Identities/MBR-014730
Gold, golden identity

Grace U James

4 source records from 2 feeds.

MBR-014730Verified4 records

Golden record

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

First nameENR
Grace
Middle nameENR
U
Last nameENR
James
Date of birthENR
1987-11-21
GenderENR
M
Member IDENR
UHC-29142-83
SSNENR
•••-••-0484
PhoneENR
3673634599
Email—
—
AddressENR
6385 River Rd
CityENR
Las Vegas
StateENR
NV
ZIPENR
89188
GroupENR
GRP-9907
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
ENR ×1CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.991.001.00ENRENR-102348CLMCLM-401796CLMCLM-401794CLMCLM-401795IDMBR-014730
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-102348ENR2026-02-21Grace Jamesflagged1987-11-21UHC-29142-8336736345996385 River Rd, Las Vegas, NVRule0.99D1 member id + dob exact
CLM-401796CLM2026-05-07Grace Jamesflagged1987-11-21UHC-29142-83—6385 River Rd, Las Vegas, NVRule0.99D1 member id + dob exact
CLM-401794CLM2026-09-05Grace Jamesflagged1987-11-21—36736345996385 River Rd # 597, Las Vegas, NVScored1.00—
CLM-401795CLM2026-10-06Grace Jamesflagged1987-11-21UHC-29142-83—6385 River Rd, Las Vegas, NVScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-401794CLMCLM-401795CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-102348ENRCLM-401795CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-401796CLM CLM-401795CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-102348ENRCLM-401796CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-102348ENRCLM-401794CLM0.97RuleD2 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
▶CLM-401796CLM CLM-401794CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-401794 → UHC-29142-83 (Grace James)
    ACT-002895, Claims processor
  • Care coordination outreachProposed
    Grace James: 3 claims, no attributed provider
    ACT-018813, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically6c7a9bd391
    scoring_agent, CLM-401795, identity id MBR-014730, confidence 1, method probabilistic, matched record CLM-401794, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd1e5eb551d
    scoring_agent, CLM-401794, identity id MBR-014730, confidence 1, method probabilistic, matched record CLM-401795, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb368dd1134
    matching_agent, CLM-401796, identity id MBR-014730, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102348
  • 2026-10-19 19:54:38Record linked automatically75e8a2c727
    matching_agent, ENR-102348, identity id MBR-014730, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401796
  • 2026-10-19 19:52:09Record linked automatically3d43e9be03
    scoring_agent, CLM-401795, identity id MBR-014730, confidence 1, method probabilistic, matched record CLM-401794, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyfe8bce4e35
    scoring_agent, CLM-401794, identity id MBR-014730, confidence 1, method probabilistic, matched record CLM-401795, policy version 1
  • 2026-10-19 19:52:09Record linked automatically17e42daa72
    matching_agent, CLM-401796, identity id MBR-014730, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102348
  • 2026-10-19 19:52:09Record linked automaticallya220251e12
    matching_agent, ENR-102348, identity id MBR-014730, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401796
  • 2026-10-19 19:45:42Record linked automaticallyec767ae30c
    scoring_agent, CLM-401795, identity id MBR-014730, confidence 1, method probabilistic, matched record CLM-401794, policy version 1
  • 2026-10-19 19:45:42Record linked automatically894a51fd91
    scoring_agent, CLM-401794, identity id MBR-014730, confidence 1, method probabilistic, matched record CLM-401795, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallydb5a5c0edc
    matching_agent, CLM-401796, identity id MBR-014730, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102348
  • 2026-10-19 19:45:42Record linked automaticallycf375440a5
    matching_agent, ENR-102348, identity id MBR-014730, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401796
  • 2026-10-19 19:32:31Record linked automatically0c4171b977
    scoring_agent, CLM-401795, identity id MBR-014730, confidence 1, method probabilistic, matched record CLM-401794, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyad1b612e60
    scoring_agent, CLM-401794, identity id MBR-014730, confidence 1, method probabilistic, matched record CLM-401795, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf317651cfd
    matching_agent, CLM-401796, identity id MBR-014730, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102348
  • 2026-10-19 19:32:31Record linked automatically9093850e6d
    matching_agent, ENR-102348, identity id MBR-014730, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401796
  • 2026-10-19 19:31:28Record linked automatically7121a309c2
    matching_agent, CLM-401795, identity id MBR-037442, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102332
  • 2026-10-19 19:31:28Record linked automatically49eaf8d5ff
    matching_agent, CLM-401796, identity id MBR-037442, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50788
  • 2026-10-19 19:31:28Record linked automatically0cbd433695
    matching_agent, CLM-401794, identity id MBR-033531, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102331

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0175902026-09-15Riverside Medical Group
in network
99213, 99203, 99395$653.00$384.86ApprovedApproved
CLM-2026-0059062026-07-29Heritage Community Hospital
in network
71046, 96374$400.00$130.90ApprovedApproved
CLM-2026-0129972026-05-03Northgate Medical Group
in network
99232$182.00$0.00ApprovedApproved