Identities/MBR-008807

Gold, golden identity

Joan Edwards

7 source records from 3 feeds.

MBR-008807Verified7 records

Golden record

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

First nameENR: Joan
Middle name—: —
Last nameENR: Edwards
Date of birthENR: 1956-07-06
GenderENR: F
Member IDENR: UHC-88614-34
SSNCLM: •••-••-9011
PhoneENR: 4917616897
Email—: —
AddressENR: 4205 Union St
CityENR: Dallas
StateENR: TX
ZIP—: —
GroupENR: GRP-2620
PlanENR: MEDICARE-ADV-B

Min confidence

0.98

Sources

TPA ×1CLM ×5ENR ×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
TPA-59724	TPA	2026-01-30	Joan Edwardsflagged	1956-07-06	—	—	4205 Union St, Dallas, TX	Scored	1.00	—
CLM-422141	CLM	2026-05-07	Joan Edwardsflagged	1956-07-06	UHC-88614-34	4917616897	—	Scored	1.00	—
CLM-422142	CLM	2026-05-13	Joan Edwardsflagged	1956-07-06	—	4917616897	4205 Union St, Dallas, TX	Scored	1.00	—
CLM-422143	CLM	2026-05-13	Joan Edwardsflagged	1956-07-06	—	4917616897	4205 Union St, Dallas, TX	Scored	1.00	—
CLM-422140	CLM	2026-06-29	Joan Edwardsflagged	1956-07-06	UHC-88614-34	4917616897	4205 Union St, Dallas, TX	Scored	1.00	—
ENR-129016	ENR	2026-07-30	Joan Edwardsflagged	1956-07-06	UHC-88614-34	4917616897	4205 Union St, Dallas, TX	Rule	0.99	D1 member id + dob exact
CLM-422144	CLM	2026-09-15	Joan Edwerdsflagged	1956-07-06	—	4917616897	—	Scored	0.98	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-59724TPACLM-422140CLM1.00Scoredweighted 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-422142CLMCLM-422140CLM1.00Scoredweighted 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-422143CLMCLM-422140CLM1.00Scoredweighted 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

▶TPA-59724TPACLM-422142CLM1.00Scoredweighted 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-422141CLMCLM-422142CLM1.00Scoredweighted 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-59724TPACLM-422143CLM1.00Scoredweighted 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-422141CLMCLM-422143CLM1.00Scoredweighted 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-422142CLMCLM-422143CLM1.00Scoredweighted 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-422141CLMCLM-422140CLM0.99RuleD1 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
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-422141CLMENR-129016 ENR0.99RuleD1 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
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-422140CLMENR-129016 ENR0.99RuleD1 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
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-422141CLMCLM-422144CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-422142CLMCLM-422144CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-422143CLMCLM-422144CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-422140CLMCLM-422144CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-129016 ENRCLM-422144CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-422142CLMENR-129016 ENR0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-422143CLMENR-129016 ENR0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-59724TPAENR-129016 ENR0.93Scoredweighted 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

