Identities/MBR-015498

Gold, golden identity

Lauren Wagner

6 source records from 3 feeds.

MBR-015498Verified6 records

Golden record

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

First nameENR: Lauren
Middle name—: —
Last nameENR: Wagner
Date of birthENR: 1959-01-09
GenderENR: F
Member IDENR: UHC-76656-69
SSNENR: •••-••-4212
PhoneENR: 8106161786
EmailENR: lauren.wagner49@outlook.com
AddressENR: 6697 Highland Ave
CityENR: Seattle
StateENR: WA
ZIPENR: 98172
GroupENR: GRP-4902
PlanENR: MEDICARE-ADV-A

Min confidence

0.99

Sources

ENR ×2CLM ×3TPA ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

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
ENR-138194	ENR	2026-02-24	Lauren Wagnerflagged	1959-01-09	UHC-76656-69	8106161786	6697 Highland Ave, Seattle, WA	Scored	1.00	—
CLM-429126	CLM	2026-03-21	Lauren Wagnerflagged	1959-01-09	UHC-76656-69	8106161786	6697 Highland Ave, Seattle, WA	Scored	1.00	—
ENR-138195	ENR	2026-03-24	Lauren Wagnerflagged	1959-01-09	UHC-76656-69	8106161786	6697 Highland Ave, Seattle, WA	Rule	0.99	D1 member id + dob exact
TPA-62872	TPA	2026-03-30	Lauren Wagnerflagged	1959-01-09	UHC-76656-69	8106161786	6697 Highland Ave, Seattle, WA	Scored	1.00	—
CLM-429125	CLM	2026-04-16	Lauren Wagnerflagged	1959-01-09	UHC-76656-69	8106161786	6697 Highland Ave, Seattle, WA	Scored	1.00	—
CLM-429127	CLM	2026-06-05	Lauren Wagnerflagged	1959-01-09	—	8106161786	6697 Highland Ave, Seattle, WA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶ENR-138194ENRCLM-429127CLM1.00Scoredweighted 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-429126 CLMCLM-429127CLM1.00Scoredweighted 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

▶TPA-62872 TPACLM-429127CLM1.00Scoredweighted 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-429125CLMCLM-429127CLM1.00Scoredweighted 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-138194ENRCLM-429125CLM0.99RuleD1 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-429126 CLMCLM-429125CLM0.99RuleD1 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

▶ENR-138195ENRCLM-429125CLM0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-62872 TPACLM-429125CLM0.99RuleD1 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

▶ENR-138194ENRCLM-429126 CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-138194ENRENR-138195ENR0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-429126 CLMENR-138195ENR0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-138194ENRTPA-62872 TPA0.99RuleD1 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-429126 CLMTPA-62872 TPA0.99RuleD1 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

