Identities/MBR-012074
Gold, golden identity

Lisa N Silva

5 source records from 3 feeds.

MBR-012074Verified5 records

Golden record

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

First nameENR
Lisa
Middle nameENR
N
Last nameCLM
Silva
Date of birthENR
2002-04-16
GenderENR
F
Member IDENR
UHC-88580-44
SSNENR
•••-••-5377
PhoneENR
8393903031
EmailENR
lisa.silva72@yahoo.com
AddressENR
6174 Willow Ct
CityENR
Columbus
StateENR
OH
ZIPENR
43235
GroupENR
GRP-4998
PlanENR
CORE-HMO
Min confidence
0.99
Sources
CLM ×3ENR ×1TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.991.000.991.00CLMCLM-404538ENRENR-105978TPATPA-51980CLMCLM-404539CLMCLM-404537IDMBR-012074
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-404538CLM2026-02-10Lisa Silvaflagged2002-04-16——6174 Willow Ct # 947, Columbus, OHScored1.00—
ENR-105978ENR2026-03-20Lisa Sylvaflagged2002-04-16UHC-88580-4483939030316174 Willow Ct, Columbus, OHRule0.99D1 member id + dob exact
TPA-51980TPA2026-04-21Lisa Silvaflagged2002-04-16——6174 Willow Ct, Columbus, OHScored1.00—
CLM-404539CLM2026-05-05Lisa Silvaflagged2002-04-16UHC-88580-44——Rule0.99D1 member id + dob exact
CLM-404537CLM2026-07-12Lisa Silvaflagged2002-04-16—83939030316174 Willow Ct, Columbus, OHScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-404538CLMCLM-404537CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-51980TPACLM-404537CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-404538CLMTPA-51980TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-105978ENRCLM-404539CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.933
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Email1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-105978ENRCLM-404537CLM0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.933
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-404538CLMENR-105978ENR0.97Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.933
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-105978ENRTPA-51980TPA0.97Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.933
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-404539CLMCLM-404537CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-404538CLMCLM-404539CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶TPA-51980TPACLM-404539CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-404537 → UHC-88580-44 (Lisa Silva)
    ACT-003779, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-404538 → UHC-88580-44 (Lisa Silva)
    ACT-008849, Claims processor
  • Care coordination outreachProposed
    Lisa Silva: 3 claims, no attributed provider
    ACT-018655, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically74efeb50cd
    scoring_agent, CLM-404537, identity id MBR-012074, confidence 1, method probabilistic, matched record CLM-404538, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyac459cebc6
    matching_agent, CLM-404539, identity id MBR-012074, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105978
  • 2026-10-19 19:54:38Record linked automatically849046e1a6
    scoring_agent, TPA-51980, identity id MBR-012074, confidence 1, method probabilistic, matched record CLM-404538, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye73b613fbd
    matching_agent, ENR-105978, identity id MBR-012074, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404539
  • 2026-10-19 19:54:38Record linked automatically8f63456419
    scoring_agent, CLM-404538, identity id MBR-012074, confidence 1, method probabilistic, matched record TPA-51980, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyfe72b4c7df
    scoring_agent, CLM-404537, identity id MBR-012074, confidence 1, method probabilistic, matched record CLM-404538, policy version 1
  • 2026-10-19 19:52:09Record linked automatically47dd7c4944
    matching_agent, CLM-404539, identity id MBR-012074, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105978
  • 2026-10-19 19:52:09Record linked automaticallycd4ddf6e04
    scoring_agent, TPA-51980, identity id MBR-012074, confidence 1, method probabilistic, matched record CLM-404538, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4d4f098316
    matching_agent, ENR-105978, identity id MBR-012074, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404539
  • 2026-10-19 19:52:09Record linked automaticallya962fb6d8a
    scoring_agent, CLM-404538, identity id MBR-012074, confidence 1, method probabilistic, matched record TPA-51980, policy version 1
  • 2026-10-19 19:45:42Record linked automatically806ceda334
    scoring_agent, CLM-404537, identity id MBR-012074, confidence 1, method probabilistic, matched record CLM-404538, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8d9a5b19fb
    matching_agent, CLM-404539, identity id MBR-012074, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105978
  • 2026-10-19 19:45:42Record linked automatically7a879e3f3a
    scoring_agent, TPA-51980, identity id MBR-012074, confidence 1, method probabilistic, matched record CLM-404538, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyaa17800d45
    matching_agent, ENR-105978, identity id MBR-012074, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404539
  • 2026-10-19 19:45:42Record linked automatically11453068c7
    scoring_agent, CLM-404538, identity id MBR-012074, confidence 1, method probabilistic, matched record TPA-51980, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf15fb721be
    scoring_agent, CLM-404537, identity id MBR-012074, confidence 1, method probabilistic, matched record CLM-404538, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4255452ac7
    matching_agent, CLM-404539, identity id MBR-012074, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105978
  • 2026-10-19 19:32:31Record linked automatically379a944cfe
    scoring_agent, TPA-51980, identity id MBR-012074, confidence 1, method probabilistic, matched record CLM-404538, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfa060c24cd
    matching_agent, ENR-105978, identity id MBR-012074, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404539
  • 2026-10-19 19:32:31Record linked automaticallye46c6a264d
    scoring_agent, CLM-404538, identity id MBR-012074, confidence 1, method probabilistic, matched record TPA-51980, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb7eac63e85
    matching_agent, CLM-404538, identity id MBR-028846, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-105918
  • 2026-10-19 19:31:28Record linked automaticallya81c13e730
    scoring_agent, TPA-51980, identity id MBR-010366, confidence 0.93, method probabilistic, matched record ENR-105783, policy version 1
  • 2026-10-19 19:31:28Record linked automatically34398abea8
    matching_agent, ENR-105978, identity id MBR-007681, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404581
  • 2026-10-19 19:31:28Record linked automaticallyabfbd506df
    scoring_agent, CLM-404539, identity id MBR-000251, confidence 0.93, method probabilistic, matched record TPA-52016, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0093162026-06-27Sunrise Imaging Center
in network
74177, 76700$2,993.00—Needs reviewNeeds review
CLM-2026-0062332026-04-07Unity Counseling Center
in network
90837$280.00$133.60ApprovedApproved
CLM-2026-0284332026-01-27Evergreen Dermatology Clinic
in network
11403, 99213$699.00$393.38ApprovedApproved