Identities/MBR-007193

Gold, golden identity

Donna I Stephens

6 source records from 3 feeds.

MBR-007193Verified6 records

Golden record

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

First nameENR: Donna
Middle nameENR: I
Last nameENR: Stephens
Date of birthENR: 1984-03-07
GenderCLM: F
Member IDENR: UHC-67995-44
SSNENR: •••-••-4857
PhoneENR: 5458276708
EmailENR: donna.stephens84@hotmail.com
AddressENR: 1758 Mountain View Dr
CityENR: Plano
StateENR: TX
ZIPENR: 75067
GroupENR: GRP-7778
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.99

Sources

TPA ×1CLM ×3ENR ×2

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
TPA-55153	TPA	2026-01-24	Donna Stephensflagged	1984-03-07	—	5458276708	—	Scored	1.00	—
CLM-411671	CLM	2026-01-24	Donna Stephensflagged	1984-03-07	—	5458276708	1758 Mountain View Dr, Plano, TX	Scored	1.00	—
CLM-411670	CLM	2026-04-01	Donna Stephensflagged	1984-03-07	—	5458276708	—	Scored	1.00	—
ENR-115376	ENR	2026-04-25	Donna Stephensflagged	1984-03-07	UHC-67995-44	5458276708	1758 Mountain View Dr, Plano, TX	Scored	1.00	—
ENR-115377	ENR	2026-06-09	Dona Stephensflagged	1984-03-07	UHC-67995-44	—	1758 Mountain View Dr, Plano, TX	Scored	0.99	—
CLM-411672	CLM	2026-08-20	Dunna Stephensflagged	1984-03-07	UHC-67995-44	5458276708	1758 Mountain View Dr, Plano, TX	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶TPA-55153TPACLM-411670CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-411671CLMCLM-411670CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-55153TPACLM-411671CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-55153TPAENR-115376 ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-411671CLMENR-115376 ENR1.00Scoredweighted 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-411670CLMENR-115376 ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-411671CLMENR-115377ENR0.99Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-115376 ENRCLM-411672CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-115377ENRCLM-411672CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.92	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-115376 ENRENR-115377ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-411671CLMCLM-411672CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-55153TPACLM-411672CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-411670CLMCLM-411672CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-55153TPAENR-115377ENR0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-411670CLMENR-115377ENR0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Donna Stephens: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
ACT-000342, Eligibility engine
Orphan claim re-pointedExecuted
CLM-411670 → UHC-67995-44 (Donna Stephens)
ACT-003671, Claims processor
Orphan claim re-pointedExecuted
CLM-411671 → UHC-67995-44 (Donna Stephens)
ACT-003763, Claims processor
Care coordination outreachProposed
Donna Stephens: 3 claims, no attributed provider
ACT-018346, Next-best-action
Duplicate member record retiredExecuted
Donna Stephens: 2 enrollment records collapsed into UHC-67995-44
ACT-022807, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically0a76a70c2e
matching_agent, CLM-411672, identity id MBR-007193, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115376
2026-10-19 19:54:38Record linked automaticallyec6ebbe471
scoring_agent, ENR-115377, identity id MBR-007193, confidence 0.99, method probabilistic, matched record CLM-411671, policy version 1
2026-10-19 19:54:38Record linked automatically3229401069
scoring_agent, ENR-115376, identity id MBR-007193, confidence 1, method probabilistic, matched record TPA-55153, policy version 1
2026-10-19 19:54:38Record linked automatically18693aa942
scoring_agent, CLM-411670, identity id MBR-007193, confidence 1, method probabilistic, matched record TPA-55153, policy version 1
2026-10-19 19:54:38Record linked automatically4fb82d1350
scoring_agent, CLM-411671, identity id MBR-007193, confidence 1, method probabilistic, matched record TPA-55153, policy version 1
2026-10-19 19:54:38Record linked automatically594f286b1a
scoring_agent, TPA-55153, identity id MBR-007193, confidence 1, method probabilistic, matched record CLM-411671, policy version 1
2026-10-19 19:52:09Record linked automatically7e2ccd387d
matching_agent, CLM-411672, identity id MBR-007193, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115376
2026-10-19 19:52:09Record linked automaticallycbad434b96
