Identities/MBR-015386

Gold, golden identity

Virginia Green

5 source records from 4 feeds.

MBR-015386Verified5 records

Golden record

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

First nameENR: Virginia
Middle name—: —
Last nameENR: Green
Date of birthENR: 1963-10-26
GenderENR: F
Member IDENR: UHC-24354-61
SSNENR: •••-••-2289
PhoneENR: 2292047499
EmailENR: virginia.green@icloud.com
AddressENR: 8700 Sunset Blvd
CityENR: San Diego
StateENR: CA
ZIPENR: 92126
GroupENR: GRP-7689
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

CLM ×2TPA ×1ENR ×1PRV ×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-426768	CLM	2026-02-23	Virginia Greenflagged	1963-10-26	—	—	8700 Sunset Blvd # 490, San Diego, CA	Scored	1.00	—
TPA-61826	TPA	2026-03-17	Virginia Greenflagged	1963-10-26	—	2292047499	8700 Sunset Blvd, San Diego, CA	Scored	1.00	—
ENR-135122	ENR	2026-03-24	Virginia Greenflagged	1963-10-26	UHC-24354-61	2292047499	8700 Sunset Blvd, San Diego, CA	Scored	1.00	—
CLM-426767	CLM	2026-04-08	Virginia Greenflagged	1963-10-26	UHC-24354-61	2292047499	8700 Sunset Blvd Apt 2, San Diego, CA	Scored	1.00	—
PRV-27878	PRV	2026-07-10	Virginia Greenflagged	1963-10-26	—	2292047499	8700 Sunset Blvd, San Diego, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-426768CLMCLM-426767CLM1.00Scoredweighted 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

▶TPA-61826TPACLM-426767CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-426768CLMENR-135122ENR1.00Scoredweighted 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

▶TPA-61826TPAENR-135122ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-426768CLMPRV-27878PRV1.00Scoredweighted 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

▶TPA-61826TPAPRV-27878PRV1.00Scoredweighted 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-135122ENRPRV-27878PRV1.00Scoredweighted 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-426767CLMPRV-27878PRV1.00Scoredweighted 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-426768CLMTPA-61826TPA1.00Scoredweighted 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

▶ENR-135122ENRCLM-426767CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 5Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-426768 → UHC-24354-61 (Virginia Green)
ACT-006001, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically9c924c0398
scoring_agent, PRV-27878, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-22 12:43:54Record linked automaticallyd9917e6594
scoring_agent, CLM-426767, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-22 12:43:54Record linked automaticallyfe91cddede
scoring_agent, ENR-135122, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-22 12:43:54Record linked automaticallyfc1992d328
scoring_agent, TPA-61826, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-22 12:43:54Record linked automatically3188c70401
scoring_agent, CLM-426768, identity id MBR-015386, confidence 1, method probabilistic, matched record TPA-61826, policy version 1
2026-10-19 19:54:38Record linked automatically7a46b7f3da
scoring_agent, PRV-27878, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-19 19:54:38Record linked automaticallyae05d64d80
scoring_agent, CLM-426767, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-19 19:54:38Record linked automatically4ea1f818ba
scoring_agent, ENR-135122, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-19 19:54:38Record linked automaticallyb0d96b4639
scoring_agent, TPA-61826, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-19 19:54:38Record linked automaticallyb5b5bd925a
scoring_agent, CLM-426768, identity id MBR-015386, confidence 1, method probabilistic, matched record TPA-61826, policy version 1
2026-10-19 19:52:09Record linked automatically6799b25157
scoring_agent, PRV-27878, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-19 19:52:09Record linked automatically6d55971d8d
scoring_agent, CLM-426767, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-19 19:52:09Record linked automatically7a2a0f399a
scoring_agent, ENR-135122, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-19 19:52:09Record linked automatically12625c85ee
scoring_agent, TPA-61826, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-19 19:52:09Record linked automatically19c20d9a57
scoring_agent, CLM-426768, identity id MBR-015386, confidence 1, method probabilistic, matched record TPA-61826, policy version 1
2026-10-19 19:45:42Record linked automatically7826375abb
scoring_agent, PRV-27878, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-19 19:45:42Record linked automatically79884ab545
scoring_agent, CLM-426767, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-19 19:45:42Record linked automatically40c297f3e2
scoring_agent, ENR-135122, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-19 19:45:42Record linked automatically44865fc1ab
scoring_agent, TPA-61826, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-19 19:45:42Record linked automatically8bf33c112c
scoring_agent, CLM-426768, identity id MBR-015386, confidence 1, method probabilistic, matched record TPA-61826, policy version 1
2026-10-19 19:32:31Record linked automaticallyb2e7e00be9
scoring_agent, PRV-27878, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-19 19:32:31Record linked automatically641de6a5f9
scoring_agent, CLM-426767, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-19 19:32:31Record linked automatically7234a777d3
scoring_agent, ENR-135122, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-19 19:32:31Record linked automaticallye021dc6ef9
scoring_agent, TPA-61826, identity id MBR-015386, confidence 1, method probabilistic, matched record CLM-426768, policy version 1
2026-10-19 19:32:31Record linked automaticallye975ebe1f6
scoring_agent, CLM-426768, identity id MBR-015386, confidence 1, method probabilistic, matched record TPA-61826, policy version 1
2026-10-19 19:31:28Record linked automaticallyb9d51af57a
matching_agent, CLM-426768, identity id MBR-040456, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-426769
2026-10-19 19:31:28Record linked automaticallyceb90adb60
matching_agent, CLM-426767, identity id MBR-034983, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-135378
2026-10-19 19:31:28Record linked automaticallyfff7d29805
matching_agent, ENR-135122, identity id MBR-010560, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135123
2026-10-19 19:31:28Record linked automaticallye29dac7f29
scoring_agent, PRV-27878, identity id MBR-006594, confidence 1, method probabilistic, matched record CLM-426786, policy version 1
2026-10-19 19:31:28Record linked automaticallycf0001d3a9
scoring_agent, TPA-61826, identity id MBR-002492, confidence 0.91, method probabilistic, matched record PRV-27901, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-031058	2026-03-30	Heritage Community Hospital in network	96374	$179.00	—	Denied	Denied
CLM-2026-017555	2026-02-12	Sunrise Counseling Center in network	90791	$447.00	—	Denied	Denied