Identities/MBR-008623

Gold, golden identity

Susan Matthews

5 source records from 3 feeds.

MBR-008623Verified5 records

Golden record

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

First nameENR: Susan
Middle name—: —
Last nameENR: Matthews
Date of birthENR: 1979-01-19
GenderCLM: F
Member IDENR: UHC-95229-19
SSNENR: •••-••-8844
PhoneENR: 2013210863
EmailENR: susan.matthews8@gmail.com
AddressENR: 9469 Ocean Ave
CityENR: Charlotte
StateENR: NC
ZIPENR: 28232
GroupENR: GRP-8062
PlanENR: SELECT-EPO

Min confidence

0.99

Sources

CLM ×3TPA ×1ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-413198	CLM	2026-01-29	Susan Matthewsflagged	1979-01-19	UHC-95229-19	2013210863	9469 Ocean Ave, Charlotte, NC	Scored	1.00	—
CLM-413197	CLM	2026-01-29	Susan Matthewsflagged	1979-01-19	UHC-95229-19	2013210863	9469 Ocean Ave, Charlotte, NC	Scored	1.00	—
TPA-55807	TPA	2026-03-20	Susan Matthewsflagged	1979-01-19	—	2013210863	9469 Ocean Ave, Charlotte, NC	Scored	1.00	—
CLM-413196	CLM	2026-04-19	Susan Matthewsflagged	1979-01-19	UHC-95229-19	—	9469 Ocean Ave, Charlotte, NC	Rule	0.99	D1 member id + dob exact
ENR-117329	ENR	2026-09-21	Susan Matthewsflagged	1979-01-19	UHC-95229-19	2013210863	9469 Ocean Ave, Charlotte, NC	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-55807TPAENR-117329ENR1.00Scoredweighted 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-413198CLMTPA-55807TPA1.00Scoredweighted 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-413197CLMTPA-55807TPA1.00Scoredweighted 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-413198CLMCLM-413196CLM0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-413197CLMCLM-413196CLM0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-413198CLMCLM-413197CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-413198CLMENR-117329ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-413197CLMENR-117329ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-413196CLMENR-117329ENR0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-55807TPACLM-413196CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Care coordination outreachProposed
Susan Matthews: 3 claims, no attributed provider
ACT-018447, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallye199637768
scoring_agent, ENR-117329, identity id MBR-008623, confidence 1, method probabilistic, matched record TPA-55807, policy version 1
2026-10-22 12:43:54Record linked automatically5efccb4669
matching_agent, CLM-413196, identity id MBR-008623, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413198
2026-10-22 12:43:54Record linked automatically25b599bbca
scoring_agent, TPA-55807, identity id MBR-008623, confidence 1, method probabilistic, matched record CLM-413198, policy version 1
2026-10-22 12:43:54Record linked automatically92f31c4b32
scoring_agent, CLM-413197, identity id MBR-008623, confidence 1, method probabilistic, matched record TPA-55807, policy version 1
2026-10-22 12:43:54Record linked automatically4e7fc73ffa
scoring_agent, CLM-413198, identity id MBR-008623, confidence 1, method probabilistic, matched record TPA-55807, policy version 1
2026-10-19 19:54:38Record linked automaticallyac443343d2
scoring_agent, ENR-117329, identity id MBR-008623, confidence 1, method probabilistic, matched record TPA-55807, policy version 1
2026-10-19 19:54:38Record linked automaticallyeac5d0b825
matching_agent, CLM-413196, identity id MBR-008623, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413198
2026-10-19 19:54:38Record linked automatically113abdda51
scoring_agent, TPA-55807, identity id MBR-008623, confidence 1, method probabilistic, matched record CLM-413198, policy version 1
2026-10-19 19:54:38Record linked automatically31296f3c21
scoring_agent, CLM-413197, identity id MBR-008623, confidence 1, method probabilistic, matched record TPA-55807, policy version 1
2026-10-19 19:54:38Record linked automatically9098b0e3c1
