Identities/MBR-016091
Gold, golden identity

Cynthia V Fuller

4 source records from 2 feeds.

MBR-016091Verified4 records

Golden record

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

First nameENR
Cynthia
Middle nameENR
V
Last nameENR
Fuller
Date of birthENR
1974-01-03
GenderENR
M
Member IDENR
UHC-17057-28
SSNENR
•••-••-0737
PhoneENR
2178250135
Email—
—
AddressENR
2479 Park Pl
CityENR
Charlotte
StateENR
NC
ZIP—
—
GroupENR
GRP-9694
PlanENR
SELECT-EPO
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

0.991.001.000.99ENRENR-137639CLMCLM-428686CLMCLM-428685CLMCLM-428687IDMBR-016091
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-137639ENR2026-02-26Cynthia Fullerflagged1974-01-03UHC-17057-2821782501352479 Park Pl, Charlotte, NCRule0.99D1 member id + dob exact
CLM-428686CLM2026-04-01Cynthia Fullerflagged1974-01-03UHC-17057-2821782501352479 Park Pl, Charlotte, NCScored1.00—
CLM-428685CLM2026-06-27Cynthia Fullerflagged1974-01-03——2479 Park Pl Apt 3, Charlotte, NCScored1.00—
CLM-428687CLM2026-08-21Cynthia Fullerflagged1974-01-03UHC-17057-28—2479 Park Pl, Charlotte, NCRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-428686CLMCLM-428685CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-137639ENRCLM-428686CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-137639ENRCLM-428687CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-428686CLMCLM-428687CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-137639ENRCLM-428685CLM0.97RuleD2 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-428685CLMCLM-428687CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-428685 → UHC-17057-28 (Cynthia Fuller)
    ACT-005757, Claims processor
  • Care coordination outreachProposed
    Cynthia Fuller: 3 claims, no attributed provider
    ACT-018893, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyfb6d70c11a
    matching_agent, CLM-428687, identity id MBR-016091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137639
  • 2026-10-19 19:54:38Record linked automatically68ff057bd2
    scoring_agent, CLM-428685, identity id MBR-016091, confidence 1, method probabilistic, matched record CLM-428686, policy version 1
  • 2026-10-19 19:54:38Record linked automatically832a41dc05
    scoring_agent, CLM-428686, identity id MBR-016091, confidence 1, method probabilistic, matched record CLM-428685, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc9b72a2d29
    matching_agent, ENR-137639, identity id MBR-016091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428686
  • 2026-10-19 19:52:09Record linked automatically610b36e6f3
    matching_agent, CLM-428687, identity id MBR-016091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137639
  • 2026-10-19 19:52:09Record linked automatically88d1626c34
    scoring_agent, CLM-428685, identity id MBR-016091, confidence 1, method probabilistic, matched record CLM-428686, policy version 1
  • 2026-10-19 19:52:09Record linked automatically33f0c05b6d
    scoring_agent, CLM-428686, identity id MBR-016091, confidence 1, method probabilistic, matched record CLM-428685, policy version 1
  • 2026-10-19 19:52:09Record linked automatically794190a829
    matching_agent, ENR-137639, identity id MBR-016091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428686
  • 2026-10-19 19:45:42Record linked automatically2380a9ef6c
    matching_agent, CLM-428687, identity id MBR-016091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137639
  • 2026-10-19 19:45:42Record linked automatically44a815859f
    scoring_agent, CLM-428685, identity id MBR-016091, confidence 1, method probabilistic, matched record CLM-428686, policy version 1
  • 2026-10-19 19:45:42Record linked automatically88e06d122a
    scoring_agent, CLM-428686, identity id MBR-016091, confidence 1, method probabilistic, matched record CLM-428685, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyebe7738baf
    matching_agent, ENR-137639, identity id MBR-016091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428686
  • 2026-10-19 19:32:31Record linked automaticallyd81222c032
    matching_agent, CLM-428687, identity id MBR-016091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137639
  • 2026-10-19 19:32:31Record linked automaticallyc7b5fdbaa6
    scoring_agent, CLM-428685, identity id MBR-016091, confidence 1, method probabilistic, matched record CLM-428686, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya9141f9238
    scoring_agent, CLM-428686, identity id MBR-016091, confidence 1, method probabilistic, matched record CLM-428685, policy version 1
  • 2026-10-19 19:32:31Record linked automatically84effc509f
    matching_agent, ENR-137639, identity id MBR-016091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428686
  • 2026-10-19 19:31:28Record linked automatically464938bf14
    scoring_agent, CLM-428687, identity id MBR-026438, confidence 1, method probabilistic, matched record TPA-62606, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya7ff6bbb33
    matching_agent, CLM-428686, identity id MBR-017905, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-137899
  • 2026-10-19 19:31:28Record linked automatically4548798c5f
    scoring_agent, CLM-428685, identity id MBR-017905, confidence 1, method probabilistic, matched record TPA-62604, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6258de5a47
    scoring_agent, ENR-137639, identity id MBR-007368, confidence 1, method probabilistic, matched record PRV-28356, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0167032026-08-07Sunrise Medical Group
out of network
99232$192.00—DeniedDenied
CLM-2026-0166592026-05-21Sunrise Digestive Health Center
out of network
99214$242.00—DeniedDenied
CLM-2026-0143812026-03-26Heritage Physical Therapy
in network
97110, 97014$185.00$74.70ApprovedApproved