Identities/MBR-013802

Gold, golden identity

Heather Cox

4 source records from 2 feeds.

MBR-013802Verified4 records

Golden record

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

First nameCLM: Heather
Middle name—: —
Last nameCLM: Cox
Date of birthCLM: 1957-09-25
GenderCLM: M
Member IDCLM: UHC-48098-19
SSN—: —
PhoneCLM: 6348182128
Email—: —
AddressCLM: 613 Ridge Rd
CityCLM: Los Angeles
StateCLM: CA
ZIPCLM: 90008
GroupCLM: GRP-2435
PlanCLM: MEDICARE-ADV-A

Min confidence

1.00

Sources

CLM ×2TPA ×2

Updated

2026-10-19 19:54:36

run-mvfoap9e

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-422322	CLM	2026-02-17	Heather Coxflagged	1957-09-25	UHC-48098-19	6348182128	613 Ridge Rd, Los Angeles, CA	Scored	1.00	—
TPA-59813	TPA	2026-04-01	Heather Coxflagged	1957-09-25	—	—	613 Ridge Rd, Los Angeles, CA	Scored	1.00	—
CLM-422323	CLM	2026-04-19	Heather Coxflagged	1957-09-25	—	6348182128	613 Ridge Rd, Los Angeles, CA	Scored	1.00	—
TPA-59812	TPA	2026-07-14	Heather Coxflagged	1957-09-25	—	—	613 Ridge Rd, Los Angeles, CA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-422322CLMCLM-422323 CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-59813TPACLM-422323 CLM1.00Scoredweighted 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-422322CLMTPA-59812TPA1.00Scoredweighted 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

▶TPA-59813TPATPA-59812TPA1.00Scoredweighted 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-422323 CLMTPA-59812TPA1.00Scoredweighted 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-422322CLMTPA-59813TPA1.00Scoredweighted 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-422323 → UHC-48098-19 (Heather Cox)
ACT-005913, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically9cbe8a9e84
scoring_agent, TPA-59812, identity id MBR-013802, confidence 1, method probabilistic, matched record CLM-422322, policy version 1
2026-10-19 19:54:38Record linked automatically425b64d9f3
scoring_agent, CLM-422323, identity id MBR-013802, confidence 1, method probabilistic, matched record CLM-422322, policy version 1
2026-10-19 19:54:38Record linked automaticallyef289fcf1d
scoring_agent, TPA-59813, identity id MBR-013802, confidence 1, method probabilistic, matched record CLM-422322, policy version 1
2026-10-19 19:54:38Record linked automatically6bd77cde6a
scoring_agent, CLM-422322, identity id MBR-013802, confidence 1, method probabilistic, matched record TPA-59813, policy version 1
2026-10-19 19:52:09Record linked automatically25f5a70cbe
scoring_agent, TPA-59812, identity id MBR-013802, confidence 1, method probabilistic, matched record CLM-422322, policy version 1
2026-10-19 19:52:09Record linked automatically956842d5ef
scoring_agent, CLM-422323, identity id MBR-013802, confidence 1, method probabilistic, matched record CLM-422322, policy version 1
2026-10-19 19:52:09Record linked automatically8a0e94484e
scoring_agent, TPA-59813, identity id MBR-013802, confidence 1, method probabilistic, matched record CLM-422322, policy version 1
2026-10-19 19:52:09Record linked automatically6e1013fe50
scoring_agent, CLM-422322, identity id MBR-013802, confidence 1, method probabilistic, matched record TPA-59813, policy version 1
2026-10-19 19:45:42Record linked automatically62cbde2fa1
scoring_agent, TPA-59812, identity id MBR-013802, confidence 1, method probabilistic, matched record CLM-422322, policy version 1
2026-10-19 19:45:42Record linked automatically68c079a0e7
scoring_agent, CLM-422323, identity id MBR-013802, confidence 1, method probabilistic, matched record CLM-422322, policy version 1
2026-10-19 19:45:42Record linked automaticallyf15e63b0d4
scoring_agent, TPA-59813, identity id MBR-013802, confidence 1, method probabilistic, matched record CLM-422322, policy version 1
2026-10-19 19:45:42Record linked automaticallyebd1e36664
scoring_agent, CLM-422322, identity id MBR-013802, confidence 1, method probabilistic, matched record TPA-59813, policy version 1
2026-10-19 19:32:31Record linked automatically9cd320fdd6
scoring_agent, TPA-59812, identity id MBR-013802, confidence 1, method probabilistic, matched record CLM-422322, policy version 1
2026-10-19 19:32:31Record linked automatically7ab5718e84
scoring_agent, CLM-422323, identity id MBR-013802, confidence 1, method probabilistic, matched record CLM-422322, policy version 1
2026-10-19 19:32:31Record linked automatically193413317c
scoring_agent, TPA-59813, identity id MBR-013802, confidence 1, method probabilistic, matched record CLM-422322, policy version 1
2026-10-19 19:32:31Record linked automatically14478382bd
scoring_agent, CLM-422322, identity id MBR-013802, confidence 1, method probabilistic, matched record TPA-59813, policy version 1
2026-10-19 19:31:28Record linked automatically57e0bf3a76
scoring_agent, TPA-59813, identity id MBR-027503, confidence 1, method probabilistic, matched record CLM-422336, policy version 1
2026-10-19 19:31:28Record linked automatically583e1c160f
scoring_agent, CLM-422323, identity id MBR-026280, confidence 1, method probabilistic, matched record TPA-59803, policy version 1
2026-10-19 19:31:28Record linked automaticallye4120c1100
scoring_agent, TPA-59812, identity id MBR-016930, confidence 0.93, method probabilistic, matched record ENR-129363, policy version 1
2026-10-19 19:31:28Record linked automatically20ad57e755
matching_agent, CLM-422322, identity id MBR-007087, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-59802

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-017253	2026-03-30	Heritage Medical Group in network	99215, 99214	$536.00	$292.32	Approved	Approved
CLM-2026-008651	2026-01-06	Riverside Digestive Health Center in network	99214	$218.00	$75.16	Approved	Approved