scoring_agent, CLM-413198, identity id MBR-008623, confidence 1, method probabilistic, matched record TPA-55807, policy version 1
2026-10-19 19:52:09Record linked automatically24d8c792fa
scoring_agent, ENR-117329, identity id MBR-008623, confidence 1, method probabilistic, matched record TPA-55807, policy version 1
2026-10-19 19:52:09Record linked automatically679f28155b
matching_agent, CLM-413196, identity id MBR-008623, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413198
2026-10-19 19:52:09Record linked automaticallyd9c3bf6abd
scoring_agent, TPA-55807, identity id MBR-008623, confidence 1, method probabilistic, matched record CLM-413198, policy version 1
2026-10-19 19:52:09Record linked automaticallyb9f764ed6b
scoring_agent, CLM-413197, identity id MBR-008623, confidence 1, method probabilistic, matched record TPA-55807, policy version 1
2026-10-19 19:52:09Record linked automaticallyc9ca6f909c
scoring_agent, CLM-413198, identity id MBR-008623, confidence 1, method probabilistic, matched record TPA-55807, policy version 1
2026-10-19 19:45:42Record linked automatically3696999f07
scoring_agent, ENR-117329, identity id MBR-008623, confidence 1, method probabilistic, matched record TPA-55807, policy version 1
2026-10-19 19:45:42Record linked automatically9f0b461ce2
matching_agent, CLM-413196, identity id MBR-008623, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413198
2026-10-19 19:45:42Record linked automatically1bdcc53980
scoring_agent, TPA-55807, identity id MBR-008623, confidence 1, method probabilistic, matched record CLM-413198, policy version 1
2026-10-19 19:45:42Record linked automatically2e3cd58a17
scoring_agent, CLM-413197, identity id MBR-008623, confidence 1, method probabilistic, matched record TPA-55807, policy version 1
2026-10-19 19:45:42Record linked automatically7fd9951a2e
scoring_agent, CLM-413198, identity id MBR-008623, confidence 1, method probabilistic, matched record TPA-55807, policy version 1
2026-10-19 19:32:31Record linked automaticallyaafc6a4b16
scoring_agent, ENR-117329, identity id MBR-008623, confidence 1, method probabilistic, matched record TPA-55807, policy version 1
2026-10-19 19:32:31Record linked automaticallyfd151f4dde
matching_agent, CLM-413196, identity id MBR-008623, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413198
2026-10-19 19:32:31Record linked automatically46c0e11463
scoring_agent, TPA-55807, identity id MBR-008623, confidence 1, method probabilistic, matched record CLM-413198, policy version 1
2026-10-19 19:32:31Record linked automaticallye555a86a17
scoring_agent, CLM-413197, identity id MBR-008623, confidence 1, method probabilistic, matched record TPA-55807, policy version 1
2026-10-19 19:32:31Record linked automaticallyac64a22a31
scoring_agent, CLM-413198, identity id MBR-008623, confidence 1, method probabilistic, matched record TPA-55807, policy version 1
2026-10-19 19:31:28Record linked automaticallyab520fb164
matching_agent, CLM-413196, identity id MBR-033621, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117429
2026-10-19 19:31:28Record linked automatically18c58683af
scoring_agent, CLM-413197, identity id MBR-020848, confidence 1, method probabilistic, matched record ENR-117430, policy version 1
2026-10-19 19:31:28Record linked automatically712a8c1ba1
matching_agent, CLM-413198, identity id MBR-014094, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117432
2026-10-19 19:31:28Record linked automatically29427ad71b
matching_agent, ENR-117329, identity id MBR-010086, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117331

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-2026-012395	2026-04-14	Harbor Diabetes Center in network	83036	$58.00	$0.00	Approved	Approved
CLM-2026-030911	2025-12-19	Harbor Rehabilitation Center in network	97110	$224.00	$98.88	Approved	Approved
CLM-2026-020298	2026-01-16	Desert Primary Care Associates in network	99213, 36415	$173.00	$67.26	Approved	Approved