Identities/MBR-010781

Gold, golden identity

Victoria I Peterson

6 source records from 2 feeds.

MBR-010781Verified6 records

Golden record

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

First nameCLM: Victoria
Middle nameCLM: I
Last nameCLM: Peterson
Date of birthCLM: 2004-03-17
GenderCLM: F
Member IDCLM: UHC-99908-60
SSNCLM: •••-••-2120
PhoneCLM: 3673902205
Email—: —
AddressCLM: 3004 Valley View Dr
CityCLM: Dallas
StateCLM: TX
ZIPCLM: 75229
GroupCLM: GRP-0530
PlanTPA: NAVIGATE-HMO

Min confidence

0.97

Sources

CLM ×4TPA ×2

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-418098	CLM	2026-02-06	Victoria Petersonflagged	2004-03-17	UHC-99908-60	3673902205	5416 Sunset Blvd, Gilbert, AZ	Scored	1.00	—
CLM-418096	CLM	2026-04-03	Victoria Petersonflagged	2004-03-17	UHC-99908-60	3673902205	5416 Sunset Blvd, Gilbert, AZ	Scored	1.00	—
TPA-57994	TPA	2026-04-25	Victoria Petersonflagged	2004-03-17	—	—	3004 Valley View Dr, Dallas, TX	Scored	1.00	—
CLM-418097	CLM	2026-05-24	Victoria Petersonflagged	2004-03-17	UHC-99908-60	—	3004 Valley View Dr, Dallas, TX	Scored	1.00	—
CLM-418095	CLM	2026-08-15	Victoria Petersonflagged	2004-03-17	—	3673902205	—	Scored	1.00	—
TPA-57995	TPA	2026-08-23	Victoria Petersonflagged	2004-03-17	—	—	—	Rule	0.97	D2 ssn4 + dob + last name

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-418098CLMCLM-418095CLM1.00Scoredweighted 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-418096CLMCLM-418095CLM1.00Scoredweighted 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-57994TPACLM-418097 CLM1.00Scoredweighted 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-418098CLMCLM-418096CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-418098CLMCLM-418097 CLM0.99RuleD1 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	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-418096CLMCLM-418097 CLM0.99RuleD1 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	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-418098CLMTPA-57995TPA0.97RuleD2 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

▶TPA-57994TPACLM-418095CLM0.83Scoredweighted 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-418097 CLMCLM-418095CLM0.83Scoredweighted 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-418096CLMTPA-57995TPA0.83Scoredweighted 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-57994TPATPA-57995TPA0.83Scoredweighted 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-418097 CLMTPA-57995TPA0.83Scoredweighted 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-418095CLMTPA-57995TPA0.83Scoredweighted 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-418098CLMTPA-57994TPA0.75Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: none

