Identities/MBR-010299

Gold, golden identity

Margaret L Stone

5 source records from 3 feeds.

MBR-010299Verified5 records

Golden record

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

First nameENR: Margaret
Middle nameENR: L
Last nameENR: Stone
Date of birthENR: 1979-11-12
GenderENR: F
Member IDENR: UHC-82032-35
SSNENR: •••-••-8197
PhoneENR: 5038517790
EmailCLM: margaret.stone@icloud.com
AddressENR: 5524 Pine Dr
CityENR: Plano
StateENR: TX
ZIPENR: 75014
GroupENR: GRP-8616
PlanENR: CORE-HMO

Min confidence

1.00

Sources

CLM ×3ENR ×1TPA ×1

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
CLM-409485	CLM	2026-02-04	Margaret Stoneflagged	1979-11-12	UHC-82032-35	—	5524 Pine Dr, Plano, TX	Scored	1.00	—
ENR-112485	ENR	2026-02-12	Margaret Stoneflagged	1979-11-12	UHC-82032-35	5038517790	5524 Pine Dr, Plano, TX	Scored	1.00	—
TPA-54115	TPA	2026-03-11	Margaret Stoneflagged	1979-11-12	—	5038517790	—	Scored	1.00	—
CLM-409486	CLM	2026-04-03	Margaret Stoneflagged	1979-11-12	—	5038517790	5524 Pine Dr, Plano, TX	Scored	1.00	—
CLM-409484	CLM	2026-04-11	Margaret Stoneflagged	1979-11-12	—	—	5524 Pine Dr, Plano, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-409485CLMCLM-409484CLM1.00Scoredweighted 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-54115TPACLM-409486CLM1.00Scoredweighted 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

▶ENR-112485ENRTPA-54115TPA1.00Scoredweighted 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

▶CLM-409485CLMENR-112485ENR0.99RuleD1 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-112485ENRCLM-409484CLM0.97RuleD2 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-409486CLMCLM-409484CLM0.97RuleD2 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