scoring_agent, ENR-115377, identity id MBR-007193, confidence 0.99, method probabilistic, matched record CLM-411671, policy version 1
2026-10-19 19:52:09Record linked automaticallyd6e412c805
scoring_agent, ENR-115376, identity id MBR-007193, confidence 1, method probabilistic, matched record TPA-55153, policy version 1
2026-10-19 19:52:09Record linked automatically600b3e2d02
scoring_agent, CLM-411670, identity id MBR-007193, confidence 1, method probabilistic, matched record TPA-55153, policy version 1
2026-10-19 19:52:09Record linked automatically4d8f53034d
scoring_agent, CLM-411671, identity id MBR-007193, confidence 1, method probabilistic, matched record TPA-55153, policy version 1
2026-10-19 19:52:09Record linked automatically984ad6274e
scoring_agent, TPA-55153, identity id MBR-007193, confidence 1, method probabilistic, matched record CLM-411671, policy version 1
2026-10-19 19:45:42Record linked automatically06226c1ab2
matching_agent, CLM-411672, identity id MBR-007193, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115376
2026-10-19 19:45:42Record linked automaticallya167404565
scoring_agent, ENR-115377, identity id MBR-007193, confidence 0.99, method probabilistic, matched record CLM-411671, policy version 1
2026-10-19 19:45:42Record linked automatically6a7207e211
scoring_agent, ENR-115376, identity id MBR-007193, confidence 1, method probabilistic, matched record TPA-55153, policy version 1
2026-10-19 19:45:42Record linked automaticallyd6ff36c4fd
scoring_agent, CLM-411670, identity id MBR-007193, confidence 1, method probabilistic, matched record TPA-55153, policy version 1
2026-10-19 19:45:42Record linked automatically6fc27cb6c8
scoring_agent, CLM-411671, identity id MBR-007193, confidence 1, method probabilistic, matched record TPA-55153, policy version 1
2026-10-19 19:45:42Record linked automaticallyc6b73d95c1
scoring_agent, TPA-55153, identity id MBR-007193, confidence 1, method probabilistic, matched record CLM-411671, policy version 1
2026-10-19 19:32:31Record linked automatically2d2af94f0e
matching_agent, CLM-411672, identity id MBR-007193, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115376
2026-10-19 19:32:31Record linked automaticallyb27e041543
scoring_agent, ENR-115377, identity id MBR-007193, confidence 0.99, method probabilistic, matched record CLM-411671, policy version 1
2026-10-19 19:32:31Record linked automatically66ebe95cb0
scoring_agent, ENR-115376, identity id MBR-007193, confidence 1, method probabilistic, matched record TPA-55153, policy version 1
2026-10-19 19:32:31Record linked automatically60602b4fea
scoring_agent, CLM-411670, identity id MBR-007193, confidence 1, method probabilistic, matched record TPA-55153, policy version 1
2026-10-19 19:32:31Record linked automaticallyb507e1f5e0
scoring_agent, CLM-411671, identity id MBR-007193, confidence 1, method probabilistic, matched record TPA-55153, policy version 1
2026-10-19 19:32:31Record linked automatically3675ef0cfc
scoring_agent, TPA-55153, identity id MBR-007193, confidence 1, method probabilistic, matched record CLM-411671, policy version 1
2026-10-19 19:31:28Record linked automatically1372267be5
scoring_agent, ENR-115377, identity id MBR-016106, confidence 1.00, method probabilistic, matched record PRV-23443, policy version 1
2026-10-19 19:31:28Record linked automatically57aed239d6
scoring_agent, CLM-411671, identity id MBR-014235, confidence 1, method probabilistic, matched record ENR-115487, policy version 1
2026-10-19 19:31:28Record linked automaticallya13812464a
matching_agent, CLM-411670, identity id MBR-014235, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-115487
2026-10-19 19:31:28Record linked automatically57543cefdd
scoring_agent, TPA-55153, identity id MBR-013402, confidence 1, method probabilistic, matched record CLM-411603, policy version 1
2026-10-19 19:31:28Record linked automaticallyc1526d38a6
matching_agent, CLM-411672, identity id MBR-012624, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115489
2026-10-19 19:31:28Record linked automatically3c75a67fa5
matching_agent, ENR-115376, identity id MBR-005050, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411575

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-2026-015627	2026-07-16	Pinecrest Physical Therapy in network	97110	$195.00	$100.90	Approved	Approved
CLM-2026-008781	2026-02-23	Heritage Orthopedic Specialists in network	99213, 20610	$491.00	$254.42	Approved	Approved
CLM-2026-009237	2026-01-21	Heritage Internal Medicine Associates in network	99232	$181.00	$0.00	Approved	Approved