Identities/MBR-014001
Gold, golden identity

Grace Hayes

5 source records from 3 feeds.

MBR-014001Verified5 records

Golden record

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

First nameENR
Grace
Middle name—
—
Last nameENR
Hayes
Date of birthENR
1964-09-27
GenderENR
F
Member IDENR
UHC-70367-18
SSNCLM
•••-••-0915
PhoneENR
2225621741
EmailENR
grace.hayes67@hotmail.com
AddressENR
4935 Apache Blvd
CityENR
Orlando
StateENR
FL
ZIPENR
32804
GroupENR
GRP-0743
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
CLM ×3ENR ×1TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.990.991.00CLMCLM-407248ENRENR-109464CLMCLM-407246TPATPA-53170CLMCLM-407247IDMBR-014001
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-407248CLM2026-02-18Grace Hayesflagged—UHC-70367-18—4935 Apache Blvd # 663, Orlando, FLScored1.00—
ENR-109464ENR2026-04-11Grace Hayesflagged1964-09-27UHC-70367-1822256217414935 Apache Blvd, Orlando, FLScored1.00—
CLM-407246CLM2026-04-20Grace Hayesflagged1964-09-27UHC-70367-1822256217414935 Apache Blvd, Orlando, FLRule0.99D1 member id + dob exact
TPA-53170TPA2026-06-23Grece Hayesflagged1964-09-27—22256217414935 Apache Blvd, Orlando, FLScored0.99—
CLM-407247CLM2026-08-08Grace Hayesflagged1964-09-27——4935 Apache Blvd, Orlando, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-109464ENRCLM-407247CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407248CLMCLM-407247CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-109464ENRCLM-407246CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-109464ENRTPA-53170TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-53170TPACLM-407247CLM0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407248CLMCLM-407246CLM 0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407248CLMENR-109464ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407246CLM CLM-407247CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407246CLM TPA-53170TPA0.92Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407248CLMTPA-53170TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.963
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-407247 → UHC-70367-18 (Grace Hayes)
    ACT-009357, Claims processor
  • Care coordination outreachProposed
    Grace Hayes: 3 claims, no attributed provider
    ACT-018777, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyed4a2fe431
    scoring_agent, CLM-407247, identity id MBR-014001, confidence 1, method probabilistic, matched record ENR-109464, policy version 1
  • 2026-10-19 19:54:38Record linked automatically3ce3b68906
    scoring_agent, TPA-53170, identity id MBR-014001, confidence 0.99, method probabilistic, matched record ENR-109464, policy version 1
  • 2026-10-19 19:54:38Record linked automatically89213a6339
    matching_agent, CLM-407246, identity id MBR-014001, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109464
  • 2026-10-19 19:54:38Record linked automatically9ac8631da5
    scoring_agent, ENR-109464, identity id MBR-014001, confidence 1, method probabilistic, matched record CLM-407247, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1deda4784a
    scoring_agent, CLM-407248, identity id MBR-014001, confidence 1, method probabilistic, matched record CLM-407247, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb0cb68ae46
    scoring_agent, CLM-407247, identity id MBR-014001, confidence 1, method probabilistic, matched record ENR-109464, policy version 1
  • 2026-10-19 19:52:09Record linked automatically77e571fa20
    scoring_agent, TPA-53170, identity id MBR-014001, confidence 0.99, method probabilistic, matched record ENR-109464, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyab8ad30844
    matching_agent, CLM-407246, identity id MBR-014001, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109464
  • 2026-10-19 19:52:09Record linked automaticallyda9e82a43b
    scoring_agent, ENR-109464, identity id MBR-014001, confidence 1, method probabilistic, matched record CLM-407247, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8ecc1f7a5d
    scoring_agent, CLM-407248, identity id MBR-014001, confidence 1, method probabilistic, matched record CLM-407247, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd5d5745c94
    scoring_agent, CLM-407247, identity id MBR-014001, confidence 1, method probabilistic, matched record ENR-109464, policy version 1
  • 2026-10-19 19:45:42Record linked automatically75458683fe
    scoring_agent, TPA-53170, identity id MBR-014001, confidence 0.99, method probabilistic, matched record ENR-109464, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd991015216
    matching_agent, CLM-407246, identity id MBR-014001, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109464
  • 2026-10-19 19:45:42Record linked automaticallycaa08fb943
    scoring_agent, ENR-109464, identity id MBR-014001, confidence 1, method probabilistic, matched record CLM-407247, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye3b1c4ab2a
    scoring_agent, CLM-407248, identity id MBR-014001, confidence 1, method probabilistic, matched record CLM-407247, policy version 1
  • 2026-10-19 19:32:31Record linked automatically38b485ca59
    scoring_agent, CLM-407247, identity id MBR-014001, confidence 1, method probabilistic, matched record ENR-109464, policy version 1
  • 2026-10-19 19:32:31Record linked automatically01dbb07f06
    scoring_agent, TPA-53170, identity id MBR-014001, confidence 0.99, method probabilistic, matched record ENR-109464, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7d36b61541
    matching_agent, CLM-407246, identity id MBR-014001, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109464
  • 2026-10-19 19:32:31Record linked automatically31699a9212
    scoring_agent, ENR-109464, identity id MBR-014001, confidence 1, method probabilistic, matched record CLM-407247, policy version 1
  • 2026-10-19 19:32:31Record linked automatically31aafc295c
    scoring_agent, CLM-407248, identity id MBR-014001, confidence 1, method probabilistic, matched record CLM-407247, policy version 1
  • 2026-10-19 19:31:28Record linked automatically10c14cdae8
    matching_agent, CLM-407248, identity id MBR-037219, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407249
  • 2026-10-19 19:31:28Record linked automatically08cac35c2a
    matching_agent, ENR-109464, identity id MBR-010229, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109463
  • 2026-10-19 19:31:28Record linked automatically07e5ae31fb
    scoring_agent, CLM-407246, identity id MBR-008359, confidence 1, method probabilistic, matched record TPA-53199, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0305682026-07-28Desert Internal Medicine Associates
in network
93000$120.00—Needs reviewNeeds review
CLM-2026-0305672026-07-28Heritage Medical Group
in network
93000$120.00$54.40ApprovedApproved
CLM-2026-0052322026-04-03Northgate Bone and Joint Center
out of network
99213$170.00$16.50ApprovedApproved
CLM-2026-0246682026-01-26Sunrise Clinical Laboratories
in network
87086, 83036, 80053$166.00$0.00ApprovedApproved