Identities/MBR-016740

Gold, golden identity

Helen X Ellis

6 source records from 3 feeds.

MBR-016740Verified6 records

Golden record

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

First nameENR: Helen
Middle nameENR: X
Last nameENR: Ellis
Date of birthENR: 2008-02-12
GenderENR: F
Member IDENR: UHC-73490-52
SSNCLM: •••-••-1947
PhoneENR: 6389703302
EmailENR: helen.ellis21@aol.com
AddressENR: 2899 Broadway
CityENR: Denver
StateENR: CO
ZIPENR: 80259
GroupENR: GRP-2592
PlanENR: NAVIGATE-HMO

Min confidence

0.97

Sources

TPA ×2CLM ×3ENR ×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
TPA-63370	TPA	2026-03-01	Helen Ellisflagged	2008-02-12	—	—	2899 Broadway, Denver, CO	Scored	1.00	—
CLM-430293	CLM	2026-03-12	Helen Ellisflagged	2008-02-12	UHC-73490-52	6389703302	2899 Broadway, Denver, CO	Scored	1.00	—
CLM-430294	CLM	2026-06-21	Helen Ellisflagged	2008-02-12	—	6389703302	—	Scored	1.00	—
CLM-430295	CLM	2026-07-24	Helen Ellisflagged	2008-02-12	—	—	—	Rule	0.97	D2 ssn4 + dob + last name
ENR-139767	ENR	2026-08-19	Helen Ellisflagged	2008-02-12	UHC-73490-52	6389703302	2899 Broadway, Denver, CO	Scored	1.00	—
TPA-63371	TPA	2026-08-25	Helen Ellisflagged	2008-02-12	—	6389703302	2899 Broadway, Denver, CO	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-63370TPACLM-430293CLM1.00Scoredweighted 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-430293CLMCLM-430294CLM1.00Scoredweighted 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

▶TPA-63370TPAENR-139767ENR1.00Scoredweighted 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-430294CLMENR-139767ENR1.00Scoredweighted 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

▶TPA-63370TPATPA-63371TPA1.00Scoredweighted 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-430293CLMTPA-63371TPA1.00Scoredweighted 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-430294CLMTPA-63371TPA1.00Scoredweighted 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

▶ENR-139767ENRTPA-63371TPA1.00Scoredweighted 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-430293CLMENR-139767ENR0.99RuleD1 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-63370TPACLM-430294CLM0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-63370TPACLM-430295CLM0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-430294CLMCLM-430295CLM0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-430293CLMCLM-430295CLM0.83Scoredweighted 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

▶CLM-430295CLMENR-139767ENR0.83Scoredweighted 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

