Identities/MBR-012163
Gold, golden identity

Margaret D Franklin

6 source records from 3 feeds.

MBR-012163Verified6 records

Golden record

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

First nameENR
Margaret
Middle nameENR
D
Last nameENR
Franklin
Date of birthENR
1941-10-02
GenderENR
F
Member IDENR
UHC-75474-29
SSNENR
•••-••-5238
PhoneENR
8007245347
EmailENR
margaret.franklin@aol.com
AddressENR
4443 Central Ave
CityENR
Gilbert
StateENR
AZ
ZIPENR
85274
GroupENR
GRP-3508
PlanENR
SELECT-EPO
Min confidence
1.00
Sources
CLM ×3TPA ×2ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.001.001.00CLMCLM-402424TPATPA-51028CLMCLM-402423ENRENR-103119TPATPA-51027CLMCLM-402425IDMBR-012163
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-402424CLM2026-02-11Margaret Franklinflagged1941-10-02UHC-75474-2980072453474443 Central Ave, Gilbert, AZScored1.00—
TPA-51028TPA2026-02-22Margaret Franklinflagged1941-10-02——4443 Central Ave, Gilbert, AZScored1.00—
CLM-402423CLM2026-03-24Margaret Franklinflagged1941-10-02UHC-75474-2980072453474443 Central Ave, Gilbert, AZScored1.00—
ENR-103119ENR2026-05-31Margaret Franklinflagged1941-10-02UHC-75474-2980072453474443 Central Ave, Gilbert, AZScored1.00—
TPA-51027TPA2026-07-15Margaret Franklinflagged1941-10-02—80072453474443 Central Ave, Gilbert, AZScored1.00—
CLM-402425CLM2026-07-18Margaret Franklinflagged1941-10-02UHC-75474-29—4443 Central Ave, Gilbert, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-51028TPACLM-402423CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-51028TPACLM-402425CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-51027TPACLM-402425CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-51028TPAENR-103119ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Email1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402424CLMTPA-51027TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-51028TPATPA-51027TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Email1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402423CLMTPA-51027TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-103119ENRTPA-51027TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-402424CLMTPA-51028TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402424CLMCLM-402423CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-402424CLMCLM-402425CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402423CLMCLM-402425CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-103119ENRCLM-402425CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402424CLMENR-103119ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-402423CLMENR-103119ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Margaret Franklin: 3 claims, no attributed provider
    ACT-018662, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically9f331ca474
    scoring_agent, CLM-402425, identity id MBR-012163, confidence 1, method probabilistic, matched record TPA-51028, policy version 1
  • 2026-10-19 19:54:38Record linked automatically06015e5d7b
    scoring_agent, TPA-51027, identity id MBR-012163, confidence 1, method probabilistic, matched record CLM-402424, policy version 1
  • 2026-10-19 19:54:38Record linked automatically47c6f53375
    scoring_agent, ENR-103119, identity id MBR-012163, confidence 1, method probabilistic, matched record TPA-51028, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallydda7f4c64f
    scoring_agent, CLM-402423, identity id MBR-012163, confidence 1, method probabilistic, matched record TPA-51028, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyec171a3223
    scoring_agent, TPA-51028, identity id MBR-012163, confidence 1, method probabilistic, matched record CLM-402424, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf642612a2c
    scoring_agent, CLM-402424, identity id MBR-012163, confidence 1, method probabilistic, matched record TPA-51028, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyff1174e441
    scoring_agent, CLM-402425, identity id MBR-012163, confidence 1, method probabilistic, matched record TPA-51028, policy version 1
  • 2026-10-19 19:52:09Record linked automatically93679d4f1f
    scoring_agent, TPA-51027, identity id MBR-012163, confidence 1, method probabilistic, matched record CLM-402424, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc47ee70080
    scoring_agent, ENR-103119, identity id MBR-012163, confidence 1, method probabilistic, matched record TPA-51028, policy version 1
  • 2026-10-19 19:52:09Record linked automatically33f4b7486c
    scoring_agent, CLM-402423, identity id MBR-012163, confidence 1, method probabilistic, matched record TPA-51028, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3fb5376067
    scoring_agent, TPA-51028, identity id MBR-012163, confidence 1, method probabilistic, matched record CLM-402424, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc3ce7035ac
    scoring_agent, CLM-402424, identity id MBR-012163, confidence 1, method probabilistic, matched record TPA-51028, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6c5fe5520b
    scoring_agent, CLM-402425, identity id MBR-012163, confidence 1, method probabilistic, matched record TPA-51028, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9bab870d4f
    scoring_agent, TPA-51027, identity id MBR-012163, confidence 1, method probabilistic, matched record CLM-402424, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5503fc1140
    scoring_agent, ENR-103119, identity id MBR-012163, confidence 1, method probabilistic, matched record TPA-51028, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3db6771f18
    scoring_agent, CLM-402423, identity id MBR-012163, confidence 1, method probabilistic, matched record TPA-51028, policy version 1
  • 2026-10-19 19:45:42Record linked automatically60681e01fd
    scoring_agent, TPA-51028, identity id MBR-012163, confidence 1, method probabilistic, matched record CLM-402424, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye7b16664e7
    scoring_agent, CLM-402424, identity id MBR-012163, confidence 1, method probabilistic, matched record TPA-51028, policy version 1
  • 2026-10-19 19:32:31Record linked automatically75344d3cd9
    scoring_agent, CLM-402425, identity id MBR-012163, confidence 1, method probabilistic, matched record TPA-51028, policy version 1
  • 2026-10-19 19:32:31Record linked automatically336fc99a9e
    scoring_agent, TPA-51027, identity id MBR-012163, confidence 1, method probabilistic, matched record CLM-402424, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf674a4027d
    scoring_agent, ENR-103119, identity id MBR-012163, confidence 1, method probabilistic, matched record TPA-51028, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7e1b3d517f
    scoring_agent, CLM-402423, identity id MBR-012163, confidence 1, method probabilistic, matched record TPA-51028, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallycac83c1262
    scoring_agent, TPA-51028, identity id MBR-012163, confidence 1, method probabilistic, matched record CLM-402424, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybaa6e0db8f
    scoring_agent, CLM-402424, identity id MBR-012163, confidence 1, method probabilistic, matched record TPA-51028, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2ee1739a78
    matching_agent, CLM-402423, identity id MBR-024031, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20748
  • 2026-10-19 19:31:28Record linked automatically500a77c57b
    matching_agent, TPA-51027, identity id MBR-022235, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-102965
  • 2026-10-19 19:31:28Record linked automaticallyf9e76472e7
    scoring_agent, CLM-402424, identity id MBR-001413, confidence 1, method probabilistic, matched record CLM-402425, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyeeec28df54
    scoring_agent, CLM-402425, identity id MBR-001413, confidence 1, method probabilistic, matched record CLM-402424, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0251252026-06-15Heritage GI Associates
in network
45378, 43239$4,501.00$1,512.09ApprovedApproved
CLM-2026-0162522026-03-07Pinecrest Cardiovascular Associates
in network
99214$227.00$90.74ApprovedApproved
CLM-2026-0218512026-02-07Mesa Clinical Laboratories
in network
85025, 80061$81.00$0.00ApprovedApproved