Identities/MBR-011471
Gold, golden identity

Shirley Hall

4 source records from 3 feeds.

MBR-011471Verified4 records

Golden record

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

First nameENR
Shirley
Middle name—
—
Last nameENR
Hall
Date of birthENR
1944-03-18
GenderENR
F
Member IDENR
UHC-69762-72
SSNENR
•••-••-6777
PhoneENR
2545612853
EmailENR
shirley.hall@yahoo.com
AddressENR
8151 Jefferson Ave
CityENR
Sacramento
StateENR
CA
ZIPENR
95837
GroupENR
GRP-6255
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×2PRV ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

0.990.990.990.99CLMCLM-405964CLMCLM-405963PRVPRV-21750ENRENR-107855IDMBR-011471
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
CLM-405964CLM2026-02-08Shirley Hallflagged1944-03-18UHC-69762-72——Rule0.99D1 member id + dob exact
CLM-405963CLM2026-04-08Shirley Hallflagged1944-03-18UHC-69762-7225456128533326 Baseline Rd, Charlotte, NCRule0.99D1 member id + dob exact
PRV-21750PRV2026-06-23Shirley Halflagged———8151 Jefferson Ave, Sacramento, CAScored0.99—
ENR-107855ENR2026-07-26Shirley Hallflagged1944-03-18UHC-69762-7225456128538151 Jefferson Ave, Sacramento, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-405964CLMCLM-405963CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-405964CLMENR-107855ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-405963CLM ENR-107855ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-21750PRVENR-107855ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Shirley Hall: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
    ACT-000506, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically3f090726fd
    matching_agent, ENR-107855, identity id MBR-011471, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405964
  • 2026-10-19 19:54:38Record linked automatically91ff61238b
    scoring_agent, PRV-21750, identity id MBR-011471, confidence 0.99, method probabilistic, matched record ENR-107855, policy version 1
  • 2026-10-19 19:54:38Record linked automatically51a7578b50
    matching_agent, CLM-405963, identity id MBR-011471, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405964
  • 2026-10-19 19:54:38Record linked automatically28de6177c2
    matching_agent, CLM-405964, identity id MBR-011471, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405963
  • 2026-10-19 19:52:09Record linked automaticallybb1c6e1550
    matching_agent, ENR-107855, identity id MBR-011471, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405964
  • 2026-10-19 19:52:09Record linked automatically03ca1af727
    scoring_agent, PRV-21750, identity id MBR-011471, confidence 0.99, method probabilistic, matched record ENR-107855, policy version 1
  • 2026-10-19 19:52:09Record linked automatically480e054003
    matching_agent, CLM-405963, identity id MBR-011471, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405964
  • 2026-10-19 19:52:09Record linked automaticallyca1cd259e0
    matching_agent, CLM-405964, identity id MBR-011471, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405963
  • 2026-10-19 19:45:42Record linked automatically696b60fcc3
    matching_agent, ENR-107855, identity id MBR-011471, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405964
  • 2026-10-19 19:45:42Record linked automatically0649917cd4
    scoring_agent, PRV-21750, identity id MBR-011471, confidence 0.99, method probabilistic, matched record ENR-107855, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd910fa046c
    matching_agent, CLM-405963, identity id MBR-011471, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405964
  • 2026-10-19 19:45:42Record linked automatically189959a883
    matching_agent, CLM-405964, identity id MBR-011471, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405963
  • 2026-10-19 19:32:31Record linked automatically27e112f08c
    matching_agent, ENR-107855, identity id MBR-011471, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405964
  • 2026-10-19 19:32:31Record linked automatically0de0737694
    scoring_agent, PRV-21750, identity id MBR-011471, confidence 0.99, method probabilistic, matched record ENR-107855, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1e70d79802
    matching_agent, CLM-405963, identity id MBR-011471, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405964
  • 2026-10-19 19:32:31Record linked automaticallye4d985d6e4
    matching_agent, CLM-405964, identity id MBR-011471, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405963
  • 2026-10-19 19:31:28Record linked automatically7920e65e4a
    matching_agent, CLM-405963, identity id MBR-018130, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107825
  • 2026-10-19 19:31:28Record linked automatically4a742ac4ae
    scoring_agent, PRV-21750, identity id MBR-012059, confidence 1, method probabilistic, matched record PRV-21751, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0148312026-03-18Evergreen Family Practice
in network
99203, 99213$430.00—Needs reviewNeeds review
CLM-2026-0148302026-03-18Mesa Family Practice
in network
99203, 99213$430.00$236.60ApprovedApproved
CLM-2026-0164402026-01-14Northgate Imaging Center
out of network
71046$136.00$0.00ApprovedApproved