Identities/MBR-015683

Gold, golden identity

Betty M Willis

5 source records from 4 feeds.

MBR-015683Verified5 records

Golden record

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

First nameENR: Betty
Middle nameENR: M
Last nameENR: Willis
Date of birthENR: 1958-07-17
GenderENR: F
Member IDENR: UHC-87716-71
SSNCLM: •••-••-6599
PhoneENR: 9513124114
EmailENR: betty.willis@icloud.com
AddressCLM: 2735 Cedar Ln
CityENR: Houston
StateENR: TX
ZIPENR: 77086
GroupENR: GRP-6346
PlanENR: MEDICARE-ADV-B

Min confidence

1.00

Sources

PRV ×1CLM ×2TPA ×1ENR ×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
PRV-27565	PRV	2026-02-25	Betty Willisflagged	1958-07-17	—	9513124114	—	Scored	1.00	—
CLM-425702	CLM	2026-02-26	Betty Willisflagged	1958-07-17	—	9513124114	2735 Cedar Ln, Houston, TX	Scored	1.00	—
TPA-61344	TPA	2026-04-03	Betty Willisflagged	1958-07-17	UHC-87716-71	—	2735 Cedar Ln, Houston, TX	Scored	1.00	—
ENR-133617	ENR	2026-07-18	Betty Willisflagged	1958-07-17	UHC-87716-71	9513124114	2735 Cedar Ln Apt 31, Houston, TX	Scored	1.00	—
CLM-425701	CLM	2026-09-23	Betty Willisflagged	1958-07-17	UHC-87716-71	9513124114	2735 Cedar Ln, Houston, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-27565PRVCLM-425701CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-27565PRVCLM-425702CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-27565PRVENR-133617ENR1.00Scoredweighted 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425702CLMENR-133617ENR1.00Scoredweighted 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-425702CLMTPA-61344TPA1.00Scoredweighted 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-61344TPACLM-425701CLM0.99RuleD1 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

▶ENR-133617ENRCLM-425701CLM0.99RuleD1 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

