Identities/MBR-016353
Gold, golden identity

Grace Hawkins

3 source records from 1 feed.

MBR-016353Verified3 records

Golden record

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

First nameCLM
Grace
Middle name—
—
Last nameCLM
Hawkins
Date of birthCLM
1938-07-27
GenderCLM
M
Member IDCLM
UHC-70840-06
SSN—
—
PhoneCLM
5889732840
Email—
—
AddressCLM
1559 Willow Ct
CityCLM
Fresno
StateCLM
CA
ZIPCLM
93701
GroupCLM
GRP-8719
PlanCLM
OPTIONS-PPO
Min confidence
0.93
Sources
CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

Source records linked to this identity and the confidence of each link

0.930.990.99CLMCLM-402890CLMCLM-402892CLMCLM-402891IDMBR-016353
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
CLM-402890CLM2026-02-27Grace Hawkinsflagged1938-07-27——1559 Willow Ct, Fresno, CAScored0.93—
CLM-402892CLM2026-09-13Grace Hawkinsflagged1938-07-27UHC-70840-0658897328401559 Willow Ct, Fresno, CARule0.99D1 member id + dob exact
CLM-402891CLM2026-09-15Grace Hawkinsflagged1938-07-27UHC-70840-06—1559 Willow Ct, Fresno, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-402892CLMCLM-402891 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402890CLMCLM-402891 CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402890CLMCLM-402892CLM0.93Scoredweighted 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-402890 → UHC-70840-06 (Grace Hawkins)
    ACT-002966, Claims processor
  • Care coordination outreachProposed
    Grace Hawkins: 3 claims, no attributed provider
    ACT-018911, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallye1399956b8
    matching_agent, CLM-402891, identity id MBR-016353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402892
  • 2026-10-22 12:43:54Record linked automaticallyf0397bd842
    matching_agent, CLM-402892, identity id MBR-016353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402891
  • 2026-10-22 12:43:54Record linked automatically8e3aa2463c
    scoring_agent, CLM-402890, identity id MBR-016353, confidence 0.93, method probabilistic, matched record CLM-402892, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycbcb6aeafd
    matching_agent, CLM-402891, identity id MBR-016353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402892
  • 2026-10-19 19:54:38Record linked automatically400d75564b
    matching_agent, CLM-402892, identity id MBR-016353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402891
  • 2026-10-19 19:54:38Record linked automaticallya72b679b7e
    scoring_agent, CLM-402890, identity id MBR-016353, confidence 0.93, method probabilistic, matched record CLM-402892, policy version 1
  • 2026-10-19 19:52:09Record linked automatically66cae9ae53
    matching_agent, CLM-402891, identity id MBR-016353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402892
  • 2026-10-19 19:52:09Record linked automaticallyfb96016de1
    matching_agent, CLM-402892, identity id MBR-016353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402891
  • 2026-10-19 19:52:09Record linked automaticallyb537b18d58
    scoring_agent, CLM-402890, identity id MBR-016353, confidence 0.93, method probabilistic, matched record CLM-402892, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8513a4d016
    matching_agent, CLM-402891, identity id MBR-016353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402892
  • 2026-10-19 19:45:42Record linked automaticallyf498f9ff1c
    matching_agent, CLM-402892, identity id MBR-016353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402891
  • 2026-10-19 19:45:42Record linked automatically0129a7fb3a
    scoring_agent, CLM-402890, identity id MBR-016353, confidence 0.93, method probabilistic, matched record CLM-402892, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1a1c1bb10a
    matching_agent, CLM-402891, identity id MBR-016353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402892
  • 2026-10-19 19:32:31Record linked automaticallyc4dbe44636
    matching_agent, CLM-402892, identity id MBR-016353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402891
  • 2026-10-19 19:32:31Record linked automaticallyf8efd235be
    scoring_agent, CLM-402890, identity id MBR-016353, confidence 0.93, method probabilistic, matched record CLM-402892, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyada9f6d648
    matching_agent, CLM-402891, identity id MBR-036857, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103799
  • 2026-10-19 19:31:28Record linked automaticallydd6e253432
    matching_agent, CLM-402892, identity id MBR-036857, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103799
  • 2026-10-19 19:31:28Record linked automaticallya88b42da28
    matching_agent, CLM-402890, identity id MBR-003411, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-20880

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0141692026-08-23Pinecrest Diagnostic Imaging
in network
76700$587.00$0.00ApprovedApproved
CLM-2026-0217002026-08-07Meadow Family Practice
in network
99213$192.00$99.04ApprovedApproved
CLM-2026-0061942026-01-24Evergreen Family Practice
in network
36415$19.00$0.00ApprovedApproved