Identities/MBR-012222

Gold, golden identity

Pamela X Hughes

5 source records from 3 feeds.

MBR-012222Verified5 records

Golden record

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

First nameENR: Pamela
Middle nameENR: X
Last nameENR: Hughes
Date of birthENR: 1962-02-24
GenderPRV: F
Member IDENR: UHC-75410-20
SSNENR: •••-••-9847
PhoneENR: 4976764050
EmailENR: pamela.hughes@gmail.com
AddressENR: 4681 Bayshore Dr
CityENR: Sacramento
StateENR: CA
ZIPENR: 95823
GroupENR: GRP-3339
PlanENR: CORE-HMO

Min confidence

0.99

Sources

CLM ×3ENR ×1PRV ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-414849	CLM	2026-02-11	Pamela Hughesflagged	1962-02-24	—	—	4681 Bayshore Dr, Sacramento, CA	Scored	1.00	—
CLM-414847	CLM	2026-05-27	Pamela Hughesflagged	1962-02-24	—	—	4681 Bayshore Dr Apt 5, Sacramento, CA	Scored	1.00	—
ENR-119533	ENR	2026-08-11	Pamela Hughesflagged	1962-02-24	UHC-75410-20	4976764050	4681 Bayshore Dr, Sacramento, CA	Scored	1.00	—
CLM-414848	CLM	2026-08-26	Pamela Hughesflagged	1962-02-24	UHC-75410-20	—	—	Rule	0.99	D1 member id + dob exact
PRV-24357	PRV	2026-10-18	Pamela Hughesflagged	1962-02-24	—	—	4681 Bayshore Dr, Sacramento, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-414849CLMPRV-24357PRV1.00Scoredweighted 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-414847CLMPRV-24357PRV1.00Scoredweighted 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