▶ENR-112485ENRCLM-409486CLM0.97RuleD2 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
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-409485CLMCLM-409486CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-54115TPACLM-409484CLM0.83Scoredweighted 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-409485CLMTPA-54115TPA0.83Scoredweighted 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-409486 → UHC-82032-35 (Margaret Stone)
ACT-005321, Claims processor
Orphan claim re-pointedExecuted
CLM-409484 → UHC-82032-35 (Margaret Stone)
ACT-005349, Claims processor
Care coordination outreachProposed
Margaret Stone: 3 claims, no attributed provider
ACT-018554, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically091b266aee
scoring_agent, CLM-409484, identity id MBR-010299, confidence 1, method probabilistic, matched record CLM-409485, policy version 1
2026-10-19 19:54:38Record linked automaticallya08448a2f7
scoring_agent, CLM-409486, identity id MBR-010299, confidence 1, method probabilistic, matched record TPA-54115, policy version 1
2026-10-19 19:54:38Record linked automaticallyffa04407b0
scoring_agent, TPA-54115, identity id MBR-010299, confidence 1, method probabilistic, matched record ENR-112485, policy version 1
2026-10-19 19:54:38Record linked automatically8821caa03a
scoring_agent, ENR-112485, identity id MBR-010299, confidence 1, method probabilistic, matched record TPA-54115, policy version 1
2026-10-19 19:54:38Record linked automaticallyeac089f4ca
scoring_agent, CLM-409485, identity id MBR-010299, confidence 1, method probabilistic, matched record CLM-409484, policy version 1
2026-10-19 19:52:09Record linked automaticallyd2c9b38888
scoring_agent, CLM-409484, identity id MBR-010299, confidence 1, method probabilistic, matched record CLM-409485, policy version 1
2026-10-19 19:52:09Record linked automatically2fddeca510
scoring_agent, CLM-409486, identity id MBR-010299, confidence 1, method probabilistic, matched record TPA-54115, policy version 1
2026-10-19 19:52:09Record linked automatically2866ba1080
scoring_agent, TPA-54115, identity id MBR-010299, confidence 1, method probabilistic, matched record ENR-112485, policy version 1
2026-10-19 19:52:09Record linked automaticallyb52c05dc62
scoring_agent, ENR-112485, identity id MBR-010299, confidence 1, method probabilistic, matched record TPA-54115, policy version 1
2026-10-19 19:52:09Record linked automatically54d78ef30f
scoring_agent, CLM-409485, identity id MBR-010299, confidence 1, method probabilistic, matched record CLM-409484, policy version 1
2026-10-19 19:45:42Record linked automatically94abcce804
scoring_agent, CLM-409484, identity id MBR-010299, confidence 1, method probabilistic, matched record CLM-409485, policy version 1
2026-10-19 19:45:42Record linked automatically0956e0fa64
scoring_agent, CLM-409486, identity id MBR-010299, confidence 1, method probabilistic, matched record TPA-54115, policy version 1
2026-10-19 19:45:42Record linked automaticallye78412b113
scoring_agent, TPA-54115, identity id MBR-010299, confidence 1, method probabilistic, matched record ENR-112485, policy version 1
2026-10-19 19:45:42Record linked automatically5e48744ede
scoring_agent, ENR-112485, identity id MBR-010299, confidence 1, method probabilistic, matched record TPA-54115, policy version 1
2026-10-19 19:45:42Record linked automatically77820be70f
scoring_agent, CLM-409485, identity id MBR-010299, confidence 1, method probabilistic, matched record CLM-409484, policy version 1
2026-10-19 19:32:31Record linked automaticallyc0896bd17e
scoring_agent, CLM-409484, identity id MBR-010299, confidence 1, method probabilistic, matched record CLM-409485, policy version 1
2026-10-19 19:32:31Record linked automatically1cca217310
scoring_agent, CLM-409486, identity id MBR-010299, confidence 1, method probabilistic, matched record TPA-54115, policy version 1
2026-10-19 19:32:31Record linked automatically98db633fe3
scoring_agent, TPA-54115, identity id MBR-010299, confidence 1, method probabilistic, matched record ENR-112485, policy version 1
2026-10-19 19:32:31Record linked automatically41c6f87de2
scoring_agent, ENR-112485, identity id MBR-010299, confidence 1, method probabilistic, matched record TPA-54115, policy version 1
2026-10-19 19:32:31Record linked automatically10c470e41d
scoring_agent, CLM-409485, identity id MBR-010299, confidence 1, method probabilistic, matched record CLM-409484, policy version 1
2026-10-19 19:31:28Record linked automatically90d12b88a4
scoring_agent, CLM-409484, identity id MBR-029689, confidence 1, method probabilistic, matched record ENR-112503, policy version 1
2026-10-19 19:31:28Record linked automaticallye834da6e06
matching_agent, CLM-409486, identity id MBR-025315, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112505
2026-10-19 19:31:28Record linked automatically92eacff7e9
matching_agent, TPA-54115, identity id MBR-015725, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-112173
2026-10-19 19:31:28Record linked automatically5c93d40ec0
matching_agent, CLM-409485, identity id MBR-002540, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112504
2026-10-19 19:31:28Record linked automatically05362fbfad
scoring_agent, ENR-112485, identity id MBR-001623, confidence 1, method probabilistic, matched record CLM-409467, policy version 1

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-2026-015203	2026-02-26	Mesa Reference Lab in network	83036, 87086	$108.00	$0.00	Approved	Approved
CLM-2026-015099	2026-03-25	Sunrise Internal Medicine Associates in network	93000, 80053	$148.00	$71.76	Approved	Approved
CLM-2026-009247	2026-01-07	Valley Primary Care Associates in network	99213	$191.00	$98.42	Approved	Approved