Identities/MBR-013825
Gold, golden identity

Susan Morris

4 source records from 1 feed.

MBR-013825Verified4 records

Golden record

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

First nameCLM
Susan
Middle name—
—
Last nameCLM
Morris
Date of birthCLM
1958-03-10
GenderCLM
F
Member IDCLM
UHC-02849-78
SSNCLM
•••-••-9792
PhoneCLM
8002943029
Email—
—
AddressCLM
6814 Baseline Rd
CityCLM
Jacksonville
StateCLM
FL
ZIPCLM
32291
GroupCLM
GRP-8977
PlanCLM
OPTIONS-PPO
Min confidence
1.00
Sources
CLM ×4
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.001.001.00CLMCLM-402196CLMCLM-402198CLMCLM-402195CLMCLM-402197IDMBR-013825
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
CLM-402196CLM2026-02-17Susan Morrisflagged1958-03-10—80029430296814 Baseline Rd, Jacksonville, FLScored1.00—
CLM-402198CLM2026-03-20Susan Morrisflagged1958-03-10UHC-02849-788002943029—Scored1.00—
CLM-402195CLM2026-03-28Sue Morrisflagged1958-03-10UHC-02849-78—6814 Baseline Rd, Jacksonville, FLScored1.00—
CLM-402197CLM2026-06-06Susan Morrisflagged1958-03-10—80029430296814 Baseline Rd, Jacksonville, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-402196CLM CLM-402195 CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402198CLMCLM-402197CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402195 CLMCLM-402197CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402196CLM CLM-402198CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402198CLMCLM-402195 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402196CLM CLM-402197CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-402196 → UHC-02849-78 (Susan Morris)
    ACT-002427, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-402197 → UHC-02849-78 (Susan Morris)
    ACT-010010, Claims processor
  • Care coordination outreachProposed
    Susan Morris: 4 claims, no attributed provider
    ACT-018765, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically6ec8a82c58
    scoring_agent, CLM-402197, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402198, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyd9af6b1d7f
    scoring_agent, CLM-402195, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402196, policy version 1
  • 2026-10-22 12:43:54Record linked automatically8686bdcf13
    scoring_agent, CLM-402198, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402196, policy version 1
  • 2026-10-22 12:43:54Record linked automatically87e5b1542c
    scoring_agent, CLM-402196, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402198, policy version 1
  • 2026-10-19 19:54:38Record linked automatically2398c44415
    scoring_agent, CLM-402197, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402198, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4354e44ee3
    scoring_agent, CLM-402195, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402196, policy version 1
  • 2026-10-19 19:54:38Record linked automatically325e0c73b1
    scoring_agent, CLM-402198, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402196, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc4cb123b8a
    scoring_agent, CLM-402196, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402198, policy version 1
  • 2026-10-19 19:52:09Record linked automatically37eb2c173d
    scoring_agent, CLM-402197, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402198, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8c6f3657a0
    scoring_agent, CLM-402195, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402196, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4bf6459705
    scoring_agent, CLM-402198, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402196, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1cf085c553
    scoring_agent, CLM-402196, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402198, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0deecc57b9
    scoring_agent, CLM-402197, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402198, policy version 1
  • 2026-10-19 19:45:42Record linked automatically52a51114d8
    scoring_agent, CLM-402195, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402196, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc02c33fd08
    scoring_agent, CLM-402198, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402196, policy version 1
  • 2026-10-19 19:45:42Record linked automatically910c84672b
    scoring_agent, CLM-402196, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402198, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0218a964b1
    scoring_agent, CLM-402197, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402198, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc68e3db9a4
    scoring_agent, CLM-402195, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402196, policy version 1
  • 2026-10-19 19:32:31Record linked automatically160084b836
    scoring_agent, CLM-402198, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402196, policy version 1
  • 2026-10-19 19:32:31Record linked automatically896ade5196
    scoring_agent, CLM-402196, identity id MBR-013825, confidence 1, method probabilistic, matched record CLM-402198, policy version 1
  • 2026-10-19 19:31:28Record linked automatically40919dd008
    matching_agent, CLM-402197, identity id MBR-027372, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102864
  • 2026-10-19 19:31:28Record linked automatically0bb38e8d77
    matching_agent, CLM-402195, identity id MBR-017563, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102863
  • 2026-10-19 19:31:28Record linked automatically36d5392a3d
    scoring_agent, CLM-402196, identity id MBR-017563, confidence 1, method probabilistic, matched record TPA-50994, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye1e8967572
    matching_agent, CLM-402198, identity id MBR-010424, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102865

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0330042026-05-14Summit Primary Care Associates
in network
99203$229.00$121.98ApprovedApproved
CLM-2026-0089252026-03-09Heritage Internal Medicine Associates
in network
99232$161.00$0.00ApprovedApproved
CLM-2026-0302322026-02-17Pinecrest Heart Institute
in network
93306$1,196.00$2.93ApprovedApproved
CLM-2026-0041032026-01-03Lakeside Medical Group
out of network
99214$297.00$113.65ApprovedApproved