Identities/MBR-010218

Gold, golden identity

Janice Q Robertson

5 source records from 4 feeds.

MBR-010218Verified5 records

Golden record

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

First nameENR: Janice
Middle nameENR: Q
Last nameENR: Robertson
Date of birthENR: 2007-08-28
GenderENR: F
Member IDENR: UHC-69570-52
SSNENR: •••-••-8038
PhoneENR: 5358439513
Email—: —
AddressENR: 8290 Broadway
CityENR: Charlotte
StateENR: NC
ZIP—: —
GroupENR: GRP-7806
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.99

Sources

CLM ×2TPA ×1PRV ×1ENR ×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-405172	CLM	2026-02-04	Janice Robertsonflagged	2007-08-28	UHC-69570-52	5358439513	—	Scored	1.00	—
TPA-52267	TPA	2026-03-22	Janice Robertsonflagged	2007-08-28	—	—	8290 Broadway, Charlotte, NC	Scored	1.00	—
CLM-405171	CLM	2026-04-09	Janice Robertsonflagged	2007-08-28	UHC-69570-52	—	8290 Broadway, Charlotte, NC	Scored	1.00	—
PRV-21504	PRV	2026-07-09	Janice Robertsonflagged	2007-08-28	—	5358439513	8290 Broadway, Charlotte, NC	Scored	1.00	—
ENR-106781	ENR	2026-07-09	Janice Robertsonflagged	2007-08-28	UHC-69570-52	5358439513	8290 Broadway, Charlotte, NC	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶TPA-52267TPACLM-405171CLM1.00Scoredweighted 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

▶CLM-405172CLMPRV-21504PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-52267TPAPRV-21504PRV1.00Scoredweighted 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

▶CLM-405171CLMPRV-21504PRV1.00Scoredweighted 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

▶CLM-405172CLMCLM-405171CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-405172CLMENR-106781ENR0.99RuleD1 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
Phone	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-405171CLMENR-106781ENR0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-52267TPAENR-106781ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405172CLMTPA-52267TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-21504PRVENR-106781ENR0.94Scoredweighted 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

