Identities/MBR-007102
Gold, golden identity

Priya McDonald

4 source records from 2 feeds.

MBR-007102Verified4 records

Golden record

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

First nameENR
Priya
Middle name—
—
Last nameENR
McDonald
Date of birthENR
2007-08-25
GenderENR
M
Member IDENR
UHC-04817-13
SSNCLM
•••-••-5343
PhoneENR
7127730023
EmailENR
priya.mcdonald85@gmail.com
AddressCLM
5470 Market St Apt 30
CityENR
Tucson
StateENR
AZ
ZIPENR
85708
GroupENR
GRP-7195
PlanENR
CHOICE-PLUS-PPO
Min confidence
1.00
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

1.001.001.001.00ENRENR-113191CLMCLM-410000CLMCLM-410001CLMCLM-410002IDMBR-007102
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-113191ENR2026-01-24Priya McDonaldflagged2007-08-25UHC-04817-1371277300235470 Market St, Tucson, AZScored1.00—
CLM-410000CLM2026-02-05Priya McDonaldflagged2007-08-25UHC-04817-13—5470 Market St, Tucson, AZScored1.00—
CLM-410001CLM2026-04-26Priya McDonaldflagged2007-08-25——5470 Market St, Tucson, AZScored1.00—
CLM-410002CLM2026-05-03Priya McDonaldflagged2007-08-25UHC-04817-13—5470 Market St Apt 30, Tucson, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-113191ENRCLM-410001CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410000CLMCLM-410001CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410001CLM CLM-410002CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-113191ENRCLM-410000CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-113191ENRCLM-410002CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-410000CLMCLM-410002CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Priya McDonald: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
    ACT-000337, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-410001 → UHC-04817-13 (Priya McDonald)
    ACT-007110, Claims processor
  • Outreach address correctedProposed
    Priya McDonald: 5470 Market St, Tucson → 5470 Market St Apt 30, Tucson
    ACT-011106, Outreach
  • Care coordination outreachProposed
    Priya McDonald: 3 claims, no attributed provider
    ACT-018344, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyef274d0410
    scoring_agent, CLM-410002, identity id MBR-007102, confidence 1, method probabilistic, matched record CLM-410001, policy version 1
  • 2026-10-19 19:54:38Record linked automatically21be2050c8
    scoring_agent, CLM-410001, identity id MBR-007102, confidence 1, method probabilistic, matched record ENR-113191, policy version 1
  • 2026-10-19 19:54:38Record linked automatically7414441d79
    scoring_agent, CLM-410000, identity id MBR-007102, confidence 1, method probabilistic, matched record CLM-410001, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5cc668003c
    scoring_agent, ENR-113191, identity id MBR-007102, confidence 1, method probabilistic, matched record CLM-410001, policy version 1
  • 2026-10-19 19:52:09Record linked automatically094e856afd
    scoring_agent, CLM-410002, identity id MBR-007102, confidence 1, method probabilistic, matched record CLM-410001, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc7ea0f55bd
    scoring_agent, CLM-410001, identity id MBR-007102, confidence 1, method probabilistic, matched record ENR-113191, policy version 1
  • 2026-10-19 19:52:09Record linked automatically587efde3fb
    scoring_agent, CLM-410000, identity id MBR-007102, confidence 1, method probabilistic, matched record CLM-410001, policy version 1
  • 2026-10-19 19:52:09Record linked automatically129d8cb9e3
    scoring_agent, ENR-113191, identity id MBR-007102, confidence 1, method probabilistic, matched record CLM-410001, policy version 1
  • 2026-10-19 19:45:42Record linked automatically866f75b555
    scoring_agent, CLM-410002, identity id MBR-007102, confidence 1, method probabilistic, matched record CLM-410001, policy version 1
  • 2026-10-19 19:45:42Record linked automatically882e4903fd
    scoring_agent, CLM-410001, identity id MBR-007102, confidence 1, method probabilistic, matched record ENR-113191, policy version 1
  • 2026-10-19 19:45:42Record linked automatically63a5519382
    scoring_agent, CLM-410000, identity id MBR-007102, confidence 1, method probabilistic, matched record CLM-410001, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallybc9953d003
    scoring_agent, ENR-113191, identity id MBR-007102, confidence 1, method probabilistic, matched record CLM-410001, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4abdf7f880
    scoring_agent, CLM-410002, identity id MBR-007102, confidence 1, method probabilistic, matched record CLM-410001, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye7991decf2
    scoring_agent, CLM-410001, identity id MBR-007102, confidence 1, method probabilistic, matched record ENR-113191, policy version 1
  • 2026-10-19 19:32:31Record linked automatically967d6cdc7d
    scoring_agent, CLM-410000, identity id MBR-007102, confidence 1, method probabilistic, matched record CLM-410001, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb48247a2c0
    scoring_agent, ENR-113191, identity id MBR-007102, confidence 1, method probabilistic, matched record CLM-410001, policy version 1
  • 2026-10-19 19:31:28Record linked automatically85b749e1de
    matching_agent, CLM-410002, identity id MBR-007454, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410001
  • 2026-10-19 19:31:28Record linked automatically1f9f8b97e7
    matching_agent, CLM-410000, identity id MBR-007454, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410001
  • 2026-10-19 19:31:28Record linked automatically18f0142dd0
    matching_agent, CLM-410001, identity id MBR-007454, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113218

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0179952026-03-26Cornerstone Imaging Center
in network
76700$513.00$0.00ApprovedApproved
CLM-2026-0217892026-04-06Valley Community Hospital
out of network
71046, 99285$2,930.00$1,233.00ApprovedApproved
CLM-2026-0236882026-01-10Evergreen Family Practice
in network
99213$143.00$63.66ApprovedApproved