Identities/MBR-009177
Gold, golden identity

Danielle A Peterson

5 source records from 3 feeds.

MBR-009177Verified5 records

Golden record

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

First nameENR
Danielle
Middle nameENR
A
Last nameENR
Peterson
Date of birthENR
1989-06-24
GenderENR
F
Member IDENR
UHC-96439-17
SSNENR
•••-••-2011
PhoneENR
4604764356
EmailENR
danielle.peterson18@outlook.com
AddressCLM
863 Camelback Rd
CityCLM
Nashville
StateCLM
TN
ZIPCLM
37229
GroupENR
GRP-1431
PlanENR
OPTIONS-PPO
Min confidence
0.97
Sources
CLM ×3ENR ×1TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.970.990.991.00CLMCLM-413205CLMCLM-413206CLMCLM-413204ENRENR-117339TPATPA-55810IDMBR-009177
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-413205CLM2026-01-31Danielle Petersonflagged1989-06-24UHC-96439-17—863 Camelback Rd, Nashville, TNScored1.00—
CLM-413206CLM2026-02-15Daneille Petersonflagged1989-06-24—46047643565530 Harbor Blvd, San Antonio, TXRule0.97D2 ssn4 + dob + last name
CLM-413204CLM2026-04-24Danielle Petersonflagged1989-06-24UHC-96439-1746047643565530 Harbor Blvd, San Antonio, TXRule0.99D1 member id + dob exact
ENR-117339ENR2026-09-19Danielle Petersonflagged1989-06-24UHC-96439-1746047643565530 Harbor Blvd, San Antonio, TXRule0.99D1 member id + dob exact
TPA-55810TPA2026-10-05Danielle Petersonflagged1989-06-24——863 Camelback Rd, Nashville, TNScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-413205CLMTPA-55810TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413205CLMCLM-413204 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413205CLMENR-117339ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Email1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413204 CLMENR-117339ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-413206CLMCLM-413204 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-413206CLMENR-117339ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-413205CLMCLM-413206CLM0.79Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Email1.001.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413204 CLMTPA-55810TPA0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none
▶ENR-117339ENRTPA-55810TPA0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none
▶CLM-413206CLMTPA-55810TPA0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Danielle Peterson: 2 plan codes across sources → canonical OPTIONS-PPO
    ACT-000424, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-413206 → UHC-96439-17 (Danielle Peterson)
    ACT-007668, Claims processor
  • Outreach address correctedProposed
    Danielle Peterson: 5530 Harbor Blvd, San Antonio → 863 Camelback Rd, Nashville
    ACT-011324, Outreach
  • Care coordination outreachProposed
    Danielle Peterson: 3 claims, no attributed provider
    ACT-018487, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyeaa8809f13
    scoring_agent, TPA-55810, identity id MBR-009177, confidence 1, method probabilistic, matched record CLM-413205, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyca8a31a803
    matching_agent, ENR-117339, identity id MBR-009177, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413205
  • 2026-10-19 19:54:38Record linked automatically8ab58d9d45
    matching_agent, CLM-413204, identity id MBR-009177, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413205
  • 2026-10-19 19:54:38Record linked automaticallybb8a32a675
    matching_agent, CLM-413206, identity id MBR-009177, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413204
  • 2026-10-19 19:54:38Record linked automaticallybece3c23d4
    scoring_agent, CLM-413205, identity id MBR-009177, confidence 1, method probabilistic, matched record TPA-55810, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7422ef3d35
    scoring_agent, TPA-55810, identity id MBR-009177, confidence 1, method probabilistic, matched record CLM-413205, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6db4907f4a
    matching_agent, ENR-117339, identity id MBR-009177, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413205
  • 2026-10-19 19:52:09Record linked automaticallyd1e50212f0
    matching_agent, CLM-413204, identity id MBR-009177, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413205
  • 2026-10-19 19:52:09Record linked automatically8c88d96b8a
    matching_agent, CLM-413206, identity id MBR-009177, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413204
  • 2026-10-19 19:52:09Record linked automaticallya9df49e42f
    scoring_agent, CLM-413205, identity id MBR-009177, confidence 1, method probabilistic, matched record TPA-55810, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6e341ba770
    scoring_agent, TPA-55810, identity id MBR-009177, confidence 1, method probabilistic, matched record CLM-413205, policy version 1
  • 2026-10-19 19:45:42Record linked automatically45b9a15633
    matching_agent, ENR-117339, identity id MBR-009177, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413205
  • 2026-10-19 19:45:42Record linked automatically35d67b4731
    matching_agent, CLM-413204, identity id MBR-009177, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413205
  • 2026-10-19 19:45:42Record linked automatically4e4ec42333
    matching_agent, CLM-413206, identity id MBR-009177, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413204
  • 2026-10-19 19:45:42Record linked automatically27c082080d
    scoring_agent, CLM-413205, identity id MBR-009177, confidence 1, method probabilistic, matched record TPA-55810, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya7cbf8b549
    scoring_agent, TPA-55810, identity id MBR-009177, confidence 1, method probabilistic, matched record CLM-413205, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya4e52f2b56
    matching_agent, ENR-117339, identity id MBR-009177, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413205
  • 2026-10-19 19:32:31Record linked automaticallyb34512d0df
    matching_agent, CLM-413204, identity id MBR-009177, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413205
  • 2026-10-19 19:32:31Record linked automaticallyc863fa775e
    matching_agent, CLM-413206, identity id MBR-009177, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413204
  • 2026-10-19 19:32:31Record linked automatically7efbc18612
    scoring_agent, CLM-413205, identity id MBR-009177, confidence 1, method probabilistic, matched record TPA-55810, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7fe084129e
    matching_agent, ENR-117339, identity id MBR-034346, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413124
  • 2026-10-19 19:31:28Record linked automaticallybf0337acb3
    matching_agent, CLM-413206, identity id MBR-033387, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117449
  • 2026-10-19 19:31:28Record linked automatically1dab88dbf7
    scoring_agent, TPA-55810, identity id MBR-019454, confidence 0.99, method probabilistic, matched record PRV-23917, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0153922026-04-15Meadow Family Practice
in network
99203, 36415$273.00$139.26ApprovedApproved
CLM-2026-0240122026-01-01Meadow Physical Therapy
out of network
97110, 97014$334.00—DeniedDenied
CLM-2026-0132302026-01-04Lakeside Internal Medicine Associates
in network
70553$1,950.00—Needs reviewNeeds review