Identities/MBR-016849
Gold, golden identity

Douglas X Burns

4 source records from 3 feeds.

MBR-016849Verified4 records

Golden record

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

First nameCLM
Douglas
Middle nameENR
X
Last nameENR
Burns
Date of birthENR
1994-09-24
GenderCLM
F
Member IDENR
UHC-49808-01
SSNENR
•••-••-8816
PhoneENR
7322222190
Email—
—
AddressENR
344 Church St
CityENR
Fresno
StateENR
CA
ZIP—
—
GroupENR
GRP-0330
PlanENR
MEDICARE-ADV-A
Min confidence
0.97
Sources
CLM ×2ENR ×1TPA ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.990.990.97CLMCLM-416432ENRENR-121587CLMCLM-416433TPATPA-57210IDMBR-016849
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-416432CLM2026-03-02Douglas Burnsflagged1994-09-24——344 Church St, Fresno, CAScored0.99—
ENR-121587ENR2026-05-12Duoglas Burnsflagged1994-09-24UHC-49808-017322222190344 Church St, Fresno, CAScored0.99—
CLM-416433CLM2026-08-06Douglas Burnsflagged1994-09-24UHC-49808-0173222221903300 Mesa Dr, San Antonio, TXRule0.99D1 member id + dob exact
TPA-57210TPA2026-09-18Douglas Burnsflagged1994-09-24——344 Church St, Fresno, CARule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-416432CLMENR-121587ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-121587ENRCLM-416433CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-121587ENRTPA-57210TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-416432CLMTPA-57210TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-416432CLMCLM-416433CLM0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none
▶CLM-416433CLMTPA-57210TPA0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-416432 → UHC-49808-01 (Douglas Burns)
    ACT-003059, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically96a8375731
    matching_agent, TPA-57210, identity id MBR-016849, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-121587
  • 2026-10-22 12:43:54Record linked automatically409a9e5694
    matching_agent, CLM-416433, identity id MBR-016849, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121587
  • 2026-10-22 12:43:54Record linked automaticallyf31dfebb3a
    scoring_agent, ENR-121587, identity id MBR-016849, confidence 0.99, method probabilistic, matched record CLM-416432, policy version 1
  • 2026-10-22 12:43:54Record linked automatically45d4a11688
    scoring_agent, CLM-416432, identity id MBR-016849, confidence 0.99, method probabilistic, matched record ENR-121587, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5b54dd56b0
    matching_agent, TPA-57210, identity id MBR-016849, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-121587
  • 2026-10-19 19:54:38Record linked automaticallyfa9544a937
    matching_agent, CLM-416433, identity id MBR-016849, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121587
  • 2026-10-19 19:54:38Record linked automatically36f18fbbd7
    scoring_agent, ENR-121587, identity id MBR-016849, confidence 0.99, method probabilistic, matched record CLM-416432, policy version 1
  • 2026-10-19 19:54:38Record linked automatically44a749d3fe
    scoring_agent, CLM-416432, identity id MBR-016849, confidence 0.99, method probabilistic, matched record ENR-121587, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9480795f37
    matching_agent, TPA-57210, identity id MBR-016849, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-121587
  • 2026-10-19 19:52:09Record linked automatically86193ab8e1
    matching_agent, CLM-416433, identity id MBR-016849, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121587
  • 2026-10-19 19:52:09Record linked automatically5ae1e687a3
    scoring_agent, ENR-121587, identity id MBR-016849, confidence 0.99, method probabilistic, matched record CLM-416432, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8cb8a1b09b
    scoring_agent, CLM-416432, identity id MBR-016849, confidence 0.99, method probabilistic, matched record ENR-121587, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf8346e890b
    matching_agent, TPA-57210, identity id MBR-016849, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-121587
  • 2026-10-19 19:45:42Record linked automaticallya7a50d9c87
    matching_agent, CLM-416433, identity id MBR-016849, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121587
  • 2026-10-19 19:45:42Record linked automaticallye5dbdf4419
    scoring_agent, ENR-121587, identity id MBR-016849, confidence 0.99, method probabilistic, matched record CLM-416432, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5860aa12d1
    scoring_agent, CLM-416432, identity id MBR-016849, confidence 0.99, method probabilistic, matched record ENR-121587, policy version 1
  • 2026-10-19 19:32:31Record linked automatically04fd359907
    matching_agent, TPA-57210, identity id MBR-016849, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-121587
  • 2026-10-19 19:32:31Record linked automatically675fe120f8
    matching_agent, CLM-416433, identity id MBR-016849, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121587
  • 2026-10-19 19:32:31Record linked automatically8613d632a1
    scoring_agent, ENR-121587, identity id MBR-016849, confidence 0.99, method probabilistic, matched record CLM-416432, policy version 1
  • 2026-10-19 19:32:31Record linked automatically46557293a9
    scoring_agent, CLM-416432, identity id MBR-016849, confidence 0.99, method probabilistic, matched record ENR-121587, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya0de938823
    matching_agent, CLM-416433, identity id MBR-016036, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416434
  • 2026-10-19 19:31:28Record linked automatically0ec56facb6
    scoring_agent, TPA-57210, identity id MBR-007853, confidence 0.99, method probabilistic, matched record ENR-121663, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallydd1b03b448
    scoring_agent, ENR-121587, identity id MBR-002928, confidence 1, method probabilistic, matched record PRV-24829, policy version 1
  • 2026-10-19 19:31:28Record linked automatically4b71c3c492
    matching_agent, CLM-416432, identity id MBR-002332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121528

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0300192026-06-24Desert Rehabilitation Center
in network
97110, 97161$399.00$217.38ApprovedApproved
CLM-2026-0065532026-01-28Mesa Bone and Joint Center
in network
27447$29,528.00—Needs reviewNeeds review