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically88bbbc25d3
matching_agent, ENR-106781, identity id MBR-010218, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405172
2026-10-22 12:43:54Record linked automaticallydce72af1ef
scoring_agent, PRV-21504, identity id MBR-010218, confidence 1, method probabilistic, matched record CLM-405172, policy version 1
2026-10-22 12:43:54Record linked automatically2be6634821
scoring_agent, CLM-405171, identity id MBR-010218, confidence 1, method probabilistic, matched record TPA-52267, policy version 1
2026-10-22 12:43:54Record linked automaticallyc3348c22de
scoring_agent, TPA-52267, identity id MBR-010218, confidence 1, method probabilistic, matched record CLM-405171, policy version 1
2026-10-22 12:43:54Record linked automaticallybf4ef239dc
scoring_agent, CLM-405172, identity id MBR-010218, confidence 1, method probabilistic, matched record PRV-21504, policy version 1
2026-10-19 19:54:38Record linked automatically66f37ffd43
matching_agent, ENR-106781, identity id MBR-010218, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405172
2026-10-19 19:54:38Record linked automaticallya21c51c95b
scoring_agent, PRV-21504, identity id MBR-010218, confidence 1, method probabilistic, matched record CLM-405172, policy version 1
2026-10-19 19:54:38Record linked automatically423fd7a278
scoring_agent, CLM-405171, identity id MBR-010218, confidence 1, method probabilistic, matched record TPA-52267, policy version 1
2026-10-19 19:54:38Record linked automaticallydf5047028e
scoring_agent, TPA-52267, identity id MBR-010218, confidence 1, method probabilistic, matched record CLM-405171, policy version 1
2026-10-19 19:54:38Record linked automatically3dab84a622
scoring_agent, CLM-405172, identity id MBR-010218, confidence 1, method probabilistic, matched record PRV-21504, policy version 1
2026-10-19 19:52:09Record linked automaticallyb9c7cb51bf
matching_agent, ENR-106781, identity id MBR-010218, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405172
2026-10-19 19:52:09Record linked automatically8f835e3443
scoring_agent, PRV-21504, identity id MBR-010218, confidence 1, method probabilistic, matched record CLM-405172, policy version 1
2026-10-19 19:52:09Record linked automaticallya6a74ab4f7
scoring_agent, CLM-405171, identity id MBR-010218, confidence 1, method probabilistic, matched record TPA-52267, policy version 1
2026-10-19 19:52:09Record linked automatically0eaa868a9a
scoring_agent, TPA-52267, identity id MBR-010218, confidence 1, method probabilistic, matched record CLM-405171, policy version 1
2026-10-19 19:52:09Record linked automatically2efe236f48
scoring_agent, CLM-405172, identity id MBR-010218, confidence 1, method probabilistic, matched record PRV-21504, policy version 1
2026-10-19 19:45:42Record linked automaticallyed529519dd
matching_agent, ENR-106781, identity id MBR-010218, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405172
2026-10-19 19:45:42Record linked automatically72a2396fad
scoring_agent, PRV-21504, identity id MBR-010218, confidence 1, method probabilistic, matched record CLM-405172, policy version 1
2026-10-19 19:45:42Record linked automatically6bc6603e67
scoring_agent, CLM-405171, identity id MBR-010218, confidence 1, method probabilistic, matched record TPA-52267, policy version 1
2026-10-19 19:45:42Record linked automaticallyd91f00f348
scoring_agent, TPA-52267, identity id MBR-010218, confidence 1, method probabilistic, matched record CLM-405171, policy version 1
2026-10-19 19:45:42Record linked automatically3c9a328da2
scoring_agent, CLM-405172, identity id MBR-010218, confidence 1, method probabilistic, matched record PRV-21504, policy version 1
2026-10-19 19:32:31Record linked automaticallye8ecb339a7
matching_agent, ENR-106781, identity id MBR-010218, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405172
2026-10-19 19:32:31Record linked automatically0e619052c1
scoring_agent, PRV-21504, identity id MBR-010218, confidence 1, method probabilistic, matched record CLM-405172, policy version 1
2026-10-19 19:32:31Record linked automatically3d2b21f73a
scoring_agent, CLM-405171, identity id MBR-010218, confidence 1, method probabilistic, matched record TPA-52267, policy version 1
2026-10-19 19:32:31Record linked automatically138211c120
scoring_agent, TPA-52267, identity id MBR-010218, confidence 1, method probabilistic, matched record CLM-405171, policy version 1
2026-10-19 19:32:31Record linked automaticallyddab737c19
scoring_agent, CLM-405172, identity id MBR-010218, confidence 1, method probabilistic, matched record PRV-21504, policy version 1
2026-10-19 19:31:28Record linked automatically8fba62b486
matching_agent, ENR-106781, identity id MBR-034392, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21537
2026-10-19 19:31:28Record linked automaticallye0afab852f
matching_agent, CLM-405172, identity id MBR-028861, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106790
2026-10-19 19:31:28Record linked automatically77b6d42f5c
matching_agent, CLM-405171, identity id MBR-028861, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-405172
2026-10-19 19:31:28Record linked automatically94aa150ed0
scoring_agent, TPA-52267, identity id MBR-016219, confidence 1, method probabilistic, matched record CLM-405055, policy version 1
2026-10-19 19:31:28Record linked automaticallye38dceb7af
matching_agent, PRV-21504, identity id MBR-001163, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-106647

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-2026-027599	2026-03-16	Lakeside Reference Lab in network	80061, 80053, 87086	$136.00	$0.00	Approved	Approved
CLM-2026-018456	2026-01-01	Desert Regional Medical Center in network	99285	$2,067.00	$886.85	Approved	Approved