Identities/MBR-012737

Gold, golden identity

Debra Cook

5 source records from 3 feeds.

MBR-012737Verified5 records

Golden record

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

First nameENR: Debra
Middle name—: —
Last namePRV: Cook
Date of birthENR: 1943-11-19
GenderENR: M
Member IDENR: UHC-39496-64
SSNENR: •••-••-3182
PhoneENR: 2486045893
EmailCLM: debra.cook29@icloud.com
AddressCLM: 4011 Palm Dr # 888
CityENR: Orlando
StateENR: FL
ZIPENR: 32860
GroupENR: GRP-5820
PlanENR: MEDICARE-ADV-B

Min confidence

0.99

Sources

PRV ×1CLM ×3ENR ×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
PRV-23410	PRV	2026-02-13	Debra Cookflagged	1943-11-19	UHC-39496-64	2486045893	4011 Palm Dr, Orlando, FL	Scored	1.00	—
CLM-411832	CLM	2026-02-21	Debra Cookflagged	1943-11-19	—	2486045893	—	Scored	1.00	—
CLM-411831	CLM	2026-05-26	Dabra Cokflagged	1943-11-19	UHC-39496-64	—	4011 Palm Dr, Orlando, FL	Rule	0.99	D1 member id + dob exact
ENR-115597	ENR	2026-06-27	Debra Cokoflagged	1943-11-19	UHC-39496-64	2486045893	4011 Palm Dr, Orlando, FL	Rule	0.99	D1 member id + dob exact
CLM-411830	CLM	2026-10-12	Debra Cookflagged	1943-11-19	UHC-39496-64	—	4011 Palm Dr # 888, Orlando, FL	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶PRV-23410PRVCLM-411832CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-23410PRVCLM-411830CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-411831CLM CLM-411830CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.91	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-115597ENRCLM-411830CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-23410PRVCLM-411831CLM 0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.91	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-23410PRVENR-115597ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-411831CLM ENR-115597ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.92	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-411832CLMENR-115597ENR0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-411832CLMCLM-411830CLM0.83Scoredweighted 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

▶CLM-411832CLMCLM-411831CLM 0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.91	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-411832 → UHC-39496-64 (Debra Cook)
ACT-008540, Claims processor
Outreach address correctedProposed
Debra Cook: 4011 Palm Dr, Orlando → 4011 Palm Dr # 888, Orlando
ACT-011658, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically18151dce1a
matching_agent, CLM-411830, identity id MBR-012737, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23410
2026-10-22 12:43:54Record linked automatically3e0dbae96a
matching_agent, ENR-115597, identity id MBR-012737, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23410
2026-10-22 12:43:54Record linked automatically697c1b6ccb
matching_agent, CLM-411831, identity id MBR-012737, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23410
2026-10-22 12:43:54Record linked automaticallyf770808359
scoring_agent, CLM-411832, identity id MBR-012737, confidence 1, method probabilistic, matched record PRV-23410, policy version 1
2026-10-22 12:43:54Record linked automatically2627477516
scoring_agent, PRV-23410, identity id MBR-012737, confidence 1, method probabilistic, matched record CLM-411832, policy version 1
2026-10-19 19:54:38Record linked automaticallya35c541389
matching_agent, CLM-411830, identity id MBR-012737, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23410
2026-10-19 19:54:38Record linked automatically8326e89bc9
matching_agent, ENR-115597, identity id MBR-012737, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23410
2026-10-19 19:54:38Record linked automatically9c74ff088f
matching_agent, CLM-411831, identity id MBR-012737, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23410
2026-10-19 19:54:38Record linked automatically447cf4aeb9
scoring_agent, CLM-411832, identity id MBR-012737, confidence 1, method probabilistic, matched record PRV-23410, policy version 1
2026-10-19 19:54:38Record linked automatically474543a5ad
scoring_agent, PRV-23410, identity id MBR-012737, confidence 1, method probabilistic, matched record CLM-411832, policy version 1
2026-10-19 19:52:09Record linked automatically086793b096
matching_agent, CLM-411830, identity id MBR-012737, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23410
2026-10-19 19:52:09Record linked automatically70308620d3
matching_agent, ENR-115597, identity id MBR-012737, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23410
2026-10-19 19:52:09Record linked automatically8cbea387c7
matching_agent, CLM-411831, identity id MBR-012737, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23410
2026-10-19 19:52:09Record linked automatically247eb2878d
scoring_agent, CLM-411832, identity id MBR-012737, confidence 1, method probabilistic, matched record PRV-23410, policy version 1
2026-10-19 19:52:09Record linked automaticallyb30be42de6
scoring_agent, PRV-23410, identity id MBR-012737, confidence 1, method probabilistic, matched record CLM-411832, policy version 1
2026-10-19 19:45:42Record linked automatically18df705156
matching_agent, CLM-411830, identity id MBR-012737, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23410
2026-10-19 19:45:42Record linked automaticallyfe6f3a8a68
matching_agent, ENR-115597, identity id MBR-012737, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23410
2026-10-19 19:45:42Record linked automatically8de8048e16
matching_agent, CLM-411831, identity id MBR-012737, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23410
2026-10-19 19:45:42Record linked automaticallya16192537a
scoring_agent, CLM-411832, identity id MBR-012737, confidence 1, method probabilistic, matched record PRV-23410, policy version 1
2026-10-19 19:45:42Record linked automatically4644099896
scoring_agent, PRV-23410, identity id MBR-012737, confidence 1, method probabilistic, matched record CLM-411832, policy version 1
2026-10-19 19:32:31Record linked automatically402b09fc48
matching_agent, CLM-411830, identity id MBR-012737, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23410
2026-10-19 19:32:31Record linked automaticallya5f25e20ea
matching_agent, ENR-115597, identity id MBR-012737, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23410
2026-10-19 19:32:31Record linked automaticallyd39f103439
matching_agent, CLM-411831, identity id MBR-012737, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23410
2026-10-19 19:32:31Record linked automatically1770451e3d
scoring_agent, CLM-411832, identity id MBR-012737, confidence 1, method probabilistic, matched record PRV-23410, policy version 1
2026-10-19 19:32:31Record linked automatically470a2344d1
scoring_agent, PRV-23410, identity id MBR-012737, confidence 1, method probabilistic, matched record CLM-411832, policy version 1
2026-10-19 19:31:28Record linked automatically27bc679d07
matching_agent, CLM-411832, identity id MBR-036723, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-115700
2026-10-19 19:31:28Record linked automatically4f881dd680
matching_agent, CLM-411831, identity id MBR-021838, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115697
2026-10-19 19:31:28Record linked automaticallyc192f8cecb
matching_agent, CLM-411830, identity id MBR-021838, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115697
2026-10-19 19:31:28Record linked automatically5049b8d190
scoring_agent, PRV-23410, identity id MBR-007288, confidence 1, method probabilistic, matched record ENR-115217, policy version 1

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-2026-028755	2026-09-28	Meadow Internal Medicine Associates in network	99232	$188.00	$0.00	Approved	Approved
CLM-2026-001393	2026-04-14	Valley Reference Lab in network	80061	$40.00	$0.00	Approved	Approved
CLM-2026-027308	2026-02-06	Evergreen Internal Medicine Associates in network	93000, 80053	$171.00	$86.02	Approved	Approved