Identities/MBR-010204
Gold, golden identity

Priya V West

5 source records from 3 feeds.

MBR-010204Verified5 records

Golden record

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

First namePRV
Priya
Middle namePRV
V
Last namePRV
West
Date of birthPRV
2006-07-03
GenderPRV
M
Member IDCLM
UHC-15513-78
SSNCLM
•••-••-5706
PhonePRV
2154121453
EmailPRV
priya.west@proton.me
AddressPRV
7070 Oak St
CityPRV
Charlotte
StatePRV
NC
ZIP—
—
GroupCLM
GRP-7803
PlanCLM
SELECT-EPO
Min confidence
0.99
Sources
CLM ×3TPA ×1PRV ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.000.99CLMCLM-403215TPATPA-51387CLMCLM-403217PRVPRV-20916CLMCLM-403216IDMBR-010204
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-403215CLM2026-02-03Priya Westflagged2006-07-03UHC-15513-7821541214537070 Oak St, Charlotte, NCScored1.00—
TPA-51387TPA2026-04-30Priya Westflagged——21541214537070 Oak St, Charlotte, NCScored1.00—
CLM-403217CLM2026-05-22Priya Westflagged2006-07-03——7070 Oak St, Charlotte, NCScored1.00—
PRV-20916PRV2026-06-19Priya Westflagged2006-07-03—21541214537070 Oak St, Charlotte, NCScored1.00—
CLM-403216CLM2026-08-31Priya Westflagged2006-07-03UHC-15513-78—7070 Oak St, Charlotte, NCRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-403215CLMCLM-403217CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-403215CLMPRV-20916PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-403217CLMPRV-20916PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-51387TPAPRV-20916PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-403215CLMTPA-51387TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-403215CLMCLM-403216CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-403217CLMCLM-403216CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-20916PRVCLM-403216CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-51387TPACLM-403217CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-403217 → UHC-15513-78 (Priya West)
    ACT-008618, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically0d6ec08fa2
    matching_agent, CLM-403216, identity id MBR-010204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403215
  • 2026-10-19 19:54:38Record linked automaticallyff4965d85c
    scoring_agent, PRV-20916, identity id MBR-010204, confidence 1, method probabilistic, matched record CLM-403215, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallydc93aa9e66
    scoring_agent, CLM-403217, identity id MBR-010204, confidence 1, method probabilistic, matched record CLM-403215, policy version 1
  • 2026-10-19 19:54:38Record linked automatically2d868a50c2
    scoring_agent, TPA-51387, identity id MBR-010204, confidence 1, method probabilistic, matched record CLM-403215, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5dc6bcc51a
    scoring_agent, CLM-403215, identity id MBR-010204, confidence 1, method probabilistic, matched record CLM-403217, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd593b22a12
    matching_agent, CLM-403216, identity id MBR-010204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403215
  • 2026-10-19 19:52:09Record linked automaticallydbcf5f0bf7
    scoring_agent, PRV-20916, identity id MBR-010204, confidence 1, method probabilistic, matched record CLM-403215, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5c09d8d434
    scoring_agent, CLM-403217, identity id MBR-010204, confidence 1, method probabilistic, matched record CLM-403215, policy version 1
  • 2026-10-19 19:52:09Record linked automatically55d48a3a49
    scoring_agent, TPA-51387, identity id MBR-010204, confidence 1, method probabilistic, matched record CLM-403215, policy version 1
  • 2026-10-19 19:52:09Record linked automatically38d53e1e7a
    scoring_agent, CLM-403215, identity id MBR-010204, confidence 1, method probabilistic, matched record CLM-403217, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5792c9f7ac
    matching_agent, CLM-403216, identity id MBR-010204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403215
  • 2026-10-19 19:45:42Record linked automatically0b24f4f58f
    scoring_agent, PRV-20916, identity id MBR-010204, confidence 1, method probabilistic, matched record CLM-403215, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2783d34f62
    scoring_agent, CLM-403217, identity id MBR-010204, confidence 1, method probabilistic, matched record CLM-403215, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0993636c7f
    scoring_agent, TPA-51387, identity id MBR-010204, confidence 1, method probabilistic, matched record CLM-403215, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2a91f0db59
    scoring_agent, CLM-403215, identity id MBR-010204, confidence 1, method probabilistic, matched record CLM-403217, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd01410d494
    matching_agent, CLM-403216, identity id MBR-010204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403215
  • 2026-10-19 19:32:31Record linked automaticallyed7d892f14
    scoring_agent, PRV-20916, identity id MBR-010204, confidence 1, method probabilistic, matched record CLM-403215, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf98efe8b77
    scoring_agent, CLM-403217, identity id MBR-010204, confidence 1, method probabilistic, matched record CLM-403215, policy version 1
  • 2026-10-19 19:32:31Record linked automatically60a96a13da
    scoring_agent, TPA-51387, identity id MBR-010204, confidence 1, method probabilistic, matched record CLM-403215, policy version 1
  • 2026-10-19 19:32:31Record linked automatically590786fe1f
    scoring_agent, CLM-403215, identity id MBR-010204, confidence 1, method probabilistic, matched record CLM-403217, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallycfa0c7332c
    scoring_agent, CLM-403216, identity id MBR-016978, confidence 1, method probabilistic, matched record CLM-403217, policy version 1
  • 2026-10-19 19:31:28Record linked automatically779ab6aaed
    scoring_agent, CLM-403217, identity id MBR-016978, confidence 1, method probabilistic, matched record CLM-403216, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya73828bbda
    scoring_agent, CLM-403215, identity id MBR-015171, confidence 0.99, method probabilistic, matched record PRV-20979, policy version 1
  • 2026-10-19 19:31:28Record linked automatically29e448fe6c
    scoring_agent, PRV-20916, identity id MBR-007084, confidence 1, method probabilistic, matched record PRV-20917, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0076442026-08-04Sunrise Imaging Center
in network
74177$2,388.00$810.67ApprovedApproved
CLM-2026-0275752026-05-11Pinecrest Regional Medical Center
in network
96374, 71046, 99284$2,111.00$1,073.60ApprovedApproved
CLM-2026-0151262025-12-21Riverside Diagnostic Imaging
in network
76700, 77067, 74177$2,766.00—DeniedDenied