Identities/MBR-007339
Gold, golden identity

Frances Payne

4 source records from 3 feeds.

MBR-007339Verified4 records

Golden record

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

First nameENR
Frances
Middle name—
—
Last nameENR
Payne
Date of birthENR
1999-10-16
GenderENR
F
Member IDENR
UHC-09678-38
SSNENR
•••-••-3919
PhoneENR
7125666258
EmailENR
frances.payne@icloud.com
AddressENR
325 Desert Sky Blvd
CityENR
San Diego
StateENR
CA
ZIPENR
92113
GroupENR
GRP-8879
PlanENR
OPTIONS-PPO
Min confidence
0.97
Sources
CLM ×2ENR ×1TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.990.97CLMCLM-412503CLMCLM-412502ENRENR-116457TPATPA-55503IDMBR-007339
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-412503CLM2026-01-24Frances Payneflagged1999-10-16UHC-09678-38——Rule0.99D1 member id + dob exact
CLM-412502CLM2026-02-12Frances Payneflagged1999-10-16UHC-09678-38——Rule0.99D1 member id + dob exact
ENR-116457ENR2026-03-27Frances Payneflagged1999-10-16UHC-09678-387125666258325 Desert Sky Blvd, San Diego, CARule0.99D1 member id + dob exact
TPA-55503TPA2026-06-18Frances Payneflagged1999-10-16——325 Desert Sky Blvd, San Diego, CARule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-412503CLMCLM-412502 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-412503CLMENR-116457ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-412502 CLMENR-116457ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-116457ENRTPA-55503TPA0.97RuleD2 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
▶CLM-412503CLMTPA-55503TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-412502 CLMTPA-55503TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

No actions yet
Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically21d86c42e3
    matching_agent, TPA-55503, identity id MBR-007339, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116457
  • 2026-10-19 19:54:38Record linked automatically8d5bb8aee8
    matching_agent, ENR-116457, identity id MBR-007339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412503
  • 2026-10-19 19:54:38Record linked automatically79779b1186
    matching_agent, CLM-412502, identity id MBR-007339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412503
  • 2026-10-19 19:54:38Record linked automatically0bba145a32
    matching_agent, CLM-412503, identity id MBR-007339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412502
  • 2026-10-19 19:52:09Record linked automatically99ad821b20
    matching_agent, TPA-55503, identity id MBR-007339, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116457
  • 2026-10-19 19:52:09Record linked automaticallyb78f2ab83f
    matching_agent, ENR-116457, identity id MBR-007339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412503
  • 2026-10-19 19:52:09Record linked automatically4dd485c42a
    matching_agent, CLM-412502, identity id MBR-007339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412503
  • 2026-10-19 19:52:09Record linked automaticallyba3adcfa11
    matching_agent, CLM-412503, identity id MBR-007339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412502
  • 2026-10-19 19:45:42Record linked automaticallyb3a6c72665
    matching_agent, TPA-55503, identity id MBR-007339, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116457
  • 2026-10-19 19:45:42Record linked automaticallyb553ba26e9
    matching_agent, ENR-116457, identity id MBR-007339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412503
  • 2026-10-19 19:45:42Record linked automatically9f5a985c65
    matching_agent, CLM-412502, identity id MBR-007339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412503
  • 2026-10-19 19:45:42Record linked automaticallybf4bfef38a
    matching_agent, CLM-412503, identity id MBR-007339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412502
  • 2026-10-19 19:32:31Record linked automatically49a7aa4097
    matching_agent, TPA-55503, identity id MBR-007339, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116457
  • 2026-10-19 19:32:31Record linked automatically9d3dcbd6a4
    matching_agent, ENR-116457, identity id MBR-007339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412503
  • 2026-10-19 19:32:31Record linked automatically4cf9b97a0d
    matching_agent, CLM-412502, identity id MBR-007339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412503
  • 2026-10-19 19:32:31Record linked automatically937dd0e1e9
    matching_agent, CLM-412503, identity id MBR-007339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412502
  • 2026-10-19 19:31:28Record linked automaticallya58cc3109e
    matching_agent, CLM-412502, identity id MBR-035149, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116564
  • 2026-10-19 19:31:28Record linked automatically6789a35b02
    scoring_agent, ENR-116457, identity id MBR-024309, confidence 0.99, method probabilistic, matched record TPA-55482, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0af1ef2859
    scoring_agent, TPA-55503, identity id MBR-009511, confidence 1, method probabilistic, matched record PRV-23672, policy version 1
  • 2026-10-19 19:31:28Record linked automatically31e8d2d967
    scoring_agent, CLM-412503, identity id MBR-002531, confidence 1, method probabilistic, matched record PRV-23688, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0248152026-02-03Mesa Behavioral Health
in network
70553$3,398.00—Needs reviewNeeds review
CLM-2026-0215332026-01-14Pinecrest Regional Medical Center
out of network
71046$170.00—Needs reviewNeeds review
CLM-2026-0215322026-01-14Pinecrest Regional Medical Center
out of network
71046$170.00$0.00ApprovedApproved