Patricia Adams

4 source records from 2 feeds.

MBR-013261Verified4 records

Golden record

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

First nameCLM: Patricia
Middle name—: —
Last nameENR: Adams
Date of birthENR: 1963-01-04
GenderENR: M
Member IDENR: UHC-55595-27
SSNENR: •••-••-3845
PhoneENR: 8087077368
EmailENR: patricia.adams@hotmail.com
AddressENR: 1077 Cedar Ln
CityENR: Atlanta
StateENR: GA
ZIPENR: 30337
GroupENR: GRP-6476
PlanENR: NAVIGATE-HMO

Min confidence

0.99

Sources

CLM ×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
CLM-427307	CLM	2026-02-15	Patricia Adammsflagged	1963-01-04	—	—	1077 Cedar Ln, Atlanta, GA	Scored	0.99	—
ENR-135785	ENR	2026-02-27	Patty Adamsflagged	1963-01-04	UHC-55595-27	8087077368	1077 Cedar Ln, Atlanta, GA	Scored	0.99	—
CLM-427309	CLM	2026-03-04	Patricia Adamsflagged	1963-01-04	—	—	1077 Cedar Ln, Atlanta, GA	Scored	0.99	—
CLM-427308	CLM	2026-07-29	Patricia Adamsflagged	1963-01-04	UHC-55595-27	—	—	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶CLM-427307CLMCLM-427309CLM 0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-427307CLMENR-135785 ENR0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3	nickname
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-135785 ENRCLM-427308CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-135785 ENRCLM-427309CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-427307CLMCLM-427308CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-427309CLM CLM-427308CLM0.83Scoredweighted 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-427307 → UHC-55595-27 (Patricia Adams)
ACT-004635, Claims processor
Orphan claim re-pointedExecuted
CLM-427309 → UHC-55595-27 (Patricia Adams)
ACT-009915, Claims processor
Care coordination outreachProposed
Patricia Adams: 3 claims, no attributed provider
ACT-018730, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically9f769d37e8
matching_agent, CLM-427308, identity id MBR-013261, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135785
2026-10-22 12:43:54Record linked automatically06d581a1b0
scoring_agent, CLM-427309, identity id MBR-013261, confidence 0.99, method probabilistic, matched record CLM-427307, policy version 1
2026-10-22 12:43:54Record linked automaticallyd4948529c2
scoring_agent, ENR-135785, identity id MBR-013261, confidence 0.99, method probabilistic, matched record CLM-427307, policy version 1
2026-10-22 12:43:54Record linked automaticallycaf44bcf54
scoring_agent, CLM-427307, identity id MBR-013261, confidence 0.99, method probabilistic, matched record ENR-135785, policy version 1
2026-10-19 19:54:38Record linked automatically9dcb1d56df
matching_agent, CLM-427308, identity id MBR-013261, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135785
2026-10-19 19:54:38Record linked automatically579936a276
scoring_agent, CLM-427309, identity id MBR-013261, confidence 0.99, method probabilistic, matched record CLM-427307, policy version 1
2026-10-19 19:54:38Record linked automaticallyd2c1d080ad
scoring_agent, ENR-135785, identity id MBR-013261, confidence 0.99, method probabilistic, matched record CLM-427307, policy version 1
2026-10-19 19:54:38Record linked automatically428c434bfd
scoring_agent, CLM-427307, identity id MBR-013261, confidence 0.99, method probabilistic, matched record ENR-135785, policy version 1
2026-10-19 19:52:09Record linked automaticallya05756c3dc
matching_agent, CLM-427308, identity id MBR-013261, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135785
2026-10-19 19:52:09Record linked automatically3e68d450b5
scoring_agent, CLM-427309, identity id MBR-013261, confidence 0.99, method probabilistic, matched record CLM-427307, policy version 1
2026-10-19 19:52:09Record linked automatically932298d4c0
scoring_agent, ENR-135785, identity id MBR-013261, confidence 0.99, method probabilistic, matched record CLM-427307, policy version 1
2026-10-19 19:52:09Record linked automaticallydace177150
scoring_agent, CLM-427307, identity id MBR-013261, confidence 0.99, method probabilistic, matched record ENR-135785, policy version 1
2026-10-19 19:45:42Record linked automatically79b0bb3933
matching_agent, CLM-427308, identity id MBR-013261, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135785
2026-10-19 19:45:42Record linked automaticallyb6183ab916
scoring_agent, CLM-427309, identity id MBR-013261, confidence 0.99, method probabilistic, matched record CLM-427307, policy version 1
2026-10-19 19:45:42Record linked automatically8a2fdc34cf
scoring_agent, ENR-135785, identity id MBR-013261, confidence 0.99, method probabilistic, matched record CLM-427307, policy version 1
2026-10-19 19:45:42Record linked automaticallya92943ad3c
scoring_agent, CLM-427307, identity id MBR-013261, confidence 0.99, method probabilistic, matched record ENR-135785, policy version 1
2026-10-19 19:32:31Record linked automatically8f8e7bf45e
matching_agent, CLM-427308, identity id MBR-013261, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135785
2026-10-19 19:32:31Record linked automaticallyc51b088a40
scoring_agent, CLM-427309, identity id MBR-013261, confidence 0.99, method probabilistic, matched record CLM-427307, policy version 1
2026-10-19 19:32:31Record linked automatically90b9b09595
scoring_agent, ENR-135785, identity id MBR-013261, confidence 0.99, method probabilistic, matched record CLM-427307, policy version 1
2026-10-19 19:32:31Record linked automatically973a3a5857
scoring_agent, CLM-427307, identity id MBR-013261, confidence 0.99, method probabilistic, matched record ENR-135785, policy version 1
2026-10-19 19:31:28Record linked automaticallyd4b4bc1eb8
scoring_agent, CLM-427309, identity id MBR-036004, confidence 1, method probabilistic, matched record CLM-427310, policy version 1
2026-10-19 19:31:28Record linked automatically594d8e505e
scoring_agent, CLM-427308, identity id MBR-014085, confidence 1, method probabilistic, matched record PRV-28002, policy version 1
2026-10-19 19:31:28Record linked automatically84d7955e33
matching_agent, CLM-427307, identity id MBR-014085, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427306
2026-10-19 19:31:28Record linked automaticallyeea91312e8
matching_agent, ENR-135785, identity id MBR-009679, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135784

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-2026-005796	2026-06-23	Valley Primary Care Associates in network	99214, 99213	$474.00	$253.88	Approved	Approved
CLM-2026-032693	2026-01-22	Riverside Medical Group in network	99203, 36415, 99213	$462.00	$246.44	Approved	Approved
CLM-2026-012519	2026-01-09	Sunrise Digestive Health Center out of network	70553, 43239, 45378	$5,713.00	—	Denied	Denied