Identities/MBR-011740
Gold, golden identity

Vicky G Cook

4 source records from 2 feeds.

MBR-011740Verified4 records

Golden record

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

First nameENR
Vicky
Middle nameENR
G
Last nameENR
Cook
Date of birthENR
1987-07-25
GenderENR
M
Member IDENR
UHC-08669-16
SSNENR
•••-••-1813
PhoneENR
8377569564
EmailENR
victoria.cook@icloud.com
AddressCLM
2012 Ridge Rd
CityENR
San Antonio
StateENR
TX
ZIPENR
78240
GroupENR
GRP-1322
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
ENR ×1CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.000.99ENRENR-130589CLMCLM-423396CLMCLM-423398CLMCLM-423397IDMBR-011740
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-130589ENR2026-02-09Vicky Cookflagged1987-07-25UHC-08669-1683775695642012 Ridge Rd Apt 22, San Antonio, TXScored1.00—
CLM-423396CLM2026-04-20Victoria Cookflagged1987-07-25—83775695642012 Ridge Rd, San Antonio, TXScored1.00—
CLM-423398CLM2026-06-13Victoria Cookflagged1987-07-25—8377569564—Scored1.00—
CLM-423397CLM2026-07-30Vicky Cuokflagged1987-07-25UHC-08669-16—2012 Ridge Rd, San Antonio, TXRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-130589ENRCLM-423398CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-423396CLMCLM-423398CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-130589ENRCLM-423397CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.913
Date of birth1.003exact
Member ID1.004
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-130589ENRCLM-423396CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-423396CLMCLM-423397CLM0.97Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.913nickname
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-423398CLMCLM-423397CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.913nickname
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Vicky Cook: 2 plan codes across sources → canonical MEDICARE-ADV-B
    ACT-000525, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-423396 → UHC-08669-16 (Vicky Cook)
    ACT-003147, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-423398 → UHC-08669-16 (Vicky Cook)
    ACT-004430, Claims processor
  • Outreach address correctedProposed
    Vicky Cook: 2012 Ridge Rd Apt 22, San Antonio → 2012 Ridge Rd, San Antonio
    ACT-011567, Outreach
  • Care coordination outreachProposed
    Vicky Cook: 3 claims, no attributed provider
    ACT-018638, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallya90b005572
    matching_agent, CLM-423397, identity id MBR-011740, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130589
  • 2026-10-19 19:54:38Record linked automatically37ddf9d1b1
    scoring_agent, CLM-423398, identity id MBR-011740, confidence 1, method probabilistic, matched record ENR-130589, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya1789b4e13
    scoring_agent, CLM-423396, identity id MBR-011740, confidence 1, method probabilistic, matched record CLM-423398, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb905725547
    scoring_agent, ENR-130589, identity id MBR-011740, confidence 1, method probabilistic, matched record CLM-423398, policy version 1
  • 2026-10-19 19:52:09Record linked automatically55f10b77d5
    matching_agent, CLM-423397, identity id MBR-011740, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130589
  • 2026-10-19 19:52:09Record linked automatically24c4fc7578
    scoring_agent, CLM-423398, identity id MBR-011740, confidence 1, method probabilistic, matched record ENR-130589, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc5e796c97c
    scoring_agent, CLM-423396, identity id MBR-011740, confidence 1, method probabilistic, matched record CLM-423398, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5c24c6bf0f
    scoring_agent, ENR-130589, identity id MBR-011740, confidence 1, method probabilistic, matched record CLM-423398, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7cdf9a7fbc
    matching_agent, CLM-423397, identity id MBR-011740, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130589
  • 2026-10-19 19:45:42Record linked automatically064a336a2e
    scoring_agent, CLM-423398, identity id MBR-011740, confidence 1, method probabilistic, matched record ENR-130589, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7a841ccd56
    scoring_agent, CLM-423396, identity id MBR-011740, confidence 1, method probabilistic, matched record CLM-423398, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya656d6e9a0
    scoring_agent, ENR-130589, identity id MBR-011740, confidence 1, method probabilistic, matched record CLM-423398, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc16a30a9e2
    matching_agent, CLM-423397, identity id MBR-011740, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130589
  • 2026-10-19 19:32:31Record linked automaticallyee9d20d00b
    scoring_agent, CLM-423398, identity id MBR-011740, confidence 1, method probabilistic, matched record ENR-130589, policy version 1
  • 2026-10-19 19:32:31Record linked automatically401105287b
    scoring_agent, CLM-423396, identity id MBR-011740, confidence 1, method probabilistic, matched record CLM-423398, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfbd4ac5f26
    scoring_agent, ENR-130589, identity id MBR-011740, confidence 1, method probabilistic, matched record CLM-423398, policy version 1
  • 2026-10-19 19:31:28Record linked automatically50b2947f6d
    matching_agent, ENR-130589, identity id MBR-002824, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423224
  • 2026-10-19 19:31:28Record linked automatically11fbd4abb3
    scoring_agent, CLM-423396, identity id MBR-001837, confidence 1, method probabilistic, matched record ENR-130824, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0a60a85df1
    matching_agent, CLM-423398, identity id MBR-001837, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423397
  • 2026-10-19 19:31:28Record linked automatically2a34eadce1
    matching_agent, CLM-423397, identity id MBR-001837, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423398

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0329362026-07-16Valley Bone and Joint Center
out of network
27447$35,201.00—DeniedDenied
CLM-2026-0118152026-05-18Canyon Heart Institute
out of network
93458$7,707.00—DeniedDenied
CLM-2026-0068532026-04-17Summit Community Hospital
in network
99284$1,726.00$599.30ApprovedApproved