Identities/MBR-012358
Gold, golden identity

Virginia Hoffman

5 source records from 3 feeds.

MBR-012358Verified5 recordsOpen steward case

Golden record

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

First nameENR
Virginia
Middle name—
—
Last nameENR
Hoffman
Date of birthENR
1947-09-20
GenderENR
F
Member IDENR
UHC-79617-30
SSNENR
•••-••-7086
PhoneENR
7588526273
EmailCLM
virginia.hoffman@yahoo.com
AddressENR
4417 Spring St
CityENR
Plano
StateENR
TX
ZIPENR
75000
GroupENR
GRP-2246
PlanENR
MEDICARE-ADV-B
Min confidence
0.97
Sources
TPA ×1CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.991.000.970.99TPATPA-52936CLMCLM-406687ENRENR-108717CLMCLM-406684CLMCLM-406685IDMBR-012358
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
TPA-52936TPA2026-02-11Virginia Hoffmanflagged1947-09-20——4417 Spring St, Plano, TXScored1.00—
CLM-406687CLM2026-02-19Virginia Hofmfanflagged1947-09-20UHC-79617-30—4417 Spring St, Plano, TXRule0.99D1 member id + dob exact
ENR-108717ENR2026-03-23Virginia Hoffmanflagged1947-09-20UHC-79617-3075885262734417 Spring St, Plano, TXScored1.00—
CLM-406684CLM2026-07-22Virginia Hoffmanflagged1947-09-20—7588526273—Rule0.97D2 ssn4 + dob + last name
CLM-406685CLM2026-07-29Virginia Hoffmanflagged1947-09-20UHC-79617-30——Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶TPA-52936TPAENR-108717ENR 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-108717ENR CLM-406685CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-406687CLMCLM-406685CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-406687CLMENR-108717ENR 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-108717ENR CLM-406684CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-406687CLMCLM-406684CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-52936TPACLM-406684CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶TPA-52936TPACLM-406685CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-406684CLMCLM-406685CLM0.83Scoredweighted 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-406684 → UHC-79617-30 (Virginia Hoffman)
    ACT-006661, Claims processor
  • Care coordination outreachProposed
    Virginia Hoffman: 3 claims, no attributed provider
    ACT-018677, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically7042654343
    matching_agent, CLM-406685, identity id MBR-012358, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108717
  • 2026-10-19 19:54:38Record linked automaticallybd07464631
    matching_agent, CLM-406684, identity id MBR-012358, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-108717
  • 2026-10-19 19:54:38Record linked automatically31e81c02e2
    scoring_agent, ENR-108717, identity id MBR-012358, confidence 1, method probabilistic, matched record TPA-52936, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd59e3358a3
    matching_agent, CLM-406687, identity id MBR-012358, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108717
  • 2026-10-19 19:54:38Record linked automatically70531decda
    scoring_agent, TPA-52936, identity id MBR-012358, confidence 1, method probabilistic, matched record ENR-108717, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8ab21694c7
    matching_agent, CLM-406685, identity id MBR-012358, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108717
  • 2026-10-19 19:52:09Record linked automatically8d99334270
    matching_agent, CLM-406684, identity id MBR-012358, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-108717
  • 2026-10-19 19:52:09Record linked automaticallyb0ccdb21f1
    scoring_agent, ENR-108717, identity id MBR-012358, confidence 1, method probabilistic, matched record TPA-52936, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd2c59d5f70
    matching_agent, CLM-406687, identity id MBR-012358, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108717
  • 2026-10-19 19:52:09Record linked automaticallyc3f91c8b98
    scoring_agent, TPA-52936, identity id MBR-012358, confidence 1, method probabilistic, matched record ENR-108717, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9cc9b65bd1
    matching_agent, CLM-406685, identity id MBR-012358, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108717
  • 2026-10-19 19:45:42Record linked automatically2ddff2b3c9
    matching_agent, CLM-406684, identity id MBR-012358, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-108717
  • 2026-10-19 19:45:42Record linked automatically584b9a08ab
    scoring_agent, ENR-108717, identity id MBR-012358, confidence 1, method probabilistic, matched record TPA-52936, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallybf61e45a35
    matching_agent, CLM-406687, identity id MBR-012358, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108717
  • 2026-10-19 19:45:42Record linked automatically4fea4574a9
    scoring_agent, TPA-52936, identity id MBR-012358, confidence 1, method probabilistic, matched record ENR-108717, policy version 1
  • 2026-10-19 19:32:31Record linked automatically88aedf94b0
    matching_agent, CLM-406685, identity id MBR-012358, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108717
  • 2026-10-19 19:32:31Record linked automaticallyfd99402018
    matching_agent, CLM-406684, identity id MBR-012358, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-108717
  • 2026-10-19 19:32:31Record linked automatically6d533e9fc3
    scoring_agent, ENR-108717, identity id MBR-012358, confidence 1, method probabilistic, matched record TPA-52936, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1043c0560a
    matching_agent, CLM-406687, identity id MBR-012358, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108717
  • 2026-10-19 19:32:31Record linked automatically6d6b3f2e99
    scoring_agent, TPA-52936, identity id MBR-012358, confidence 1, method probabilistic, matched record ENR-108717, policy version 1
  • 2026-10-19 19:31:28Record linked automatically607bfadc67
    matching_agent, CLM-406687, identity id MBR-042533, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108771
  • 2026-10-19 19:31:28Record linked automatically19f559e195
    scoring_agent, CLM-406685, identity id MBR-016472, confidence 1, method probabilistic, matched record TPA-52970, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyfd53f995b0
    matching_agent, CLM-406684, identity id MBR-006914, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108765
  • 2026-10-19 19:31:28Record linked automatically9ac817b197
    scoring_agent, TPA-52936, identity id MBR-004069, confidence 1, method probabilistic, matched record TPA-52937, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0103242026-07-08Sunrise Digestive Health Center
out of network
70553, 43239, 45378$7,734.00—Needs reviewNeeds review
CLM-2026-0200212026-06-25Meadow Cardiovascular Associates
in network
99214$257.00$84.34ApprovedApproved
CLM-2026-0113592026-01-20Meadow Primary Care Associates
in network
99203, 90471$272.00$138.64ApprovedApproved