026-08-21Sunrise Cardiovascular Associates
in network
93458$4,964.00—DeniedDenied
CLM-2026-0054212026-07-30Meadow Primary Care Associates
in network
36415, 99395, 99213$486.00$287.06ApprovedApproved
CLM-2026-0174232026-01-06Heritage Primary Care Associates
in network
90471, 99203$276.00$151.90ApprovedApproved