Identities/MBR-011047

Gold, golden identity

Doris K Fernandez

5 source records from 3 feeds.

MBR-011047Verified5 records

Golden record

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

First nameENR: Doris
Middle nameENR: K
Last nameENR: Fernandez
Date of birthENR: 2003-02-04
GenderENR: F
Member IDENR: UHC-98369-55
SSNENR: •••-••-9642
PhoneENR: 2485091224
EmailENR: doris.fernandez71@icloud.com
AddressTPA: 5596 Bayshore Dr Apt 40
CityENR: Jacksonville
StateENR: FL
ZIPENR: 32268
GroupENR: GRP-9789
PlanENR: CORE-HMO

Min confidence

1.00

Sources

CLM ×2ENR ×1TPA ×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-419399	CLM	2026-02-07	Doris Fernandezflagged	2003-02-04	UHC-98369-55	2485091224	5596 Bayshore Dr, Jacksonville, FL	Scored	1.00	—
CLM-419398	CLM	2026-04-12	Doris Fernandezflagged	2003-02-04	—	2485091224	5596 Bayshore Dr, Jacksonville, FL	Scored	1.00	—
ENR-125552	ENR	2026-07-31	Doris Fernandezflagged	2003-02-04	UHC-98369-55	2485091224	5596 Bayshore Dr, Jacksonville, FL	Scored	1.00	—
TPA-58571	TPA	2026-09-27	Doris Fernandezflagged	2003-02-04	UHC-98369-55	—	5596 Bayshore Dr Apt 40, Jacksonville, FL	Scored	1.00	—
TPA-58570	TPA	2026-09-27	Doris Fernandezflagged	2003-02-04	UHC-98369-55	—	5596 Bayshore Dr Apt 40, Jacksonville, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-419399CLMCLM-419398CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-419398CLMENR-125552ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-419398CLMTPA-58570TPA1.00Scoredweighted 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-419398CLMTPA-58571TPA1.00Scoredweighted 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-419399CLMENR-125552ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-419399CLMTPA-58570TPA0.99RuleD1 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-125552ENRTPA-58570TPA0.99RuleD1 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

▶TPA-58571TPATPA-58570TPA0.99RuleD1 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

▶CLM-419399CLMTPA-58571TPA0.99RuleD1 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-125552ENRTPA-58571TPA0.99RuleD1 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

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Doris Fernandez: 2 plan codes across sources → canonical CORE-HMO
ACT-000492, Eligibility engine
Orphan claim re-pointedExecuted
CLM-419398 → UHC-98369-55 (Doris Fernandez)
ACT-001780, Claims processor
Outreach address correctedProposed
Doris Fernandez: 5596 Bayshore Dr, Jacksonville → 5596 Bayshore Dr Apt 40, Jacksonville
ACT-011492, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallycd996f9556
scoring_agent, TPA-58570, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419398, policy version 1
2026-10-19 19:54:38Record linked automatically954e5dcb37
scoring_agent, TPA-58571, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419398, policy version 1
2026-10-19 19:54:38Record linked automatically0518dfb837
scoring_agent, ENR-125552, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419398, policy version 1
2026-10-19 19:54:38Record linked automaticallyea6e1fe055
scoring_agent, CLM-419398, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419399, policy version 1
2026-10-19 19:54:38Record linked automatically529714d14e
scoring_agent, CLM-419399, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419398, policy version 1
2026-10-19 19:52:09Record linked automatically240a0e8636
scoring_agent, TPA-58570, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419398, policy version 1
2026-10-19 19:52:09Record linked automaticallyd08ebe5924
scoring_agent, TPA-58571, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419398, policy version 1
2026-10-19 19:52:09Record linked automatically8fe58c128f
scoring_agent, ENR-125552, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419398, policy version 1
2026-10-19 19:52:09Record linked automatically0a8c6af5d2
scoring_agent, CLM-419398, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419399, policy version 1
2026-10-19 19:52:09Record linked automatically8f85618b4c
scoring_agent, CLM-419399, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419398, policy version 1
2026-10-19 19:45:42Record linked automaticallyf5fde896ee
scoring_agent, TPA-58570, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419398, policy version 1
2026-10-19 19:45:42Record linked automatically4f3eab9d64
scoring_agent, TPA-58571, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419398, policy version 1
2026-10-19 19:45:42Record linked automatically698f1c28f3
scoring_agent, ENR-125552, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419398, policy version 1
2026-10-19 19:45:42Record linked automaticallyf25b50fb64
scoring_agent, CLM-419398, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419399, policy version 1
2026-10-19 19:45:42Record linked automatically7697791d41
scoring_agent, CLM-419399, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419398, policy version 1
2026-10-19 19:32:31Record linked automatically8d8e5563d7
scoring_agent, TPA-58570, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419398, policy version 1
2026-10-19 19:32:31Record linked automatically607b25eb55
scoring_agent, TPA-58571, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419398, policy version 1
2026-10-19 19:32:31Record linked automaticallyac53e96089
scoring_agent, ENR-125552, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419398, policy version 1
2026-10-19 19:32:31Record linked automatically659b325810
scoring_agent, CLM-419398, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419399, policy version 1
2026-10-19 19:32:31Record linked automaticallyb365081de5
scoring_agent, CLM-419399, identity id MBR-011047, confidence 1, method probabilistic, matched record CLM-419398, policy version 1
2026-10-19 19:31:28Record linked automaticallydcae08e50c
scoring_agent, TPA-58570, identity id MBR-035579, confidence 1, method probabilistic, matched record ENR-125781, policy version 1
2026-10-19 19:31:28Record linked automatically55be582390
matching_agent, CLM-419398, identity id MBR-027331, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125441
2026-10-19 19:31:28Record linked automaticallybd0c3026cf
scoring_agent, ENR-125552, identity id MBR-001121, confidence 1, method probabilistic, matched record PRV-25701, 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-2026-001767	2026-03-07	Summit Medical Group in network	99214, 80053, 93000	$457.00	$253.34	Approved	Approved
CLM-2026-025307	2026-01-09	Northgate Clinical Laboratories in network	87086	$58.00	$0.00	Approved	Approved