Identities/MBR-013274
Gold, golden identity

Barbara C Edwards

4 source records from 2 feeds.

MBR-013274Verified4 records

Golden record

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

First nameENR
Barbara
Middle nameENR
C
Last nameENR
Edwards
Date of birthENR
1951-10-01
GenderCLM
F
Member IDENR
UHC-91524-18
SSNENR
•••-••-5287
PhoneENR
8699664205
EmailENR
barbara.edwards84@proton.me
AddressENR
4467 Ocean Ave
CityENR
Seattle
StateENR
WA
ZIP—
—
GroupENR
GRP-7778
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
ENR ×1CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.000.990.99ENRENR-117648CLMCLM-413457CLMCLM-413456CLMCLM-413458IDMBR-013274
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
ENR-117648ENR2026-02-15Barbara Edwardsflagged1951-10-01UHC-91524-1886996642054467 Ocean Ave, Seattle, WAScored1.00—
CLM-413457CLM2026-03-19Barbara Edwardsflagged1951-10-01——4467 Ocean Ave, Seattle, WAScored1.00—
CLM-413456CLM2026-03-22Barb Edwardsflagged1951-10-01UHC-91524-188699664205—Rule0.99D1 member id + dob exact
CLM-413458CLM2026-05-25Barbara Edwardsflagged1951-10-01UHC-91524-18—4467 Ocean Ave, Seattle, WARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-117648ENRCLM-413457CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-117648ENRCLM-413456CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-117648ENRCLM-413458CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413456CLMCLM-413458CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413457CLMCLM-413458CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413457CLMCLM-413456CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-413457 → UHC-91524-18 (Barbara Edwards)
    ACT-003433, Claims processor
  • Care coordination outreachProposed
    Barbara Edwards: 3 claims, no attributed provider
    ACT-018731, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyda4da4e422
    matching_agent, CLM-413458, identity id MBR-013274, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117648
  • 2026-10-22 12:43:54Record linked automaticallye5b95003d6
    matching_agent, CLM-413456, identity id MBR-013274, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117648
  • 2026-10-22 12:43:54Record linked automatically85f9f3f5cc
    scoring_agent, CLM-413457, identity id MBR-013274, confidence 1, method probabilistic, matched record ENR-117648, policy version 1
  • 2026-10-22 12:43:54Record linked automatically3154d91eb4
    scoring_agent, ENR-117648, identity id MBR-013274, confidence 1, method probabilistic, matched record CLM-413457, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf6a75e2b3c
    matching_agent, CLM-413458, identity id MBR-013274, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117648
  • 2026-10-19 19:54:38Record linked automatically8dec88f6f6
    matching_agent, CLM-413456, identity id MBR-013274, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117648
  • 2026-10-19 19:54:38Record linked automatically0247002a70
    scoring_agent, CLM-413457, identity id MBR-013274, confidence 1, method probabilistic, matched record ENR-117648, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallybddf7d5920
    scoring_agent, ENR-117648, identity id MBR-013274, confidence 1, method probabilistic, matched record CLM-413457, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallybce89b2e7a
    matching_agent, CLM-413458, identity id MBR-013274, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117648
  • 2026-10-19 19:52:09Record linked automatically6a010bf01a
    matching_agent, CLM-413456, identity id MBR-013274, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117648
  • 2026-10-19 19:52:09Record linked automaticallyc76f2c926c
    scoring_agent, CLM-413457, identity id MBR-013274, confidence 1, method probabilistic, matched record ENR-117648, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1c8c175c04
    scoring_agent, ENR-117648, identity id MBR-013274, confidence 1, method probabilistic, matched record CLM-413457, policy version 1
  • 2026-10-19 19:45:42Record linked automatically759fa90a3e
    matching_agent, CLM-413458, identity id MBR-013274, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117648
  • 2026-10-19 19:45:42Record linked automaticallyf8c175b993
    matching_agent, CLM-413456, identity id MBR-013274, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117648
  • 2026-10-19 19:45:42Record linked automatically189b9dd040
    scoring_agent, CLM-413457, identity id MBR-013274, confidence 1, method probabilistic, matched record ENR-117648, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9c576cc919
    scoring_agent, ENR-117648, identity id MBR-013274, confidence 1, method probabilistic, matched record CLM-413457, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc846275fc2
    matching_agent, CLM-413458, identity id MBR-013274, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117648
  • 2026-10-19 19:32:31Record linked automatically94cc35036a
    matching_agent, CLM-413456, identity id MBR-013274, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117648
  • 2026-10-19 19:32:31Record linked automatically87e0977527
    scoring_agent, CLM-413457, identity id MBR-013274, confidence 1, method probabilistic, matched record ENR-117648, policy version 1
  • 2026-10-19 19:32:31Record linked automatically76cdb8c1d1
    scoring_agent, ENR-117648, identity id MBR-013274, confidence 1, method probabilistic, matched record CLM-413457, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2e8fd12195
    scoring_agent, ENR-117648, identity id MBR-028067, confidence 1, method probabilistic, matched record TPA-55832, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9bf76d20b0
    matching_agent, CLM-413458, identity id MBR-024478, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413457
  • 2026-10-19 19:31:28Record linked automatically5c49c67e36
    matching_agent, CLM-413457, identity id MBR-024478, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413458
  • 2026-10-19 19:31:28Record linked automatically2ccb4f6689
    matching_agent, CLM-413456, identity id MBR-012964, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-117736

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0203752026-04-30Unity Primary Care Associates
in network
99395, 99213, 99214$723.00$408.26ApprovedApproved
CLM-2026-0079482026-03-03Cornerstone Diabetes Center
in network
99214, 83036$371.00—DeniedDenied
CLM-2026-0277032026-03-08Desert Rehabilitation Center
in network
97110, 97140$251.00$115.62ApprovedApproved
CLM-2026-0079472026-03-03Cornerstone Diabetes Center
in network
99214, 83036$371.00$180.02ApprovedApproved