▶ENR-119533ENRPRV-24357PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-119533ENRCLM-414848CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-414849CLMCLM-414847CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-414849CLMCLM-414848CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-414847CLMCLM-414848CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-414849CLMENR-119533ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-414847CLMENR-119533ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-414848CLMPRV-24357PRV0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-414849 → UHC-75410-20 (Pamela Hughes)
ACT-006702, Claims processor
Orphan claim re-pointedExecuted
CLM-414847 → UHC-75410-20 (Pamela Hughes)
ACT-008525, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically87c341e237
scoring_agent, PRV-24357, identity id MBR-012222, confidence 1, method probabilistic, matched record CLM-414849, policy version 1
2026-10-22 12:43:54Record linked automatically3ad4edd667
matching_agent, CLM-414848, identity id MBR-012222, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119533
2026-10-22 12:43:54Record linked automatically592db7670c
scoring_agent, ENR-119533, identity id MBR-012222, confidence 1, method probabilistic, matched record PRV-24357, policy version 1
2026-10-22 12:43:54Record linked automaticallye9667aada0
scoring_agent, CLM-414847, identity id MBR-012222, confidence 1, method probabilistic, matched record PRV-24357, policy version 1
2026-10-22 12:43:54Record linked automatically3d87feeabe
scoring_agent, CLM-414849, identity id MBR-012222, confidence 1, method probabilistic, matched record PRV-24357, policy version 1
2026-10-19 19:54:38Record linked automaticallyf774ae871d
scoring_agent, PRV-24357, identity id MBR-012222, confidence 1, method probabilistic, matched record CLM-414849, policy version 1
2026-10-19 19:54:38Record linked automatically9b6f5c31b2
matching_agent, CLM-414848, identity id MBR-012222, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119533
2026-10-19 19:54:38Record linked automatically987437ed8e
scoring_agent, ENR-119533, identity id MBR-012222, confidence 1, method probabilistic, matched record PRV-24357, policy version 1
2026-10-19 19:54:38Record linked automaticallydb5b2ca02b
scoring_agent, CLM-414847, identity id MBR-012222, confidence 1, method probabilistic, matched record PRV-24357, policy version 1
2026-10-19 19:54:38Record linked automatically2cb7302aab
scoring_agent, CLM-414849, identity id MBR-012222, confidence 1, method probabilistic, matched record PRV-24357, policy version 1
2026-10-19 19:52:09Record linked automaticallyeea146e838
scoring_agent, PRV-24357, identity id MBR-012222, confidence 1, method probabilistic, matched record CLM-414849, policy version 1
2026-10-19 19:52:09Record linked automatically3ca91b5a54
matching_agent, CLM-414848, identity id MBR-012222, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119533
2026-10-19 19:52:09Record linked automatically9ada1f9330
scoring_agent, ENR-119533, identity id MBR-012222, confidence 1, method probabilistic, matched record PRV-24357, policy version 1
2026-10-19 19:52:09Record linked automaticallya1473a2b14
scoring_agent, CLM-414847, identity id MBR-012222, confidence 1, method probabilistic, matched record PRV-24357, policy version 1
2026-10-19 19:52:09Record linked automatically635081760e
scoring_agent, CLM-414849, identity id MBR-012222, confidence 1, method probabilistic, matched record PRV-24357, policy version 1
2026-10-19 19:45:42Record linked automatically977f3aba94
scoring_agent, PRV-24357, identity id MBR-012222, confidence 1, method probabilistic, matched record CLM-414849, policy version 1
2026-10-19 19:45:42Record linked automaticallyf8dc82c53a
matching_agent, CLM-414848, identity id MBR-012222, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119533
2026-10-19 19:45:42Record linked automatically1ec619c8f3
scoring_agent, ENR-119533, identity id MBR-012222, confidence 1, method probabilistic, matched record PRV-24357, policy version 1
2026-10-19 19:45:42Record linked automatically364b7b72a8
scoring_agent, CLM-414847, identity id MBR-012222, confidence 1, method probabilistic, matched record PRV-24357, policy version 1
2026-10-19 19:45:42Record linked automatically4a784c5553
scoring_agent, CLM-414849, identity id MBR-012222, confidence 1, method probabilistic, matched record PRV-24357, policy version 1
2026-10-19 19:32:31Record linked automaticallyd991cd4b5f
scoring_agent, PRV-24357, identity id MBR-012222, confidence 1, method probabilistic, matched record CLM-414849, policy version 1
2026-10-19 19:32:31Record linked automatically432450e5a2
matching_agent, CLM-414848, identity id MBR-012222, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119533
2026-10-19 19:32:31Record linked automatically95f8dba62b
scoring_agent, ENR-119533, identity id MBR-012222, confidence 1, method probabilistic, matched record PRV-24357, policy version 1
2026-10-19 19:32:31Record linked automatically854a7ce0ff
scoring_agent, CLM-414847, identity id MBR-012222, confidence 1, method probabilistic, matched record PRV-24357, policy version 1
2026-10-19 19:32:31Record linked automaticallyf1d3e41912
scoring_agent, CLM-414849, identity id MBR-012222, confidence 1, method probabilistic, matched record PRV-24357, policy version 1
2026-10-19 19:31:28Record linked automaticallyec67629c8d
scoring_agent, PRV-24357, identity id MBR-036293, confidence 0.99, method probabilistic, matched record ENR-119472, policy version 1
2026-10-19 19:31:28Record linked automatically10f6c9b245
scoring_agent, ENR-119533, identity id MBR-027859, confidence 1, method probabilistic, matched record TPA-56482, policy version 1
2026-10-19 19:31:28Record linked automaticallya3e740e8b5
scoring_agent, CLM-414848, identity id MBR-021577, confidence 1, method probabilistic, matched record TPA-56449, policy version 1
2026-10-19 19:31:28Record linked automaticallycee0a43467
scoring_agent, CLM-414849, identity id MBR-021577, confidence 1, method probabilistic, matched record TPA-56449, policy version 1
2026-10-19 19:31:28Record linked automaticallyb9fb7bbba0
matching_agent, CLM-414847, identity id MBR-000542, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119445

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-2026-011790	2026-08-01	Heritage Medical Group in network	99203	$216.00	$93.92	Approved	Approved
CLM-2026-027257	2026-05-14	Sunrise Imaging Center in network	76700, 71046	$740.00	$0.00	Approved	Approved
CLM-2026-020182	2026-01-24	Riverside Regional Medical Center out of network	70553	$2,305.00	—	Denied	Denied