▶ENR-138195ENRTPA-62872 TPA0.99RuleD1 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
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-138195ENRCLM-429127CLM0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-429127 → UHC-76656-69 (Lauren Wagner)
ACT-007607, Claims processor
Care coordination outreachProposed
Lauren Wagner: 3 claims, no attributed provider
ACT-018856, Next-best-action
Duplicate member record retiredExecuted
Lauren Wagner: 2 enrollment records collapsed into UHC-76656-69
ACT-024016, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically6ccae79fe3
scoring_agent, CLM-429127, identity id MBR-015498, confidence 1, method probabilistic, matched record ENR-138194, policy version 1
2026-10-19 19:54:38Record linked automatically03aa737114
scoring_agent, CLM-429125, identity id MBR-015498, confidence 1, method probabilistic, matched record CLM-429127, policy version 1
2026-10-19 19:54:38Record linked automatically9344ec7142
scoring_agent, TPA-62872, identity id MBR-015498, confidence 1, method probabilistic, matched record CLM-429127, policy version 1
2026-10-19 19:54:38Record linked automaticallya02528dd70
matching_agent, ENR-138195, identity id MBR-015498, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138194
2026-10-19 19:54:38Record linked automatically8bfaba169b
scoring_agent, CLM-429126, identity id MBR-015498, confidence 1, method probabilistic, matched record CLM-429127, policy version 1
2026-10-19 19:54:38Record linked automatically10477a30d7
scoring_agent, ENR-138194, identity id MBR-015498, confidence 1, method probabilistic, matched record CLM-429127, policy version 1
2026-10-19 19:52:09Record linked automaticallyb6b5e763f1
scoring_agent, CLM-429127, identity id MBR-015498, confidence 1, method probabilistic, matched record ENR-138194, policy version 1
2026-10-19 19:52:09Record linked automaticallya7320c3151
scoring_agent, CLM-429125, identity id MBR-015498, confidence 1, method probabilistic, matched record CLM-429127, policy version 1
2026-10-19 19:52:09Record linked automatically9974503667
scoring_agent, TPA-62872, identity id MBR-015498, confidence 1, method probabilistic, matched record CLM-429127, policy version 1
2026-10-19 19:52:09Record linked automaticallya18cd582b5
matching_agent, ENR-138195, identity id MBR-015498, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138194
2026-10-19 19:52:09Record linked automatically037fa3eb21
scoring_agent, CLM-429126, identity id MBR-015498, confidence 1, method probabilistic, matched record CLM-429127, policy version 1
2026-10-19 19:52:09Record linked automaticallyc547cea26c
scoring_agent, ENR-138194, identity id MBR-015498, confidence 1, method probabilistic, matched record CLM-429127, policy version 1
2026-10-19 19:45:42Record linked automatically95937c1746
scoring_agent, CLM-429127, identity id MBR-015498, confidence 1, method probabilistic, matched record ENR-138194, policy version 1
2026-10-19 19:45:42Record linked automatically2951623448
scoring_agent, CLM-429125, identity id MBR-015498, confidence 1, method probabilistic, matched record CLM-429127, policy version 1
2026-10-19 19:45:42Record linked automaticallycba27f8860
scoring_agent, TPA-62872, identity id MBR-015498, confidence 1, method probabilistic, matched record CLM-429127, policy version 1
2026-10-19 19:45:42Record linked automaticallyf3cc432691
matching_agent, ENR-138195, identity id MBR-015498, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138194
2026-10-19 19:45:42Record linked automaticallyd0a91e4751
scoring_agent, CLM-429126, identity id MBR-015498, confidence 1, method probabilistic, matched record CLM-429127, policy version 1
2026-10-19 19:45:42Record linked automaticallya945bbd311
scoring_agent, ENR-138194, identity id MBR-015498, confidence 1, method probabilistic, matched record CLM-429127, policy version 1
2026-10-19 19:32:31Record linked automaticallyc1d1021b90
scoring_agent, CLM-429127, identity id MBR-015498, confidence 1, method probabilistic, matched record ENR-138194, policy version 1
2026-10-19 19:32:31Record linked automaticallyb60ae225c4
scoring_agent, CLM-429125, identity id MBR-015498, confidence 1, method probabilistic, matched record CLM-429127, policy version 1
2026-10-19 19:32:31Record linked automatically6e5207ecfa
scoring_agent, TPA-62872, identity id MBR-015498, confidence 1, method probabilistic, matched record CLM-429127, policy version 1
2026-10-19 19:32:31Record linked automaticallyd649585adf
matching_agent, ENR-138195, identity id MBR-015498, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138194
2026-10-19 19:32:31Record linked automaticallyaf0ef381b5
scoring_agent, CLM-429126, identity id MBR-015498, confidence 1, method probabilistic, matched record CLM-429127, policy version 1
2026-10-19 19:32:31Record linked automaticallya0c4b05651
scoring_agent, ENR-138194, identity id MBR-015498, confidence 1, method probabilistic, matched record CLM-429127, policy version 1
2026-10-19 19:31:28Record linked automatically1a7d9f31c7
scoring_agent, ENR-138194, identity id MBR-021318, confidence 0.94, method probabilistic, matched record TPA-62705, policy version 1
2026-10-19 19:31:28Record linked automaticallyde095dafb1
scoring_agent, CLM-429125, identity id MBR-005096, confidence 1, method probabilistic, matched record CLM-429127, policy version 1
2026-10-19 19:31:28Record linked automaticallyb0ff467143
scoring_agent, CLM-429127, identity id MBR-005096, confidence 1, method probabilistic, matched record ENR-138481, 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-2026-023765	2026-05-28	Pinecrest Physical Therapy in network	97110, 97161, 97140	$483.00	$269.46	Approved	Approved
CLM-2026-023573	2026-03-29	Pinecrest Reference Lab in network	80053, 83036, 85025	$179.00	$19.87	Approved	Approved
CLM-2026-022349	2026-02-04	Valley Bone and Joint Center out of network	27447, 29881	$50,948.00	—	Needs review	Needs review