Identities/MBR-008830
Gold, golden identity

Heather F Duncan

4 source records from 2 feeds.

MBR-008830Verified4 records

Golden record

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

First nameCLM
Heather
Middle nameCLM
F
Last nameCLM
Duncan
Date of birthCLM
1946-05-05
GenderCLM
M
Member IDCLM
UHC-86333-10
SSNCLM
•••-••-6878
PhoneCLM
7939881837
EmailCLM
heather.duncan@proton.me
AddressCLM
7012 Central Ave
CityCLM
Mesa
StateCLM
AZ
ZIPCLM
85231
GroupCLM
GRP-8429
PlanTPA
NAVIGATE-HMO
Min confidence
0.93
Sources
CLM ×2TPA ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.931.00CLMCLM-421662TPATPA-59515TPATPA-59516CLMCLM-421661IDMBR-008830
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-421662CLM2026-01-30Heather Duncanflagged1946-05-05UHC-86333-1079398818377012 Central Ave, Mesa, AZScored1.00—
TPA-59515TPA2026-04-18Heather Duncanflagged1946-05-05—79398818377012 Central Ave, Mesa, AZScored1.00—
TPA-59516TPA2026-07-24Heather Duncanflagged1946-05-05——7012 Central Ave, Mesa, AZScored0.93—
CLM-421661CLM2026-09-28Heather Duncanflagged1946-05-05—79398818377012 Central Ave, Mesa, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-421662CLMCLM-421661CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-421662CLMTPA-59515 TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-59515 TPACLM-421661CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-59516TPACLM-421661CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-421662CLMTPA-59516TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-59515 TPATPA-59516TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-421661 → UHC-86333-10 (Heather Duncan)
    ACT-005221, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically1de35a9870
    scoring_agent, CLM-421661, identity id MBR-008830, confidence 1, method probabilistic, matched record CLM-421662, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc6bb53164d
    scoring_agent, TPA-59516, identity id MBR-008830, confidence 0.93, method probabilistic, matched record CLM-421662, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8628fd2dbc
    scoring_agent, TPA-59515, identity id MBR-008830, confidence 1, method probabilistic, matched record CLM-421662, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye05765b58a
    scoring_agent, CLM-421662, identity id MBR-008830, confidence 1, method probabilistic, matched record TPA-59515, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2aeca4d5c8
    scoring_agent, CLM-421661, identity id MBR-008830, confidence 1, method probabilistic, matched record CLM-421662, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb73ce89d1d
    scoring_agent, TPA-59516, identity id MBR-008830, confidence 0.93, method probabilistic, matched record CLM-421662, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0a2b45bb28
    scoring_agent, TPA-59515, identity id MBR-008830, confidence 1, method probabilistic, matched record CLM-421662, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9dffa41ede
    scoring_agent, CLM-421662, identity id MBR-008830, confidence 1, method probabilistic, matched record TPA-59515, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyef53cfd775
    scoring_agent, CLM-421661, identity id MBR-008830, confidence 1, method probabilistic, matched record CLM-421662, policy version 1
  • 2026-10-19 19:45:42Record linked automatically461f8064df
    scoring_agent, TPA-59516, identity id MBR-008830, confidence 0.93, method probabilistic, matched record CLM-421662, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya09331ea09
    scoring_agent, TPA-59515, identity id MBR-008830, confidence 1, method probabilistic, matched record CLM-421662, policy version 1
  • 2026-10-19 19:45:42Record linked automatically32539b245c
    scoring_agent, CLM-421662, identity id MBR-008830, confidence 1, method probabilistic, matched record TPA-59515, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9bab5f8843
    scoring_agent, CLM-421661, identity id MBR-008830, confidence 1, method probabilistic, matched record CLM-421662, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0fb4e80137
    scoring_agent, TPA-59516, identity id MBR-008830, confidence 0.93, method probabilistic, matched record CLM-421662, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5beb9d21eb
    scoring_agent, TPA-59515, identity id MBR-008830, confidence 1, method probabilistic, matched record CLM-421662, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyaa14c1e0c6
    scoring_agent, CLM-421662, identity id MBR-008830, confidence 1, method probabilistic, matched record TPA-59515, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc9bce7e6cc
    scoring_agent, TPA-59516, identity id MBR-011166, confidence 1, method probabilistic, matched record CLM-421787, policy version 1
  • 2026-10-19 19:31:28Record linked automatically54283592ab
    scoring_agent, CLM-421662, identity id MBR-010271, confidence 1, method probabilistic, matched record TPA-59453, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0146982026-08-19Evergreen Family Practice
in network
70553$2,519.00—Needs reviewNeeds review
CLM-2026-0316592026-01-15Evergreen Internal Medicine Associates
in network
93000$75.00$21.50ApprovedApproved