Identities/MBR-016107

Gold, golden identity

Donna Morris

5 source records from 2 feeds.

MBR-016107Verified5 records

Golden record

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

First nameENR: Donna
Middle name—: —
Last nameENR: Morris
Date of birthENR: 2003-07-27
GenderENR: F
Member IDENR: UHC-81537-62
SSNENR: •••-••-9402
PhoneENR: 5336851073
EmailENR: donna.morris@gmail.com
AddressCLM: 7992 Elm St
CityENR: Nashville
StateENR: TN
ZIPCLM: 37284
GroupENR: GRP-5225
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.99

Sources

CLM ×4ENR ×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-431220	CLM	2026-02-26	Donna Morrisflagged	2003-07-27	UHC-81537-62	5336851073	7992 Elm St, Nashville, TN	Scored	1.00	—
CLM-431221	CLM	2026-02-26	Donna Morrisflagged	2003-07-27	UHC-81537-62	5336851073	7992 Elm St, Nashville, TN	Scored	1.00	—
ENR-140998	ENR	2026-03-28	Donna Morrisflagged	2003-07-27	UHC-81537-62	5336851073	7992 Elm St Apt 3, Nashville, TN	Rule	0.99	D1 member id + dob exact
CLM-431222	CLM	2026-07-30	Donna Morrisflagged	2003-07-27	—	—	7992 Elm St, Nashville, TN	Scored	1.00	—
CLM-431223	CLM	2026-09-23	Donna Morrisflagged	2003-07-27	UHC-81537-62	—	—	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶CLM-431220CLMCLM-431222CLM1.00Scoredweighted 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

▶CLM-431221CLMCLM-431222CLM1.00Scoredweighted 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

▶CLM-431220CLMCLM-431221CLM0.99RuleD1 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

