Identities/MBR-008629
Gold, golden identity

Douglas Banks

4 source records from 2 feeds.

MBR-008629Verified4 records

Golden record

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

First nameENR
Douglas
Middle name—
—
Last nameENR
Banks
Date of birthENR
1982-01-06
GenderENR
F
Member IDENR
UHC-51125-18
SSNENR
•••-••-8079
PhoneCLM
9019060778
EmailENR
douglas.banks@outlook.com
AddressENR
1901 Mountain View Dr
CityENR
Sacramento
StateENR
CA
ZIP—
—
GroupENR
GRP-2284
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.93
Sources
CLM ×3ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.960.990.990.93CLMCLM-429698ENRENR-138961CLMCLM-429700CLMCLM-429699IDMBR-008629
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-429698CLM2026-01-29Douglas Banksflagged1983-01-06UHC-51125-18—1901 Mountain View Dr, Sacramento, CARule0.96D3 member id + name
ENR-138961ENR2026-06-20Douglas Banksflagged1982-01-06UHC-51125-18—1901 Mountain View Dr, Sacramento, CARule0.99D1 member id + dob exact
CLM-429700CLM2026-09-03Douglas Banksflagged1982-01-06UHC-51125-18——Rule0.99D1 member id + dob exact
CLM-429699CLM2026-09-05Douglas Banksflagged1982-01-06—90190607781901 Mountain View Dr, Sacramento, CAScored0.93—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-138961ENRCLM-429700CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-429698CLMCLM-429700CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-429698CLMENR-138961ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-138961ENRCLM-429699CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-429700CLMCLM-429699CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-429698CLMCLM-429699CLM0.74Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-429699 → UHC-51125-18 (Douglas Banks)
    ACT-008379, Claims processor
  • Care coordination outreachProposed
    Douglas Banks: 3 claims, no attributed provider
    ACT-018448, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically48af855b32
    scoring_agent, CLM-429699, identity id MBR-008629, confidence 0.93, method probabilistic, matched record ENR-138961, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyd01b3e2d64
    matching_agent, CLM-429700, identity id MBR-008629, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138961
  • 2026-10-22 12:43:54Record linked automaticallya95f334c83
    matching_agent, ENR-138961, identity id MBR-008629, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429700
  • 2026-10-22 12:43:54Record linked automatically3a63ca4774
    matching_agent, CLM-429698, identity id MBR-008629, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-138961
  • 2026-10-19 19:54:38Record linked automatically76b2c1d967
    scoring_agent, CLM-429699, identity id MBR-008629, confidence 0.93, method probabilistic, matched record ENR-138961, policy version 1
  • 2026-10-19 19:54:38Record linked automatically576acfd3b8
    matching_agent, CLM-429700, identity id MBR-008629, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138961
  • 2026-10-19 19:54:38Record linked automatically6d686fe066
    matching_agent, ENR-138961, identity id MBR-008629, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429700
  • 2026-10-19 19:54:38Record linked automatically19ea8c73f7
    matching_agent, CLM-429698, identity id MBR-008629, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-138961
  • 2026-10-19 19:52:09Record linked automatically660d9c3f67
    scoring_agent, CLM-429699, identity id MBR-008629, confidence 0.93, method probabilistic, matched record ENR-138961, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyfb0ed9eb92
    matching_agent, CLM-429700, identity id MBR-008629, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138961
  • 2026-10-19 19:52:09Record linked automaticallycece2e74d6
    matching_agent, ENR-138961, identity id MBR-008629, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429700
  • 2026-10-19 19:52:09Record linked automatically250d76ae98
    matching_agent, CLM-429698, identity id MBR-008629, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-138961
  • 2026-10-19 19:45:42Record linked automatically8eb7f06c91
    scoring_agent, CLM-429699, identity id MBR-008629, confidence 0.93, method probabilistic, matched record ENR-138961, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0c31e43062
    matching_agent, CLM-429700, identity id MBR-008629, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138961
  • 2026-10-19 19:45:42Record linked automatically222408bd30
    matching_agent, ENR-138961, identity id MBR-008629, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429700
  • 2026-10-19 19:45:42Record linked automatically8862a368cd
    matching_agent, CLM-429698, identity id MBR-008629, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-138961
  • 2026-10-19 19:32:31Record linked automatically33cdd49d2d
    scoring_agent, CLM-429699, identity id MBR-008629, confidence 0.93, method probabilistic, matched record ENR-138961, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyadc2caa8ab
    matching_agent, CLM-429700, identity id MBR-008629, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138961
  • 2026-10-19 19:32:31Record linked automatically09982be9ef
    matching_agent, ENR-138961, identity id MBR-008629, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429700
  • 2026-10-19 19:32:31Record linked automaticallyaedd972010
    matching_agent, CLM-429698, identity id MBR-008629, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-138961
  • 2026-10-19 19:31:28Record linked automaticallyedcaa2774e
    matching_agent, CLM-429699, identity id MBR-030510, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-139235
  • 2026-10-19 19:31:28Record linked automaticallyb9ce40d1c3
    scoring_agent, CLM-429698, identity id MBR-030510, confidence 0.99, method probabilistic, matched record ENR-139236, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf739fee2b5
    matching_agent, CLM-429700, identity id MBR-030510, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139235
  • 2026-10-19 19:31:28Record linked automatically78f6b5003d
    scoring_agent, ENR-138961, identity id MBR-010427, confidence 1, method probabilistic, matched record TPA-62944, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0266892026-09-02Northgate Cardiovascular Associates
in network
93015$595.00$0.00ApprovedApproved
CLM-2026-0288822026-08-05Harbor Imaging Center
in network
77067, 71046, 74177$1,827.00$446.21ApprovedApproved
CLM-2026-0032022026-01-16Canyon Reference Lab
out of network
80061, 87086, 83036$174.00$0.00ApprovedApproved