▶TPA-61344TPAENR-133617ENR0.99RuleD1 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-425702CLMCLM-425701CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-27565PRVTPA-61344TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-425702 → UHC-87716-71 (Betty Willis)
ACT-007122, Claims processor
Outreach address correctedProposed
Betty Willis: 2735 Cedar Ln Apt 31, Houston → 2735 Cedar Ln, Houston
ACT-011919, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically10cd78aef0
scoring_agent, CLM-425701, identity id MBR-015683, confidence 1, method probabilistic, matched record PRV-27565, policy version 1
2026-10-22 12:43:54Record linked automatically002f114f81
scoring_agent, ENR-133617, identity id MBR-015683, confidence 1, method probabilistic, matched record PRV-27565, policy version 1
2026-10-22 12:43:54Record linked automatically4b047c31a3
scoring_agent, TPA-61344, identity id MBR-015683, confidence 1, method probabilistic, matched record CLM-425702, policy version 1
2026-10-22 12:43:54Record linked automatically927906b039
scoring_agent, CLM-425702, identity id MBR-015683, confidence 1, method probabilistic, matched record PRV-27565, policy version 1
2026-10-22 12:43:54Record linked automaticallyd111e95ec0
scoring_agent, PRV-27565, identity id MBR-015683, confidence 1, method probabilistic, matched record CLM-425702, policy version 1
2026-10-19 19:54:38Record linked automaticallydae1281dbf
scoring_agent, CLM-425701, identity id MBR-015683, confidence 1, method probabilistic, matched record PRV-27565, policy version 1
2026-10-19 19:54:38Record linked automatically633806dc89
scoring_agent, ENR-133617, identity id MBR-015683, confidence 1, method probabilistic, matched record PRV-27565, policy version 1
2026-10-19 19:54:38Record linked automatically09e438ac1e
scoring_agent, TPA-61344, identity id MBR-015683, confidence 1, method probabilistic, matched record CLM-425702, policy version 1
2026-10-19 19:54:38Record linked automaticallya6f57c6345
scoring_agent, CLM-425702, identity id MBR-015683, confidence 1, method probabilistic, matched record PRV-27565, policy version 1
2026-10-19 19:54:38Record linked automatically3074d52e94
scoring_agent, PRV-27565, identity id MBR-015683, confidence 1, method probabilistic, matched record CLM-425702, policy version 1
2026-10-19 19:52:09Record linked automatically796fa65de2
scoring_agent, CLM-425701, identity id MBR-015683, confidence 1, method probabilistic, matched record PRV-27565, policy version 1
2026-10-19 19:52:09Record linked automaticallya9da15ce77
scoring_agent, ENR-133617, identity id MBR-015683, confidence 1, method probabilistic, matched record PRV-27565, policy version 1
2026-10-19 19:52:09Record linked automaticallyeeb4edb949
scoring_agent, TPA-61344, identity id MBR-015683, confidence 1, method probabilistic, matched record CLM-425702, policy version 1
2026-10-19 19:52:09Record linked automatically9f5a773dc3
scoring_agent, CLM-425702, identity id MBR-015683, confidence 1, method probabilistic, matched record PRV-27565, policy version 1
2026-10-19 19:52:09Record linked automatically3f8d86000f
scoring_agent, PRV-27565, identity id MBR-015683, confidence 1, method probabilistic, matched record CLM-425702, policy version 1
2026-10-19 19:45:42Record linked automaticallyccaad04250
scoring_agent, CLM-425701, identity id MBR-015683, confidence 1, method probabilistic, matched record PRV-27565, policy version 1
2026-10-19 19:45:42Record linked automatically60c3e3a554
scoring_agent, ENR-133617, identity id MBR-015683, confidence 1, method probabilistic, matched record PRV-27565, policy version 1
2026-10-19 19:45:42Record linked automaticallyadae0acfc3
scoring_agent, TPA-61344, identity id MBR-015683, confidence 1, method probabilistic, matched record CLM-425702, policy version 1
2026-10-19 19:45:42Record linked automatically0b708545f6
scoring_agent, CLM-425702, identity id MBR-015683, confidence 1, method probabilistic, matched record PRV-27565, policy version 1
2026-10-19 19:45:42Record linked automatically02dfde40d5
scoring_agent, PRV-27565, identity id MBR-015683, confidence 1, method probabilistic, matched record CLM-425702, policy version 1
2026-10-19 19:32:31Record linked automatically10142b0a30
scoring_agent, CLM-425701, identity id MBR-015683, confidence 1, method probabilistic, matched record PRV-27565, policy version 1
2026-10-19 19:32:31Record linked automaticallybe064840c0
scoring_agent, ENR-133617, identity id MBR-015683, confidence 1, method probabilistic, matched record PRV-27565, policy version 1
2026-10-19 19:32:31Record linked automaticallye7b9110f37
scoring_agent, TPA-61344, identity id MBR-015683, confidence 1, method probabilistic, matched record CLM-425702, policy version 1
2026-10-19 19:32:31Record linked automatically3e8da0e40f
scoring_agent, CLM-425702, identity id MBR-015683, confidence 1, method probabilistic, matched record PRV-27565, policy version 1
2026-10-19 19:32:31Record linked automatically46cff35dc1
scoring_agent, PRV-27565, identity id MBR-015683, confidence 1, method probabilistic, matched record CLM-425702, policy version 1
2026-10-19 19:31:28Record linked automaticallyd4092d9985
scoring_agent, PRV-27565, identity id MBR-028418, confidence 0.99, method probabilistic, matched record ENR-133814, policy version 1
2026-10-19 19:31:28Record linked automatically1b3baeb5d4
matching_agent, CLM-425701, identity id MBR-002814, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425702
2026-10-19 19:31:28Record linked automaticallyd029660ebb
matching_agent, CLM-425702, identity id MBR-002814, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133920
2026-10-19 19:31:28Record linked automatically5a61550fb2
matching_agent, ENR-133617, identity id MBR-001103, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61226
2026-10-19 19:31:28Record linked automatically0d257d93c2
matching_agent, TPA-61344, identity id MBR-000255, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133993

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-2026-018980	2026-09-16	Sunrise Internal Medicine Associates in network	70553	$2,166.00	—	Needs review	Needs review
CLM-2026-021843	2026-01-23	Northgate Heart Institute in network	93224, 99214	$706.00	$387.72	Approved	Approved