▶CLM-430295CLMTPA-63371TPA0.83Scoredweighted 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-430295 → UHC-73490-52 (Helen Ellis)
ACT-002983, Claims processor
Orphan claim re-pointedExecuted
CLM-430294 → UHC-73490-52 (Helen Ellis)
ACT-006679, Claims processor
Care coordination outreachProposed
Helen Ellis: 3 claims, no attributed provider
ACT-018922, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically8eeba8658a
scoring_agent, TPA-63371, identity id MBR-016740, confidence 1, method probabilistic, matched record TPA-63370, policy version 1
2026-10-19 19:54:38Record linked automatically48f7fb2606
scoring_agent, ENR-139767, identity id MBR-016740, confidence 1, method probabilistic, matched record TPA-63370, policy version 1
2026-10-19 19:54:38Record linked automatically612be528cf
matching_agent, CLM-430295, identity id MBR-016740, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63370
2026-10-19 19:54:38Record linked automatically6b488c6778
scoring_agent, CLM-430294, identity id MBR-016740, confidence 1, method probabilistic, matched record CLM-430293, policy version 1
2026-10-19 19:54:38Record linked automatically8965267099
scoring_agent, CLM-430293, identity id MBR-016740, confidence 1, method probabilistic, matched record TPA-63370, policy version 1
2026-10-19 19:54:38Record linked automaticallye55d5b8fa2
scoring_agent, TPA-63370, identity id MBR-016740, confidence 1, method probabilistic, matched record CLM-430293, policy version 1
2026-10-19 19:52:09Record linked automatically79a9bddd89
scoring_agent, TPA-63371, identity id MBR-016740, confidence 1, method probabilistic, matched record TPA-63370, policy version 1
2026-10-19 19:52:09Record linked automaticallyf3f3c6aeeb
scoring_agent, ENR-139767, identity id MBR-016740, confidence 1, method probabilistic, matched record TPA-63370, policy version 1
2026-10-19 19:52:09Record linked automatically58e0b02a00
matching_agent, CLM-430295, identity id MBR-016740, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63370
2026-10-19 19:52:09Record linked automaticallyb300c7f80a
scoring_agent, CLM-430294, identity id MBR-016740, confidence 1, method probabilistic, matched record CLM-430293, policy version 1
2026-10-19 19:52:09Record linked automatically3020536091
scoring_agent, CLM-430293, identity id MBR-016740, confidence 1, method probabilistic, matched record TPA-63370, policy version 1
2026-10-19 19:52:09Record linked automaticallyfbe39faafc
scoring_agent, TPA-63370, identity id MBR-016740, confidence 1, method probabilistic, matched record CLM-430293, policy version 1
2026-10-19 19:45:42Record linked automaticallyd677627a2c
scoring_agent, TPA-63371, identity id MBR-016740, confidence 1, method probabilistic, matched record TPA-63370, policy version 1
2026-10-19 19:45:42Record linked automatically38968188a2
scoring_agent, ENR-139767, identity id MBR-016740, confidence 1, method probabilistic, matched record TPA-63370, policy version 1
2026-10-19 19:45:42Record linked automatically817b97897a
matching_agent, CLM-430295, identity id MBR-016740, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63370
2026-10-19 19:45:42Record linked automatically2413ca39e4
scoring_agent, CLM-430294, identity id MBR-016740, confidence 1, method probabilistic, matched record CLM-430293, policy version 1
2026-10-19 19:45:42Record linked automaticallyef52063597
scoring_agent, CLM-430293, identity id MBR-016740, confidence 1, method probabilistic, matched record TPA-63370, policy version 1
2026-10-19 19:45:42Record linked automaticallyab8c70e2b1
scoring_agent, TPA-63370, identity id MBR-016740, confidence 1, method probabilistic, matched record CLM-430293, policy version 1
2026-10-19 19:32:31Record linked automatically180be3bb6e
scoring_agent, TPA-63371, identity id MBR-016740, confidence 1, method probabilistic, matched record TPA-63370, policy version 1
2026-10-19 19:32:31Record linked automaticallyfd96d9f928
scoring_agent, ENR-139767, identity id MBR-016740, confidence 1, method probabilistic, matched record TPA-63370, policy version 1
2026-10-19 19:32:31Record linked automaticallyd919fde790
matching_agent, CLM-430295, identity id MBR-016740, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63370
2026-10-19 19:32:31Record linked automatically30d8317619
scoring_agent, CLM-430294, identity id MBR-016740, confidence 1, method probabilistic, matched record CLM-430293, policy version 1
2026-10-19 19:32:31Record linked automatically848cc4e731
scoring_agent, CLM-430293, identity id MBR-016740, confidence 1, method probabilistic, matched record TPA-63370, policy version 1
2026-10-19 19:32:31Record linked automaticallye62433ccc0
scoring_agent, TPA-63370, identity id MBR-016740, confidence 1, method probabilistic, matched record CLM-430293, policy version 1
2026-10-19 19:31:28Record linked automatically4dd492cb59
matching_agent, CLM-430294, identity id MBR-017256, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139938
2026-10-19 19:31:28Record linked automatically7e82750c70
scoring_agent, TPA-63370, identity id MBR-011820, confidence 1, method probabilistic, matched record ENR-140195, policy version 1
2026-10-19 19:31:28Record linked automatically004d1b6fbb
scoring_agent, CLM-430293, identity id MBR-004936, confidence 1, method probabilistic, matched record CLM-430292, policy version 1
2026-10-19 19:31:28Record linked automatically28e0b857fe
scoring_agent, TPA-63371, identity id MBR-000819, confidence 1, method probabilistic, matched record ENR-140204, 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-2026-006269	2026-07-13	Sunrise Heart Institute in network	93306, 93458	$7,790.00	$1,386.39	Approved	Approved
CLM-2026-020105	2026-06-15	Evergreen Medical Group in network	36415, 99203	$242.00	—	Needs review	Needs review
CLM-2026-026950	2026-01-28	Heritage Community Hospital in network	99284	$1,297.00	$463.35	Approved	Approved