Identities/MBR-015093
Gold, golden identity

Lori Miller

5 source records from 3 feeds.

MBR-015093Verified5 records

Golden record

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

First nameCLM
Lori
Middle name—
—
Last nameENR
Miller
Date of birthENR
1942-02-11
GenderCLM
F
Member IDENR
UHC-11050-43
SSNENR
•••-••-9796
PhoneENR
9055430691
Email—
—
AddressENR
138 Harbor Blvd
CityENR
Nashville
StateENR
TN
ZIPENR
37242
GroupENR
GRP-7297
PlanENR
CORE-HMO
Min confidence
0.97
Sources
TPA ×2CLM ×2ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.970.970.990.970.99TPATPA-62795CLMCLM-428952CLMCLM-428951TPATPA-62794ENRENR-137950IDMBR-015093
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
TPA-62795TPA2026-02-22Lori Millerflagged1942-02-11——138 Harbor Blvd, Nashville, TNRule0.97D2 ssn4 + dob + last name
CLM-428952CLM2026-06-04Lori Millerflagged1942-02-11——138 Harbor Blvd, Nashville, TNRule0.97D2 ssn4 + dob + last name
CLM-428951CLM2026-07-19Lori Millerflagged1942-02-11UHC-11050-439055430691—Rule0.99D1 member id + dob exact
TPA-62794TPA2026-08-23Lori Millerflagged1942-02-11——138 Harbor Blvd, Nashville, TNRule0.97D2 ssn4 + dob + last name
ENR-137950ENR2026-10-07Loir Millerflagged1942-02-11UHC-11050-439055430691138 Harbor Blvd, Nashville, TNRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-428951CLMENR-137950 ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-62795TPACLM-428951CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-428952CLMCLM-428951CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-62795TPACLM-428952CLM0.97RuleD2 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
▶TPA-62795TPAENR-137950 ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-428952CLMENR-137950 ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-62794TPAENR-137950 ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-62795TPATPA-62794TPA0.97RuleD2 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
▶CLM-428952CLMTPA-62794TPA0.97RuleD2 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
▶CLM-428951CLMTPA-62794TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-428952 → UHC-11050-43 (Lori Miller)
    ACT-007340, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyb2eb0b397e
    matching_agent, ENR-137950, identity id MBR-015093, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428951
  • 2026-10-22 12:43:54Record linked automatically15bb085e91
    matching_agent, TPA-62794, identity id MBR-015093, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-62795
  • 2026-10-22 12:43:54Record linked automatically66670b9088
    matching_agent, CLM-428951, identity id MBR-015093, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137950
  • 2026-10-22 12:43:54Record linked automaticallyef4fc82607
    matching_agent, CLM-428952, identity id MBR-015093, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-62795
  • 2026-10-22 12:43:54Record linked automatically72c8643813
    matching_agent, TPA-62795, identity id MBR-015093, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-428952
  • 2026-10-19 19:54:38Record linked automaticallyb7c69d302d
    matching_agent, ENR-137950, identity id MBR-015093, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428951
  • 2026-10-19 19:54:38Record linked automatically2bf2f711e1
    matching_agent, TPA-62794, identity id MBR-015093, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-62795
  • 2026-10-19 19:54:38Record linked automaticallya178212cd0
    matching_agent, CLM-428951, identity id MBR-015093, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137950
  • 2026-10-19 19:54:38Record linked automatically2ae4497ff9
    matching_agent, CLM-428952, identity id MBR-015093, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-62795
  • 2026-10-19 19:54:38Record linked automatically3e6777caa6
    matching_agent, TPA-62795, identity id MBR-015093, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-428952
  • 2026-10-19 19:52:09Record linked automaticallye368114a45
    matching_agent, ENR-137950, identity id MBR-015093, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428951
  • 2026-10-19 19:52:09Record linked automatically45244b2c50
    matching_agent, TPA-62794, identity id MBR-015093, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-62795
  • 2026-10-19 19:52:09Record linked automatically38179db887
    matching_agent, CLM-428951, identity id MBR-015093, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137950
  • 2026-10-19 19:52:09Record linked automatically3baf66f3bc
    matching_agent, CLM-428952, identity id MBR-015093, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-62795
  • 2026-10-19 19:52:09Record linked automaticallyaa970a9cc7
    matching_agent, TPA-62795, identity id MBR-015093, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-428952
  • 2026-10-19 19:45:42Record linked automatically4f3ac04e8c
    matching_agent, ENR-137950, identity id MBR-015093, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428951
  • 2026-10-19 19:45:42Record linked automaticallyb52b543fc0
    matching_agent, TPA-62794, identity id MBR-015093, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-62795
  • 2026-10-19 19:45:42Record linked automaticallyf324ba8743
    matching_agent, CLM-428951, identity id MBR-015093, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137950
  • 2026-10-19 19:45:42Record linked automatically8f24ee33f2
    matching_agent, CLM-428952, identity id MBR-015093, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-62795
  • 2026-10-19 19:45:42Record linked automatically0f7b07ce4c
    matching_agent, TPA-62795, identity id MBR-015093, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-428952
  • 2026-10-19 19:32:31Record linked automaticallydeb7d1862f
    matching_agent, ENR-137950, identity id MBR-015093, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428951
  • 2026-10-19 19:32:31Record linked automatically9c4f50534c
    matching_agent, TPA-62794, identity id MBR-015093, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-62795
  • 2026-10-19 19:32:31Record linked automaticallyd7f37bc49c
    matching_agent, CLM-428951, identity id MBR-015093, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137950
  • 2026-10-19 19:32:31Record linked automatically532c239527
    matching_agent, CLM-428952, identity id MBR-015093, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-62795
  • 2026-10-19 19:32:31Record linked automaticallyf041713d91
    matching_agent, TPA-62795, identity id MBR-015093, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-428952
  • 2026-10-19 19:31:28Record linked automaticallyde259a81aa
    scoring_agent, TPA-62795, identity id MBR-036687, confidence 0.93, method probabilistic, matched record ENR-138505, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyddd721a8a2
    matching_agent, CLM-428952, identity id MBR-004531, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138248
  • 2026-10-19 19:31:28Record linked automatically2f64d6322c
    matching_agent, CLM-428951, identity id MBR-001921, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138244

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0297462026-07-05Lakeside Endocrine Associates
out of network
95251, 99215$490.00—DeniedDenied
CLM-2026-0227012026-05-02Sunrise Skin Care Associates
in network
11403, 99213$653.00$329.86ApprovedApproved