Identities/MBR-016856

Gold, golden identity

Michelle Jensen

4 source records from 2 feeds.

MBR-016856Verified4 records

Golden record

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

First nameENR: Michelle
Middle name—: —
Last nameENR: Jensen
Date of birthENR: 2005-04-02
GenderENR: F
Member IDENR: UHC-60955-24
SSNENR: •••-••-3961
PhoneENR: 2124752348
EmailENR: michelle.jensen@outlook.com
AddressENR: 311 Park Pl
CityENR: Nashville
StateENR: TN
ZIPENR: 37217
GroupENR: GRP-1901
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.97

Sources

CLM ×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
CLM-408301	CLM	2026-03-02	Michelle Jensenflagged	—	—	—	311 Park Pl, Nashville, TN	Scored	1.00	—
CLM-408302	CLM	2026-04-14	Michelle Jensenflagged	2005-04-02	—	—	311 Park Pl, Nashville, TN	Scored	1.00	—
CLM-408300	CLM	2026-08-25	Michelle Jensenflagged	2005-04-02	—	—	311 Park Pl, Nashville, TN	Rule	0.97	D2 ssn4 + dob + last name
ENR-110957	ENR	2026-08-27	Michelle Jensenflagged	2005-04-02	UHC-60955-24	2124752348	311 Park Pl, Nashville, TN	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-408301CLM CLM-408302CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408301CLM ENR-110957ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408302CLMCLM-408300CLM0.97RuleD2 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408302CLMENR-110957ENR0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408300CLMENR-110957ENR0.97RuleD2 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Michelle Jensen: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
ACT-000716, Eligibility engine
Orphan claim re-pointedExecuted
CLM-408301 → UHC-60955-24 (Michelle Jensen)
ACT-003231, Claims processor
Orphan claim re-pointedExecuted
CLM-408300 → UHC-60955-24 (Michelle Jensen)
ACT-004451, Claims processor
Orphan claim re-pointedExecuted
CLM-408302 → UHC-60955-24 (Michelle Jensen)
ACT-007970, Claims processor
Care coordination outreachProposed
Michelle Jensen: 3 claims, no attributed provider
ACT-018928, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically733a7bc596
scoring_agent, ENR-110957, identity id MBR-016856, confidence 1, method probabilistic, matched record CLM-408301, policy version 1
2026-10-19 19:54:38Record linked automatically50b426bad4
matching_agent, CLM-408300, identity id MBR-016856, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-408302
2026-10-19 19:54:38Record linked automaticallya360add363
scoring_agent, CLM-408302, identity id MBR-016856, confidence 1, method probabilistic, matched record CLM-408301, policy version 1
2026-10-19 19:54:38Record linked automatically19dcfac336
scoring_agent, CLM-408301, identity id MBR-016856, confidence 1, method probabilistic, matched record CLM-408302, policy version 1
2026-10-19 19:52:09Record linked automatically3c7f8f1854
scoring_agent, ENR-110957, identity id MBR-016856, confidence 1, method probabilistic, matched record CLM-408301, policy version 1
2026-10-19 19:52:09Record linked automaticallyf4b11b72c3
matching_agent, CLM-408300, identity id MBR-016856, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-408302
2026-10-19 19:52:09Record linked automatically57dc5bca87
scoring_agent, CLM-408302, identity id MBR-016856, confidence 1, method probabilistic, matched record CLM-408301, policy version 1
2026-10-19 19:52:09Record linked automaticallyb94c8bc00e
scoring_agent, CLM-408301, identity id MBR-016856, confidence 1, method probabilistic, matched record CLM-408302, policy version 1
2026-10-19 19:45:42Record linked automatically0296502ac0
scoring_agent, ENR-110957, identity id MBR-016856, confidence 1, method probabilistic, matched record CLM-408301, policy version 1
2026-10-19 19:45:42Record linked automatically2aa1d7918f
matching_agent, CLM-408300, identity id MBR-016856, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-408302
2026-10-19 19:45:42Record linked automatically79f217073a
scoring_agent, CLM-408302, identity id MBR-016856, confidence 1, method probabilistic, matched record CLM-408301, policy version 1
2026-10-19 19:45:42Record linked automaticallyc990d0189b
scoring_agent, CLM-408301, identity id MBR-016856, confidence 1, method probabilistic, matched record CLM-408302, policy version 1
2026-10-19 19:32:31Record linked automatically76ea68cff9
scoring_agent, ENR-110957, identity id MBR-016856, confidence 1, method probabilistic, matched record CLM-408301, policy version 1
2026-10-19 19:32:31Record linked automatically65477ea960
matching_agent, CLM-408300, identity id MBR-016856, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-408302
2026-10-19 19:32:31Record linked automatically44353077f5
scoring_agent, CLM-408302, identity id MBR-016856, confidence 1, method probabilistic, matched record CLM-408301, policy version 1
2026-10-19 19:32:31Record linked automatically077e23d2d0
scoring_agent, CLM-408301, identity id MBR-016856, confidence 1, method probabilistic, matched record CLM-408302, policy version 1
2026-10-19 19:31:28Record linked automaticallyfa27fe3a39
scoring_agent, ENR-110957, identity id MBR-040948, confidence 0.94, method probabilistic, matched record CLM-408340, policy version 1
2026-10-19 19:31:28Record linked automaticallyfaa7391939
scoring_agent, CLM-408301, identity id MBR-033709, confidence 1, method probabilistic, matched record CLM-408298, policy version 1
2026-10-19 19:31:28Record linked automaticallyf33b6a550a
scoring_agent, CLM-408302, identity id MBR-033709, confidence 1, method probabilistic, matched record CLM-408298, policy version 1
2026-10-19 19:31:28Record linked automatically114238c54f
scoring_agent, CLM-408300, identity id MBR-033709, confidence 1, method probabilistic, matched record CLM-408298, policy version 1

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-011889	2026-07-21	Northgate Medical Group in network	99215	$310.00	$167.20	Approved	Approved
CLM-2026-025128	2026-04-05	Heritage Primary Care Associates in network	36415	$23.00	$0.00	Approved	Approved
CLM-2026-007170	2026-02-23	Heritage Physical Therapy in network	97110, 97161	$348.00	$190.76	Approved	Approved