Identities/MBR-010163

Gold, golden identity

Camila Hart

5 source records from 3 feeds.

MBR-010163Verified5 records

Golden record

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

First nameENR: Camila
Middle name—: —
Last nameENR: Hart
Date of birthENR: 1953-08-18
GenderENR: F
Member IDENR: UHC-37443-96
SSNENR: •••-••-6371
PhoneENR: 2586135270
EmailENR: camila.hart20@outlook.com
AddressCLM: 4743 Camelback Rd
CityCLM: Fresno
StateCLM: CA
ZIPCLM: 93734
GroupENR: GRP-0938
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

CLM ×3ENR ×1TPA ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
CLM-420633	CLM	2026-02-03	Camila Hartflagged	1953-08-18	UHC-37443-96	—	4743 Camelback Rd, Fresno, CA	Scored	1.00	—
ENR-127146	ENR	2026-03-24	Camila Hartflagged	1953-08-18	UHC-37443-96	2586135270	4858 Canyon Rd, Plano, TX	Scored	1.00	—
TPA-59063	TPA	2026-05-06	Camila Hartflagged	1953-08-18	UHC-37443-96	—	4743 Camelback Rd, Fresno, CA	Scored	1.00	—
CLM-420634	CLM	2026-05-13	Camila Hartflagged	1953-08-18	—	2586135270	4743 Camelback Rd, Fresno, CA	Scored	1.00	—
CLM-420635	CLM	2026-05-17	Camila Hartflagged	1953-08-18	—	—	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-420633CLMCLM-420634CLM1.00Scoredweighted 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

▶TPA-59063TPACLM-420634CLM1.00Scoredweighted 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

▶ENR-127146ENRCLM-420635CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-420633CLMENR-127146ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420633CLMTPA-59063TPA0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-127146ENRTPA-59063TPA0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420633CLMCLM-420635CLM0.83Scoredweighted 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-59063TPACLM-420635CLM0.83Scoredweighted 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

▶CLM-420634CLMCLM-420635CLM0.83Scoredweighted 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

▶ENR-127146ENRCLM-420634CLM0.79Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-420634 → UHC-37443-96 (Camila Hart)
ACT-004315, Claims processor
Orphan claim re-pointedExecuted
CLM-420635 → UHC-37443-96 (Camila Hart)
ACT-008206, Claims processor
Outreach address correctedProposed
Camila Hart: 4858 Canyon Rd, Plano → 4743 Camelback Rd, Fresno
ACT-011420, Outreach
Care coordination outreachProposed
Camila Hart: 3 claims, no attributed provider
ACT-018547, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallye70724e84f
scoring_agent, CLM-420635, identity id MBR-010163, confidence 1, method probabilistic, matched record ENR-127146, policy version 1
2026-10-22 12:43:54Record linked automatically7ba4361ebf
scoring_agent, CLM-420634, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420633, policy version 1
2026-10-22 12:43:54Record linked automaticallye866d05fc3
scoring_agent, TPA-59063, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420634, policy version 1
2026-10-22 12:43:54Record linked automatically76c71950b9
scoring_agent, ENR-127146, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420635, policy version 1
2026-10-22 12:43:54Record linked automatically8ec9fbe9e8
scoring_agent, CLM-420633, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420634, policy version 1
2026-10-19 19:54:38Record linked automatically38ed0d62d0
scoring_agent, CLM-420635, identity id MBR-010163, confidence 1, method probabilistic, matched record ENR-127146, policy version 1
2026-10-19 19:54:38Record linked automatically941072ee5d
scoring_agent, CLM-420634, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420633, policy version 1
2026-10-19 19:54:38Record linked automatically25e9339d4a
scoring_agent, TPA-59063, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420634, policy version 1
2026-10-19 19:54:38Record linked automatically61a3fb845b
scoring_agent, ENR-127146, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420635, policy version 1
2026-10-19 19:54:38Record linked automaticallyab8b775d41
scoring_agent, CLM-420633, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420634, policy version 1
2026-10-19 19:52:09Record linked automaticallyf881bbe3b1
scoring_agent, CLM-420635, identity id MBR-010163, confidence 1, method probabilistic, matched record ENR-127146, policy version 1
2026-10-19 19:52:09Record linked automaticallye4223c8e5d
scoring_agent, CLM-420634, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420633, policy version 1
2026-10-19 19:52:09Record linked automaticallyc455f7a1e8
scoring_agent, TPA-59063, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420634, policy version 1
2026-10-19 19:52:09Record linked automatically417a075be5
scoring_agent, ENR-127146, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420635, policy version 1
2026-10-19 19:52:09Record linked automatically4ffe21ae33
scoring_agent, CLM-420633, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420634, policy version 1
2026-10-19 19:45:42Record linked automatically2fadc98688
scoring_agent, CLM-420635, identity id MBR-010163, confidence 1, method probabilistic, matched record ENR-127146, policy version 1
2026-10-19 19:45:42Record linked automatically13fe6d25e5
scoring_agent, CLM-420634, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420633, policy version 1
2026-10-19 19:45:42Record linked automatically5d5e43e9b0
scoring_agent, TPA-59063, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420634, policy version 1
2026-10-19 19:45:42Record linked automatically472853cd77
scoring_agent, ENR-127146, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420635, policy version 1
2026-10-19 19:45:42Record linked automaticallydd3f5c4fcb
scoring_agent, CLM-420633, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420634, policy version 1
2026-10-19 19:32:31Record linked automatically5186961702
scoring_agent, CLM-420635, identity id MBR-010163, confidence 1, method probabilistic, matched record ENR-127146, policy version 1
2026-10-19 19:32:31Record linked automatically33b1c8b81e
scoring_agent, CLM-420634, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420633, policy version 1
2026-10-19 19:32:31Record linked automatically1b18f600be
scoring_agent, TPA-59063, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420634, policy version 1
2026-10-19 19:32:31Record linked automatically42cef794ca
scoring_agent, ENR-127146, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420635, policy version 1
2026-10-19 19:32:31Record linked automaticallya1785a7876
scoring_agent, CLM-420633, identity id MBR-010163, confidence 1, method probabilistic, matched record CLM-420634, policy version 1
2026-10-19 19:31:28Record linked automatically21eeec55f5
matching_agent, CLM-420633, identity id MBR-016848, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420632
2026-10-19 19:31:28Record linked automatically984f61a79d
scoring_agent, CLM-420635, identity id MBR-007410, confidence 0.99, method probabilistic, matched record CLM-420636, policy version 1
2026-10-19 19:31:28Record linked automaticallyd6ae1c7497
matching_agent, TPA-59063, identity id MBR-005214, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127313

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-2026-026033	2026-05-01	Harbor Digestive Health Center in network	88305	$198.00	—	Needs review	Needs review
CLM-2026-011392	2026-04-01	Lakeside Internal Medicine Associates in network	99214, 99215	$638.00	$355.56	Approved	Approved
CLM-2026-021421	2026-01-06	Mesa Family Practice in network	99214, 90471	$259.00	$120.58	Approved	Approved