Identities/MBR-008585

Gold, golden identity

Judy Payne

5 source records from 3 feeds.

MBR-008585Verified5 records

Golden record

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

First namePRV: Judy
Middle name—: —
Last nameCLM: Payne
Date of birthPRV: 1950-01-20
GenderPRV: F
Member IDPRV: UHC-70825-08
SSNCLM: •••-••-6914
PhonePRV: 6587975545
EmailCLM: judy.payne45@proton.me
AddressPRV: 1141 Indian School Rd
CityPRV: Minneapolis
StatePRV: MN
ZIPPRV: 55402
GroupCLM: GRP-0383
PlanCLM: OPTIONS-PPO

Min confidence

0.99

Sources

CLM ×3TPA ×1PRV ×1

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
CLM-408467	CLM	2026-01-29	Judy Payneflagged	1950-01-20	—	—	1141 Indian School Rd, Minneapolis, MN	Scored	1.00	—
TPA-53719	TPA	2026-02-06	Judy Payneflagged	1950-01-20	—	—	1141 Indian School Rd, Minneapolis, MN	Scored	1.00	—
CLM-408468	CLM	2026-06-01	Judy Payneflagged	1950-01-20	UHC-70825-08	—	1141 Indian School Rd, Minneapolis, MN	Scored	1.00	—
PRV-22504	PRV	2026-08-11	Judy Peyneflagged	1950-01-20	UHC-70825-08	6587975545	1141 Indian School Rd, Minneapolis, MN	Rule	0.99	D1 member id + dob exact
CLM-408466	CLM	2026-09-30	Judy Payneflagged	1950-01-20	UHC-70825-08	—	1141 Indian School Rd, Minneapolis, MN	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-53719TPACLM-408466CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-408467CLMCLM-408468CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-53719TPACLM-408468CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-408467CLMTPA-53719TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-408468CLMCLM-408466CLM0.99RuleD1 member id + dob exactAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-22504PRVCLM-408466CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.93	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408468CLMPRV-22504PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.93	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408467CLMPRV-22504PRV0.97Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.93	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-53719TPAPRV-22504PRV0.97Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.93	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-408467CLMCLM-408466CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-408467 → UHC-70825-08 (Judy Payne)
ACT-009281, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically2618a59a8e
scoring_agent, CLM-408466, identity id MBR-008585, confidence 1, method probabilistic, matched record TPA-53719, policy version 1
2026-10-19 19:54:38Record linked automaticallye63d6a0831
matching_agent, PRV-22504, identity id MBR-008585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408468
2026-10-19 19:54:38Record linked automatically1cbd79404d
scoring_agent, CLM-408468, identity id MBR-008585, confidence 1, method probabilistic, matched record CLM-408467, policy version 1
2026-10-19 19:54:38Record linked automatically817fc5751a
scoring_agent, TPA-53719, identity id MBR-008585, confidence 1, method probabilistic, matched record CLM-408467, policy version 1
2026-10-19 19:54:38Record linked automatically793f091897
scoring_agent, CLM-408467, identity id MBR-008585, confidence 1, method probabilistic, matched record TPA-53719, policy version 1
2026-10-19 19:52:09Record linked automaticallyff8a75e5fd
scoring_agent, CLM-408466, identity id MBR-008585, confidence 1, method probabilistic, matched record TPA-53719, policy version 1
2026-10-19 19:52:09Record linked automatically322d258e0a
matching_agent, PRV-22504, identity id MBR-008585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408468
2026-10-19 19:52:09Record linked automatically218e21d523
scoring_agent, CLM-408468, identity id MBR-008585, confidence 1, method probabilistic, matched record CLM-408467, policy version 1
2026-10-19 19:52:09Record linked automatically6ea962066a
scoring_agent, TPA-53719, identity id MBR-008585, confidence 1, method probabilistic, matched record CLM-408467, policy version 1
2026-10-19 19:52:09Record linked automatically7016507c19
scoring_agent, CLM-408467, identity id MBR-008585, confidence 1, method probabilistic, matched record TPA-53719, policy version 1
2026-10-19 19:45:42Record linked automaticallyf64bd30cf0
scoring_agent, CLM-408466, identity id MBR-008585, confidence 1, method probabilistic, matched record TPA-53719, policy version 1
2026-10-19 19:45:42Record linked automatically5691104e12
matching_agent, PRV-22504, identity id MBR-008585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408468
2026-10-19 19:45:42Record linked automatically4da2ceb161
scoring_agent, CLM-408468, identity id MBR-008585, confidence 1, method probabilistic, matched record CLM-408467, policy version 1
2026-10-19 19:45:42Record linked automatically1401bf9254
scoring_agent, TPA-53719, identity id MBR-008585, confidence 1, method probabilistic, matched record CLM-408467, policy version 1
2026-10-19 19:45:42Record linked automaticallycf71dc127c
scoring_agent, CLM-408467, identity id MBR-008585, confidence 1, method probabilistic, matched record TPA-53719, policy version 1
2026-10-19 19:32:31Record linked automatically1fac54908b
scoring_agent, CLM-408466, identity id MBR-008585, confidence 1, method probabilistic, matched record TPA-53719, policy version 1
2026-10-19 19:32:31Record linked automatically7e5304453e
matching_agent, PRV-22504, identity id MBR-008585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408468
2026-10-19 19:32:31Record linked automatically14b6b5c7e1
scoring_agent, CLM-408468, identity id MBR-008585, confidence 1, method probabilistic, matched record CLM-408467, policy version 1
2026-10-19 19:32:31Record linked automatically787ead7221
scoring_agent, TPA-53719, identity id MBR-008585, confidence 1, method probabilistic, matched record CLM-408467, policy version 1
2026-10-19 19:32:31Record linked automatically853d538f03
scoring_agent, CLM-408467, identity id MBR-008585, confidence 1, method probabilistic, matched record TPA-53719, policy version 1
2026-10-19 19:31:28Record linked automatically1abdefec75
matching_agent, CLM-408466, identity id MBR-026203, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-111159
2026-10-19 19:31:28Record linked automaticallyf9d2ad762f
scoring_agent, PRV-22504, identity id MBR-011578, confidence 1.00, method probabilistic, matched record TPA-53764, policy version 1
2026-10-19 19:31:28Record linked automatically8e6a68c81b
matching_agent, CLM-408468, identity id MBR-002472, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408469
2026-10-19 19:31:28Record linked automatically26b4ff18a2
scoring_agent, CLM-408467, identity id MBR-000079, confidence 1, method probabilistic, matched record TPA-53745, policy version 1

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-2026-008361	2026-09-23	Desert Diagnostic Imaging in network	71046	$137.00	—	Denied	Denied
CLM-2026-008360	2026-09-23	Desert Diagnostic Imaging in network	71046	$137.00	$0.00	Approved	Approved
CLM-2026-015161	2026-05-04	Heritage Rehabilitation Center in network	97110, 97014	$252.00	—	Denied	Denied
CLM-2026-015160	2026-05-04	Heritage Rehabilitation Center in network	97110, 97014	$252.00	$126.24	Approved	Approved
CLM-2026-030256	2026-01-25	Meadow Cardiovascular Associates in network	93458	$7,416.00	$2,913.21	Approved	Approved