Identities/MBR-010634
Gold, golden identity

Donald Fowler

4 source records from 2 feeds.

MBR-010634Verified4 recordsOpen steward case

Golden record

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

First nameCLM
Donald
Middle name—
—
Last nameENR
Fowler
Date of birthENR
2007-08-25
GenderCLM
M
Member IDENR
UHC-43583-77
SSNCLM
•••-••-2230
PhoneENR
9102848990
Email—
—
AddressENR
1038 Maple Ave
CityENR
Miami
StateENR
FL
ZIPENR
33197
GroupENR
GRP-8089
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
ENR ×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

0.990.990.990.99ENRENR-128471CLMCLM-421742CLMCLM-421743CLMCLM-421744IDMBR-010634
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
ENR-128471ENR2026-02-05Don Fowlerflagged2007-08-25UHC-43583-7791028489901038 Maple Ave, Miami, FLScored0.99—
CLM-421742CLM2026-03-30Donald Fwlerflagged2007-08-25—91028489901038 Maple Ave, Miami, FLScored0.99—
CLM-421743CLM2026-04-22Donald Fowlerflagged2007-08-25UHC-43583-77——Rule0.99D1 member id + dob exact
CLM-421744CLM2026-07-07Donald Fowlerflagged2007-08-25UHC-43583-779102848990—Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-128471ENRCLM-421742 CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973nickname
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-128471ENRCLM-421743CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-128471ENRCLM-421744CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-421743CLMCLM-421744CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-421742 CLMCLM-421744CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-421742 CLMCLM-421743CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-421742 → UHC-43583-77 (Donald Fowler)
    ACT-010126, Claims processor
  • Care coordination outreachProposed
    Donald Fowler: 3 claims, no attributed provider
    ACT-018572, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyd76eb0f445
    matching_agent, CLM-421744, identity id MBR-010634, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128471
  • 2026-10-22 12:43:54Record linked automaticallyeaa4b75d42
    matching_agent, CLM-421743, identity id MBR-010634, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128471
  • 2026-10-22 12:43:54Record linked automatically55e879c223
    scoring_agent, CLM-421742, identity id MBR-010634, confidence 0.99, method probabilistic, matched record ENR-128471, policy version 1
  • 2026-10-22 12:43:54Record linked automatically7158bab14b
    scoring_agent, ENR-128471, identity id MBR-010634, confidence 0.99, method probabilistic, matched record CLM-421742, policy version 1
  • 2026-10-19 19:54:38Record linked automatically892332c0b7
    matching_agent, CLM-421744, identity id MBR-010634, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128471
  • 2026-10-19 19:54:38Record linked automatically18c61eb7f3
    matching_agent, CLM-421743, identity id MBR-010634, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128471
  • 2026-10-19 19:54:38Record linked automatically38ccff6335
    scoring_agent, CLM-421742, identity id MBR-010634, confidence 0.99, method probabilistic, matched record ENR-128471, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye880718f12
    scoring_agent, ENR-128471, identity id MBR-010634, confidence 0.99, method probabilistic, matched record CLM-421742, policy version 1
  • 2026-10-19 19:52:09Record linked automatically49d1754c1c
    matching_agent, CLM-421744, identity id MBR-010634, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128471
  • 2026-10-19 19:52:09Record linked automatically435836e3b8
    matching_agent, CLM-421743, identity id MBR-010634, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128471
  • 2026-10-19 19:52:09Record linked automatically299ea9abf4
    scoring_agent, CLM-421742, identity id MBR-010634, confidence 0.99, method probabilistic, matched record ENR-128471, policy version 1
  • 2026-10-19 19:52:09Record linked automatically39f1bad552
    scoring_agent, ENR-128471, identity id MBR-010634, confidence 0.99, method probabilistic, matched record CLM-421742, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd3e966499e
    matching_agent, CLM-421744, identity id MBR-010634, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128471
  • 2026-10-19 19:45:42Record linked automatically170575340b
    matching_agent, CLM-421743, identity id MBR-010634, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128471
  • 2026-10-19 19:45:42Record linked automaticallye4f447d47c
    scoring_agent, CLM-421742, identity id MBR-010634, confidence 0.99, method probabilistic, matched record ENR-128471, policy version 1
  • 2026-10-19 19:45:42Record linked automatically430f164498
    scoring_agent, ENR-128471, identity id MBR-010634, confidence 0.99, method probabilistic, matched record CLM-421742, policy version 1
  • 2026-10-19 19:32:31Record linked automatically86a1548c9c
    matching_agent, CLM-421744, identity id MBR-010634, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128471
  • 2026-10-19 19:32:31Record linked automatically2730531e5a
    matching_agent, CLM-421743, identity id MBR-010634, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128471
  • 2026-10-19 19:32:31Record linked automaticallyd020346d02
    scoring_agent, CLM-421742, identity id MBR-010634, confidence 0.99, method probabilistic, matched record ENR-128471, policy version 1
  • 2026-10-19 19:32:31Record linked automatically815255a830
    scoring_agent, ENR-128471, identity id MBR-010634, confidence 0.99, method probabilistic, matched record CLM-421742, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyddc6e7fd4c
    scoring_agent, CLM-421744, identity id MBR-023873, confidence 1, method probabilistic, matched record ENR-128571, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb5a0da488d
    matching_agent, CLM-421743, identity id MBR-006364, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421742
  • 2026-10-19 19:31:28Record linked automatically80903cfb42
    matching_agent, CLM-421742, identity id MBR-006364, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421743

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0315812026-06-05Desert Diabetes Center
in network
99214$291.00$140.42ApprovedApproved
CLM-2026-0297022026-04-13Heritage Primary Care Associates
in network
36415$25.00—DeniedDenied
CLM-2026-0297012026-04-13Heritage Primary Care Associates
in network
36415$25.00$0.00ApprovedApproved
CLM-2026-0334312026-03-27Cornerstone Internal Medicine Associates
in network
99214$310.00$162.20ApprovedApproved