Identities/MBR-009555
Gold, golden identity

Mary A Miller

4 source records from 2 feeds.

MBR-009555Verified4 records

Golden record

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

First nameCLM
Mary
Middle nameCLM
A
Last nameCLM
Miller
Date of birthCLM
1961-10-25
GenderCLM
M
Member IDCLM
UHC-64703-56
SSNCLM
•••-••-7510
PhoneCLM
4732937664
EmailCLM
mary.miller@outlook.com
AddressCLM
870 Market St Apt 21
CityCLM
Orlando
StateCLM
FL
ZIPCLM
32832
GroupCLM
GRP-5950
PlanCLM
CORE-HMO
Min confidence
1.00
Sources
TPA ×1CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.001.001.00TPATPA-52237CLMCLM-405107CLMCLM-405106CLMCLM-405105IDMBR-009555
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
TPA-52237TPA2026-02-01Mary Millerflagged1961-10-25—4732937664870 Market St, Orlando, FLScored1.00—
CLM-405107CLM2026-05-25Mary Millerflagged1961-10-25—4732937664870 Market St, Orlando, FLScored1.00—
CLM-405106CLM2026-05-30Mary Millerflagged1961-10-25UHC-64703-56—870 Market St, Orlando, FLScored1.00—
CLM-405105CLM2026-09-28Mary Millerflagged1961-10-25—4732937664870 Market St Apt 21, Orlando, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-405106CLMCLM-405105CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-52237TPACLM-405106CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-405107CLMCLM-405106CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-52237TPACLM-405105CLM0.97RuleD2 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
▶CLM-405107CLMCLM-405105CLM0.97RuleD2 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-52237TPACLM-405107CLM0.97RuleD2 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

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-405105 → UHC-64703-56 (Mary Miller)
    ACT-004519, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-405107 → UHC-64703-56 (Mary Miller)
    ACT-008061, Claims processor
  • Care coordination outreachProposed
    Mary Miller: 3 claims, no attributed provider
    ACT-018508, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically8ca6beaf1b
    scoring_agent, CLM-405105, identity id MBR-009555, confidence 1, method probabilistic, matched record CLM-405106, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallye25efe46f6
    scoring_agent, CLM-405106, identity id MBR-009555, confidence 1, method probabilistic, matched record TPA-52237, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyd0eb945fcf
    scoring_agent, CLM-405107, identity id MBR-009555, confidence 1, method probabilistic, matched record CLM-405106, policy version 1
  • 2026-10-22 12:43:54Record linked automatically49720e2ad1
    scoring_agent, TPA-52237, identity id MBR-009555, confidence 1, method probabilistic, matched record CLM-405106, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4e64779866
    scoring_agent, CLM-405105, identity id MBR-009555, confidence 1, method probabilistic, matched record CLM-405106, policy version 1
  • 2026-10-19 19:54:38Record linked automatically7f72cb8bfe
    scoring_agent, CLM-405106, identity id MBR-009555, confidence 1, method probabilistic, matched record TPA-52237, policy version 1
  • 2026-10-19 19:54:38Record linked automatically352492a3c6
    scoring_agent, CLM-405107, identity id MBR-009555, confidence 1, method probabilistic, matched record CLM-405106, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1897832928
    scoring_agent, TPA-52237, identity id MBR-009555, confidence 1, method probabilistic, matched record CLM-405106, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3f2d9f04ea
    scoring_agent, CLM-405105, identity id MBR-009555, confidence 1, method probabilistic, matched record CLM-405106, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8747fcbc0e
    scoring_agent, CLM-405106, identity id MBR-009555, confidence 1, method probabilistic, matched record TPA-52237, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc72876f13f
    scoring_agent, CLM-405107, identity id MBR-009555, confidence 1, method probabilistic, matched record CLM-405106, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1b902304f3
    scoring_agent, TPA-52237, identity id MBR-009555, confidence 1, method probabilistic, matched record CLM-405106, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1b48ce88dd
    scoring_agent, CLM-405105, identity id MBR-009555, confidence 1, method probabilistic, matched record CLM-405106, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyfa28f40f50
    scoring_agent, CLM-405106, identity id MBR-009555, confidence 1, method probabilistic, matched record TPA-52237, policy version 1
  • 2026-10-19 19:45:42Record linked automatically186173e9af
    scoring_agent, CLM-405107, identity id MBR-009555, confidence 1, method probabilistic, matched record CLM-405106, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9b8b27e4ab
    scoring_agent, TPA-52237, identity id MBR-009555, confidence 1, method probabilistic, matched record CLM-405106, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2f8b3e93de
    scoring_agent, CLM-405105, identity id MBR-009555, confidence 1, method probabilistic, matched record CLM-405106, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5f71a0890b
    scoring_agent, CLM-405106, identity id MBR-009555, confidence 1, method probabilistic, matched record TPA-52237, policy version 1
  • 2026-10-19 19:32:31Record linked automatically09e30804d7
    scoring_agent, CLM-405107, identity id MBR-009555, confidence 1, method probabilistic, matched record CLM-405106, policy version 1
  • 2026-10-19 19:32:31Record linked automatically65d4dc854d
    scoring_agent, TPA-52237, identity id MBR-009555, confidence 1, method probabilistic, matched record CLM-405106, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf14a9d4576
    matching_agent, CLM-405106, identity id MBR-027965, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-106690
  • 2026-10-19 19:31:28Record linked automatically938dbcc691
    scoring_agent, TPA-52237, identity id MBR-022118, confidence 0.98, method probabilistic, matched record ENR-106551, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6aab278003
    matching_agent, CLM-405105, identity id MBR-020346, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106687
  • 2026-10-19 19:31:28Record linked automatically301c194f4c
    scoring_agent, CLM-405107, identity id MBR-016623, confidence 0.99, method probabilistic, matched record TPA-52290, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0120912026-08-29Heritage Primary Care Associates
in network
99203$213.00$102.06ApprovedApproved
CLM-2026-0027912026-04-20Sunrise Clinical Laboratories
in network
85025, 83036$99.00$0.00ApprovedApproved
CLM-2026-0254452026-05-07Meadow Imaging Center
in network
76700, 77067$821.00$0.00ApprovedApproved