▶CLM-418096CLMTPA-57994TPA0.75Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-418095 → UHC-99908-60 (Victoria Peterson)
ACT-007476, Claims processor
Care coordination outreachProposed
Victoria Peterson: 4 claims, no attributed provider
ACT-018579, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically86d6319421
matching_agent, TPA-57995, identity id MBR-010781, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418098
2026-10-19 19:54:38Record linked automatically69caccad5b
scoring_agent, CLM-418095, identity id MBR-010781, confidence 1, method probabilistic, matched record CLM-418098, policy version 1
2026-10-19 19:54:38Record linked automaticallya9d97f58df
scoring_agent, CLM-418097, identity id MBR-010781, confidence 1, method probabilistic, matched record TPA-57994, policy version 1
2026-10-19 19:54:38Record linked automatically60c100a4e4
scoring_agent, TPA-57994, identity id MBR-010781, confidence 1, method probabilistic, matched record CLM-418097, policy version 1
2026-10-19 19:54:38Record linked automaticallyb4f18696d4
scoring_agent, CLM-418096, identity id MBR-010781, confidence 1, method probabilistic, matched record CLM-418095, policy version 1
2026-10-19 19:54:38Record linked automaticallyea1d4451d9
scoring_agent, CLM-418098, identity id MBR-010781, confidence 1, method probabilistic, matched record CLM-418095, policy version 1
2026-10-19 19:52:09Record linked automatically96de52fcbf
matching_agent, TPA-57995, identity id MBR-010781, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418098
2026-10-19 19:52:09Record linked automatically49df9a434e
scoring_agent, CLM-418095, identity id MBR-010781, confidence 1, method probabilistic, matched record CLM-418098, policy version 1
2026-10-19 19:52:09Record linked automaticallycc370532d4
scoring_agent, CLM-418097, identity id MBR-010781, confidence 1, method probabilistic, matched record TPA-57994, policy version 1
2026-10-19 19:52:09Record linked automatically28ab8f5c49
scoring_agent, TPA-57994, identity id MBR-010781, confidence 1, method probabilistic, matched record CLM-418097, policy version 1
2026-10-19 19:52:09Record linked automaticallyd19f0984c0
scoring_agent, CLM-418096, identity id MBR-010781, confidence 1, method probabilistic, matched record CLM-418095, policy version 1
2026-10-19 19:52:09Record linked automatically0204f0e0d3
scoring_agent, CLM-418098, identity id MBR-010781, confidence 1, method probabilistic, matched record CLM-418095, policy version 1
2026-10-19 19:45:42Record linked automaticallybe785b1b58
matching_agent, TPA-57995, identity id MBR-010781, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418098
2026-10-19 19:45:42Record linked automaticallyd275b833d0
scoring_agent, CLM-418095, identity id MBR-010781, confidence 1, method probabilistic, matched record CLM-418098, policy version 1
2026-10-19 19:45:42Record linked automatically5e6e12b01c
scoring_agent, CLM-418097, identity id MBR-010781, confidence 1, method probabilistic, matched record TPA-57994, policy version 1
2026-10-19 19:45:42Record linked automatically4530a08e32
scoring_agent, TPA-57994, identity id MBR-010781, confidence 1, method probabilistic, matched record CLM-418097, policy version 1
2026-10-19 19:45:42Record linked automatically58cedfde78
scoring_agent, CLM-418096, identity id MBR-010781, confidence 1, method probabilistic, matched record CLM-418095, policy version 1
2026-10-19 19:45:42Record linked automatically32dfbd2225
scoring_agent, CLM-418098, identity id MBR-010781, confidence 1, method probabilistic, matched record CLM-418095, policy version 1
2026-10-19 19:32:31Record linked automatically252c58bd61
matching_agent, TPA-57995, identity id MBR-010781, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418098
2026-10-19 19:32:31Record linked automatically45295c8a17
scoring_agent, CLM-418095, identity id MBR-010781, confidence 1, method probabilistic, matched record CLM-418098, policy version 1
2026-10-19 19:32:31Record linked automatically00186b8fda
scoring_agent, CLM-418097, identity id MBR-010781, confidence 1, method probabilistic, matched record TPA-57994, policy version 1
2026-10-19 19:32:31Record linked automatically8c4cc7f066
scoring_agent, TPA-57994, identity id MBR-010781, confidence 1, method probabilistic, matched record CLM-418097, policy version 1
2026-10-19 19:32:31Record linked automatically73519dd406
scoring_agent, CLM-418096, identity id MBR-010781, confidence 1, method probabilistic, matched record CLM-418095, policy version 1
2026-10-19 19:32:31Record linked automatically76aedc5f8c
scoring_agent, CLM-418098, identity id MBR-010781, confidence 1, method probabilistic, matched record CLM-418095, policy version 1
2026-10-19 19:31:28Record linked automaticallycf43961128
matching_agent, CLM-418096, identity id MBR-026786, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418094
2026-10-19 19:31:28Record linked automatically670adf0e08
matching_agent, CLM-418095, identity id MBR-026786, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418094
2026-10-19 19:31:28Record linked automatically91408e03bf
matching_agent, CLM-418097, identity id MBR-025919, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-25281
2026-10-19 19:31:28Record linked automatically1579a1bece
matching_agent, TPA-57994, identity id MBR-012824, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418286
2026-10-19 19:31:28Record linked automaticallyb662fcc711
scoring_agent, TPA-57995, identity id MBR-012824, confidence 1, method probabilistic, matched record CLM-418286, policy version 1
2026-10-19 19:31:28Record linked automaticallyd4bc2d5dd9
scoring_agent, CLM-418098, identity id MBR-010586, confidence 1, method probabilistic, matched record ENR-123681, policy version 1

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-023249	2026-07-26	Mesa Internal Medicine Associates in network	93000, 80053, 99214	$491.00	$264.42	Approved	Approved
CLM-2026-006593	2026-04-26	Riverside Community Hospital in network	71046, 96374	$390.00	$99.00	Approved	Approved
CLM-2026-004345	2026-03-31	Northgate Imaging Center out of network	70553, 77067, 76700	$3,794.00	—	Denied	Denied
CLM-2026-003776	2025-12-23	Lakeside Medical Group in network	99232	$225.00	$0.00	Approved	Approved