▶TPA-59724TPACLM-422141CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶TPA-59724TPACLM-422144CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-422142 → UHC-88614-34 (Joan Edwards)
ACT-003511, Claims processor
Orphan claim re-pointedExecuted
CLM-422143 → UHC-88614-34 (Joan Edwards)
ACT-003772, Claims processor
Orphan claim re-pointedExecuted
CLM-422144 → UHC-88614-34 (Joan Edwards)
ACT-004751, Claims processor
Care coordination outreachProposed
Joan Edwards: 5 claims, no attributed provider
ACT-018466, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallycf9dad9ff5
scoring_agent, CLM-422144, identity id MBR-008807, confidence 0.98, method probabilistic, matched record CLM-422141, policy version 1
2026-10-19 19:54:38Record linked automaticallya3af63bc9a
matching_agent, ENR-129016, identity id MBR-008807, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422141
2026-10-19 19:54:38Record linked automatically7bb7c0ace1
scoring_agent, CLM-422140, identity id MBR-008807, confidence 1, method probabilistic, matched record TPA-59724, policy version 1
2026-10-19 19:54:38Record linked automatically6675758e42
scoring_agent, CLM-422143, identity id MBR-008807, confidence 1, method probabilistic, matched record TPA-59724, policy version 1
2026-10-19 19:54:38Record linked automaticallya2547465ba
scoring_agent, CLM-422142, identity id MBR-008807, confidence 1, method probabilistic, matched record TPA-59724, policy version 1
2026-10-19 19:54:38Record linked automatically494840e746
scoring_agent, CLM-422141, identity id MBR-008807, confidence 1, method probabilistic, matched record CLM-422142, policy version 1
2026-10-19 19:54:38Record linked automatically4745a751ff
scoring_agent, TPA-59724, identity id MBR-008807, confidence 1, method probabilistic, matched record CLM-422142, policy version 1
2026-10-19 19:52:09Record linked automatically4472f68914
scoring_agent, CLM-422144, identity id MBR-008807, confidence 0.98, method probabilistic, matched record CLM-422141, policy version 1
2026-10-19 19:52:09Record linked automatically023b384364
matching_agent, ENR-129016, identity id MBR-008807, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422141
2026-10-19 19:52:09Record linked automaticallycde52e8d2b
scoring_agent, CLM-422140, identity id MBR-008807, confidence 1, method probabilistic, matched record TPA-59724, policy version 1
2026-10-19 19:52:09Record linked automatically023e8eaada
scoring_agent, CLM-422143, identity id MBR-008807, confidence 1, method probabilistic, matched record TPA-59724, policy version 1
2026-10-19 19:52:09Record linked automatically7bfd80e412
scoring_agent, CLM-422142, identity id MBR-008807, confidence 1, method probabilistic, matched record TPA-59724, policy version 1
2026-10-19 19:52:09Record linked automaticallye7885447ed
scoring_agent, CLM-422141, identity id MBR-008807, confidence 1, method probabilistic, matched record CLM-422142, policy version 1
2026-10-19 19:52:09Record linked automaticallycf5745175c
scoring_agent, TPA-59724, identity id MBR-008807, confidence 1, method probabilistic, matched record CLM-422142, policy version 1
2026-10-19 19:45:42Record linked automatically45996fa140
scoring_agent, CLM-422144, identity id MBR-008807, confidence 0.98, method probabilistic, matched record CLM-422141, policy version 1
2026-10-19 19:45:42Record linked automaticallye0e022dd8a
matching_agent, ENR-129016, identity id MBR-008807, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422141
2026-10-19 19:45:42Record linked automatically33985f7cc8
scoring_agent, CLM-422140, identity id MBR-008807, confidence 1, method probabilistic, matched record TPA-59724, policy version 1
2026-10-19 19:45:42Record linked automaticallyd5ee1b2eaf
scoring_agent, CLM-422143, identity id MBR-008807, confidence 1, method probabilistic, matched record TPA-59724, policy version 1
2026-10-19 19:45:42Record linked automaticallyda1a3da803
scoring_agent, CLM-422142, identity id MBR-008807, confidence 1, method probabilistic, matched record TPA-59724, policy version 1
2026-10-19 19:45:42Record linked automatically075cc20f67
scoring_agent, CLM-422141, identity id MBR-008807, confidence 1, method probabilistic, matched record CLM-422142, policy version 1
2026-10-19 19:45:42Record linked automatically0c6185e2a8
scoring_agent, TPA-59724, identity id MBR-008807, confidence 1, method probabilistic, matched record CLM-422142, policy version 1
2026-10-19 19:32:31Record linked automatically2ee2a3cd27
scoring_agent, CLM-422144, identity id MBR-008807, confidence 0.98, method probabilistic, matched record CLM-422141, policy version 1
2026-10-19 19:32:31Record linked automatically65058a6dd0
matching_agent, ENR-129016, identity id MBR-008807, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422141
2026-10-19 19:32:31Record linked automatically04471e484c
scoring_agent, CLM-422140, identity id MBR-008807, confidence 1, method probabilistic, matched record TPA-59724, policy version 1
2026-10-19 19:32:31Record linked automatically0441d4d8a3
scoring_agent, CLM-422143, identity id MBR-008807, confidence 1, method probabilistic, matched record TPA-59724, policy version 1
2026-10-19 19:32:31Record linked automatically3c11c39709
scoring_agent, CLM-422142, identity id MBR-008807, confidence 1, method probabilistic, matched record TPA-59724, policy version 1
2026-10-19 19:32:31Record linked automatically6182d70408
scoring_agent, CLM-422141, identity id MBR-008807, confidence 1, method probabilistic, matched record CLM-422142, policy version 1
2026-10-19 19:32:31Record linked automaticallye1d5774947
scoring_agent, TPA-59724, identity id MBR-008807, confidence 1, method probabilistic, matched record CLM-422142, policy version 1
2026-10-19 19:31:28Record linked automatically9471ffe8bf
scoring_agent, CLM-422142, identity id MBR-017073, confidence 1, method probabilistic, matched record TPA-59706, policy version 1
2026-10-19 19:31:28Record linked automatically35c818129b
scoring_agent, TPA-59724, identity id MBR-015060, confidence 1, method probabilistic, matched record ENR-129167, policy version 1
2026-10-19 19:31:28Record linked automatically7697b87114
scoring_agent, CLM-422143, identity id MBR-009982, confidence 1, method probabilistic, matched record PRV-26510, policy version 1
2026-10-19 19:31:28Record linked automaticallyf6748c29df
scoring_agent, CLM-422144, identity id MBR-009982, confidence 1, method probabilistic, matched record PRV-26510, policy version 1
2026-10-19 19:31:28Record linked automaticallyaa10fca140
matching_agent, CLM-422141, identity id MBR-003837, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422140
2026-10-19 19:31:28Record linked automatically0fc2d6bac9
matching_agent, CLM-422140, identity id MBR-003837, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422141

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-2026-012959	2026-09-02	Harbor Medical Group out of network	99215, 99214, 93000	$651.00	—	Needs review	Needs review
CLM-2026-012958	2026-09-02	Harbor Medical Group out of network	99215, 99214, 93000	$651.00	$272.95	Approved	Approved
CLM-2026-020043	2025-12-27	Mesa Internal Medicine Associates in network	93000, 80053	$187.00	—	Denied	Denied
CLM-2026-009289	2026-03-29	Mesa Clinical Laboratories out of network	80061, 80053	$126.00	$0.00	Approved	Approved
CLM-2026-008233	2026-05-03	Lakeside Medical Group in network	99214, 90471	$333.00	$186.46	Approved	Approved
CLM-2026-009611	2026-04-10	Heritage Imaging Center in network	77067	$385.00	$0.00	Approved	Approved