Identities/MBR-009332

Gold, golden identity

Denise Dunn

5 source records from 3 feeds.

MBR-009332Verified5 recordsOpen steward case

Golden record

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

First namePRV: Denise
Middle name—: —
Last namePRV: Dunn
Date of birthPRV: 1954-05-11
GenderPRV: F
Member IDPRV: UHC-66614-26
SSNCLM: •••-••-4301
PhonePRV: 3797197048
EmailPRV: denise.dunn@gmail.com
AddressCLM: 5263 Sunset Blvd
CityPRV: Tempe
StatePRV: AZ
ZIPCLM: 85239
GroupCLM: GRP-4923
PlanCLM: CHOICE-PLUS-PPO

Min confidence

0.94

Sources

TPA ×1PRV ×1CLM ×3

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-52431	TPA	2026-02-01	Denise Dunnflagged	1945-05-11	—	3797197048	5263 Sunset Blvd, Tempe, AZ	Scored	1.00	—
PRV-21599	PRV	2026-02-24	Denise Dunnflagged	1954-05-11	UHC-66614-26	3797197048	5263 Sunset Blvd # 365, Tempe, AZ	Scored	0.94	—
CLM-405528	CLM	2026-05-05	Denise Dunnflagged	1954-05-11	—	3797197048	5263 Sunset Blvd, Tempe, AZ	Scored	1.00	—
CLM-405530	CLM	2026-07-02	Denise Dunnflagged	—	—	3797197048	5263 Sunset Blvd, Tempe, AZ	Scored	1.00	—
CLM-405529	CLM	2026-07-02	Denise Dunnflagged	—	—	3797197048	5263 Sunset Blvd, Tempe, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-52431TPACLM-405529CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405528CLMCLM-405529CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405530CLMCLM-405529CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-52431TPACLM-405530CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405528CLMCLM-405530CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-21599PRVCLM-405528CLM0.94Scoredweighted 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

▶PRV-21599PRVCLM-405529CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-21599PRVCLM-405530CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-52431TPACLM-405528CLM0.90Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.60	3	transposition
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-52431TPAPRV-21599PRV0.81Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.60	3	transposition
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-405530 → UHC-66614-26 (Denise Dunn)
ACT-002787, Claims processor
Orphan claim re-pointedExecuted
CLM-405529 → UHC-66614-26 (Denise Dunn)
ACT-006553, Claims processor
Orphan claim re-pointedExecuted
CLM-405528 → UHC-66614-26 (Denise Dunn)
ACT-006850, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically7902048bf1
scoring_agent, CLM-405529, identity id MBR-009332, confidence 1, method probabilistic, matched record TPA-52431, policy version 1
2026-10-19 19:54:38Record linked automatically1906a2d753
scoring_agent, CLM-405530, identity id MBR-009332, confidence 1, method probabilistic, matched record TPA-52431, policy version 1
2026-10-19 19:54:38Record linked automatically41f2510812
scoring_agent, CLM-405528, identity id MBR-009332, confidence 1, method probabilistic, matched record CLM-405530, policy version 1
2026-10-19 19:54:38Record linked automaticallya6e971d88d
scoring_agent, PRV-21599, identity id MBR-009332, confidence 0.94, method probabilistic, matched record CLM-405528, policy version 1
2026-10-19 19:54:38Record linked automatically72d527d0fc
scoring_agent, TPA-52431, identity id MBR-009332, confidence 1, method probabilistic, matched record CLM-405530, policy version 1
2026-10-19 19:52:09Record linked automaticallyc709a1392b
scoring_agent, CLM-405529, identity id MBR-009332, confidence 1, method probabilistic, matched record TPA-52431, policy version 1
2026-10-19 19:52:09Record linked automatically8889fc0a9a
scoring_agent, CLM-405530, identity id MBR-009332, confidence 1, method probabilistic, matched record TPA-52431, policy version 1
2026-10-19 19:52:09Record linked automatically2af6d30815
scoring_agent, CLM-405528, identity id MBR-009332, confidence 1, method probabilistic, matched record CLM-405530, policy version 1
2026-10-19 19:52:09Record linked automatically4b5d1106fc
scoring_agent, PRV-21599, identity id MBR-009332, confidence 0.94, method probabilistic, matched record CLM-405528, policy version 1
2026-10-19 19:52:09Record linked automaticallydbd39bf430
scoring_agent, TPA-52431, identity id MBR-009332, confidence 1, method probabilistic, matched record CLM-405530, policy version 1
2026-10-19 19:45:42Record linked automaticallye5fdb334bb
scoring_agent, CLM-405529, identity id MBR-009332, confidence 1, method probabilistic, matched record TPA-52431, policy version 1
2026-10-19 19:45:42Record linked automaticallyd78a24364a
scoring_agent, CLM-405530, identity id MBR-009332, confidence 1, method probabilistic, matched record TPA-52431, policy version 1
2026-10-19 19:45:42Record linked automatically3b1934e4e5
scoring_agent, CLM-405528, identity id MBR-009332, confidence 1, method probabilistic, matched record CLM-405530, policy version 1
2026-10-19 19:45:42Record linked automaticallyfb24cf8e42
scoring_agent, PRV-21599, identity id MBR-009332, confidence 0.94, method probabilistic, matched record CLM-405528, policy version 1
2026-10-19 19:45:42Record linked automatically9dbde95279
scoring_agent, TPA-52431, identity id MBR-009332, confidence 1, method probabilistic, matched record CLM-405530, policy version 1
2026-10-19 19:32:31Record linked automatically56fcbe125f
scoring_agent, CLM-405529, identity id MBR-009332, confidence 1, method probabilistic, matched record TPA-52431, policy version 1
2026-10-19 19:32:31Record linked automatically2b12dfe183
scoring_agent, CLM-405530, identity id MBR-009332, confidence 1, method probabilistic, matched record TPA-52431, policy version 1
2026-10-19 19:32:31Record linked automatically9dc5b07282
scoring_agent, CLM-405528, identity id MBR-009332, confidence 1, method probabilistic, matched record CLM-405530, policy version 1
2026-10-19 19:32:31Record linked automatically9bf0eb4da5
scoring_agent, PRV-21599, identity id MBR-009332, confidence 0.94, method probabilistic, matched record CLM-405528, policy version 1
2026-10-19 19:32:31Record linked automatically80305f580d
scoring_agent, TPA-52431, identity id MBR-009332, confidence 1, method probabilistic, matched record CLM-405530, policy version 1
2026-10-19 19:31:28Record linked automaticallyb3a216d743
matching_agent, TPA-52431, identity id MBR-035888, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-107116
2026-10-19 19:31:28Record linked automaticallya85e5df4df
scoring_agent, PRV-21599, identity id MBR-017248, confidence 1, method probabilistic, matched record CLM-405349, policy version 1
2026-10-19 19:31:28Record linked automaticallye99fbc6fd8
matching_agent, CLM-405530, identity id MBR-015805, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107229
2026-10-19 19:31:28Record linked automatically19aaf557e7
matching_agent, CLM-405528, identity id MBR-004590, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107223

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-2026-019664	2026-06-27	Meadow Imaging Center in network	71046, 70553	$3,584.00	—	Needs review	Needs review
CLM-2026-005488	2026-06-18	Mesa GI Associates in network	45378, 88305	$2,458.00	$0.00	Approved	Approved
CLM-2026-020738	2026-03-30	Canyon Reference Lab out of network	80061, 85025	$118.00	$0.00	Approved	Approved