Identities/MBR-014038

Gold, golden identity

Mary Q Fuller

5 source records from 2 feeds.

MBR-014038Verified5 records

Golden record

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

First nameENR: Mary
Middle nameENR: Q
Last nameENR: Fuller
Date of birthENR: 1963-10-05
GenderENR: F
Member IDENR: UHC-43878-46
SSNCLM: •••-••-4226
PhoneCLM: 7386799935
EmailENR: mary.fuller16@hotmail.com
AddressENR: 6246 Church St
CityENR: Sacramento
StateENR: CA
ZIPENR: 95834
GroupENR: GRP-7950
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

CLM ×4ENR ×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-418391	CLM	2026-02-18	Mary Fullerflagged	1963-10-05	UHC-43878-46	—	6246 Church St, Sacramento, CA	Scored	1.00	—
CLM-418388	CLM	2026-03-09	Mary Fullerflagged	1963-10-05	UHC-43878-46	7386799935	6246 Church St, Sacramento, CA	Scored	1.00	—
CLM-418389	CLM	2026-04-05	Mary Fullerflagged	1963-10-05	UHC-43878-46	7386799935	6246 Church St, Sacramento, CA	Scored	1.00	—
ENR-124207	ENR	2026-07-04	Mary Fullerflagged	1963-10-05	UHC-43878-46	—	6246 Church St, Sacramento, CA	Scored	1.00	—
CLM-418390	CLM	2026-09-17	Mary Fullerflagged	1963-10-05	—	7386799935	6246 Church St, Sacramento, CA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-418391CLMCLM-418390CLM1.00Scoredweighted 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-418388CLMCLM-418390CLM1.00Scoredweighted 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

▶CLM-418389CLMCLM-418390CLM1.00Scoredweighted 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

▶ENR-124207ENRCLM-418390CLM1.00Scoredweighted 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-418391CLMCLM-418388CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-418391CLMCLM-418389CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-418388CLMCLM-418389CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-418391CLMENR-124207ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-418388CLMENR-124207ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-418389CLMENR-124207ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-418390 → UHC-43878-46 (Mary Fuller)
ACT-010263, Claims processor
Care coordination outreachProposed
Mary Fuller: 4 claims, no attributed provider
ACT-018783, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallyd4b7736c20
scoring_agent, CLM-418390, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418391, policy version 1
2026-10-22 12:43:54Record linked automatically122d13ab24
scoring_agent, ENR-124207, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-22 12:43:54Record linked automaticallybcd65519ca
scoring_agent, CLM-418389, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-22 12:43:54Record linked automatically162feee675
scoring_agent, CLM-418388, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-22 12:43:54Record linked automatically5d8d6c461f
scoring_agent, CLM-418391, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-19 19:54:38Record linked automatically6449788a3b
scoring_agent, CLM-418390, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418391, policy version 1
2026-10-19 19:54:38Record linked automatically50588e7361
scoring_agent, ENR-124207, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-19 19:54:38Record linked automaticallyaa167aecb8
scoring_agent, CLM-418389, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-19 19:54:38Record linked automatically5ac15c1a8b
scoring_agent, CLM-418388, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-19 19:54:38Record linked automatically082ded78a2
scoring_agent, CLM-418391, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-19 19:52:09Record linked automatically2808a5bd44
scoring_agent, CLM-418390, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418391, policy version 1
2026-10-19 19:52:09Record linked automaticallyce02921c07
scoring_agent, ENR-124207, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-19 19:52:09Record linked automatically82af8e161e
scoring_agent, CLM-418389, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-19 19:52:09Record linked automatically46fe6c92ac
scoring_agent, CLM-418388, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-19 19:52:09Record linked automatically98d93af1a4
scoring_agent, CLM-418391, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-19 19:45:42Record linked automaticallyfea560f1e5
scoring_agent, CLM-418390, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418391, policy version 1
2026-10-19 19:45:42Record linked automaticallyd6b25af97a
scoring_agent, ENR-124207, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-19 19:45:42Record linked automaticallyf16391be40
scoring_agent, CLM-418389, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-19 19:45:42Record linked automatically8e2deb5f01
scoring_agent, CLM-418388, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-19 19:45:42Record linked automatically22896c45a6
scoring_agent, CLM-418391, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-19 19:32:31Record linked automatically8e186d7355
scoring_agent, CLM-418390, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418391, policy version 1
2026-10-19 19:32:31Record linked automatically0a8560a31a
scoring_agent, ENR-124207, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-19 19:32:31Record linked automatically74192ffcea
scoring_agent, CLM-418389, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-19 19:32:31Record linked automatically4aaff29ee9
scoring_agent, CLM-418388, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-19 19:32:31Record linked automatically2ceba0b3c7
scoring_agent, CLM-418391, identity id MBR-014038, confidence 1, method probabilistic, matched record CLM-418390, policy version 1
2026-10-19 19:31:28Record linked automatically85761a3968
scoring_agent, CLM-418388, identity id MBR-030196, confidence 1, method probabilistic, matched record ENR-124063, policy version 1
2026-10-19 19:31:28Record linked automaticallyf7a450e758
matching_agent, CLM-418391, identity id MBR-027299, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418392
2026-10-19 19:31:28Record linked automaticallyca2bbc21e3
matching_agent, CLM-418389, identity id MBR-003853, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124066

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-2026-033977	2026-09-14	Summit Clinical Laboratories in network	87086, 80053, 80061	$157.00	$0.00	Approved	Approved
CLM-2026-023546	2026-03-09	Pinecrest Medical Group in network	99214	$311.00	$167.82	Approved	Approved
CLM-2026-002816	2026-02-28	Pinecrest Medical Group in network	99213, 99395	$449.00	$253.38	Approved	Approved
CLM-2026-017759	2026-02-12	Evergreen Primary Care Associates in network	99213, 99203	$369.00	$203.78	Approved	Approved