▶CLM-431220CLMCLM-431223CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431221CLMCLM-431223CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-140998ENRCLM-431223CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431220CLMENR-140998ENR0.99RuleD1 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-431221CLMENR-140998ENR0.99RuleD1 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-140998ENRCLM-431222CLM0.93Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-431222CLMCLM-431223CLM0.83Scoredweighted 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-431222 → UHC-81537-62 (Donna Morris)
ACT-003866, Claims processor
Outreach address correctedProposed
Donna Morris: 7992 Elm St Apt 3, Nashville → 7992 Elm St, Nashville
ACT-011961, Outreach
Care coordination outreachProposed
Donna Morris: 4 claims, no attributed provider
ACT-018894, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically0dc3fceabe
matching_agent, CLM-431223, identity id MBR-016107, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431220
2026-10-22 12:43:54Record linked automatically750923138e
scoring_agent, CLM-431222, identity id MBR-016107, confidence 1, method probabilistic, matched record CLM-431220, policy version 1
2026-10-22 12:43:54Record linked automatically277a6afc19
matching_agent, ENR-140998, identity id MBR-016107, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431220
2026-10-22 12:43:54Record linked automaticallydd93447140
scoring_agent, CLM-431221, identity id MBR-016107, confidence 1, method probabilistic, matched record CLM-431222, policy version 1
2026-10-22 12:43:54Record linked automatically159dbcae64
scoring_agent, CLM-431220, identity id MBR-016107, confidence 1, method probabilistic, matched record CLM-431222, policy version 1
2026-10-19 19:54:38Record linked automaticallye63d9de13a
matching_agent, CLM-431223, identity id MBR-016107, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431220
2026-10-19 19:54:38Record linked automaticallyf5f63eeba0
scoring_agent, CLM-431222, identity id MBR-016107, confidence 1, method probabilistic, matched record CLM-431220, policy version 1
2026-10-19 19:54:38Record linked automatically5f2d0da1d6
matching_agent, ENR-140998, identity id MBR-016107, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431220
2026-10-19 19:54:38Record linked automatically6d0077764e
scoring_agent, CLM-431221, identity id MBR-016107, confidence 1, method probabilistic, matched record CLM-431222, policy version 1
2026-10-19 19:54:38Record linked automatically4ed742aef7
scoring_agent, CLM-431220, identity id MBR-016107, confidence 1, method probabilistic, matched record CLM-431222, policy version 1
2026-10-19 19:52:09Record linked automatically9663fcdee8
matching_agent, CLM-431223, identity id MBR-016107, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431220
2026-10-19 19:52:09Record linked automatically6c974d318a
scoring_agent, CLM-431222, identity id MBR-016107, confidence 1, method probabilistic, matched record CLM-431220, policy version 1
2026-10-19 19:52:09Record linked automatically1ccf72094c
matching_agent, ENR-140998, identity id MBR-016107, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431220
2026-10-19 19:52:09Record linked automaticallye33fdf0c24
scoring_agent, CLM-431221, identity id MBR-016107, confidence 1, method probabilistic, matched record CLM-431222, policy version 1
2026-10-19 19:52:09Record linked automatically13a12b2a41
scoring_agent, CLM-431220, identity id MBR-016107, confidence 1, method probabilistic, matched record CLM-431222, policy version 1
2026-10-19 19:45:42Record linked automatically6b9b39fed7
matching_agent, CLM-431223, identity id MBR-016107, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431220
2026-10-19 19:45:42Record linked automaticallyda0616c778
scoring_agent, CLM-431222, identity id MBR-016107, confidence 1, method probabilistic, matched record CLM-431220, policy version 1
2026-10-19 19:45:42Record linked automaticallyb2a78a9cb0
matching_agent, ENR-140998, identity id MBR-016107, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431220
2026-10-19 19:45:42Record linked automatically32b6eeb57f
scoring_agent, CLM-431221, identity id MBR-016107, confidence 1, method probabilistic, matched record CLM-431222, policy version 1
2026-10-19 19:45:42Record linked automatically3bd8c706d3
scoring_agent, CLM-431220, identity id MBR-016107, confidence 1, method probabilistic, matched record CLM-431222, policy version 1
2026-10-19 19:32:31Record linked automatically233d67b0dc
matching_agent, CLM-431223, identity id MBR-016107, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431220
2026-10-19 19:32:31Record linked automaticallyed3455209b
scoring_agent, CLM-431222, identity id MBR-016107, confidence 1, method probabilistic, matched record CLM-431220, policy version 1
2026-10-19 19:32:31Record linked automatically05b281dcb4
matching_agent, ENR-140998, identity id MBR-016107, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431220
2026-10-19 19:32:31Record linked automatically1d5295864b
scoring_agent, CLM-431221, identity id MBR-016107, confidence 1, method probabilistic, matched record CLM-431222, policy version 1
2026-10-19 19:32:31Record linked automatically2883edd917
scoring_agent, CLM-431220, identity id MBR-016107, confidence 1, method probabilistic, matched record CLM-431222, policy version 1
2026-10-19 19:31:28Record linked automaticallyc4c858df50
matching_agent, CLM-431220, identity id MBR-018300, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-141181
2026-10-19 19:31:28Record linked automatically5da0e47d78
scoring_agent, CLM-431221, identity id MBR-017545, confidence 1, method probabilistic, matched record PRV-29128, policy version 1
2026-10-19 19:31:28Record linked automatically0090c0e4e5
matching_agent, ENR-140998, identity id MBR-016541, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431079
2026-10-19 19:31:28Record linked automaticallya119dadf90
scoring_agent, CLM-431222, identity id MBR-010223, confidence 1, method probabilistic, matched record TPA-63680, policy version 1
2026-10-19 19:31:28Record linked automaticallya25aa79254
matching_agent, CLM-431223, identity id MBR-001478, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29129

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-2026-020808	2026-08-22	Heritage Family Practice in network	36415, 99203	$256.00	$146.94	Approved	Approved
CLM-2026-009686	2026-06-27	Heritage Family Practice in network	99214	$312.00	$173.44	Approved	Approved
CLM-2026-019405	2026-01-12	Sunrise Medical Group out of network	99215	$409.00	$164.05	Approved	Approved
CLM-2026-003411	2026-01-14	Northgate Reference Lab in network	80061, 87086, 85025	$178.00	$0.00	Approved	Approved