Identities/MBR-017187

Gold, golden identity

Evelyn P Fisher

5 source records from 3 feeds.

MBR-017187Verified5 records

Golden record

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

First nameENR: Evelyn
Middle nameENR: P
Last nameENR: Fisher
Date of birthENR: 2005-10-08
GenderENR: M
Member IDENR: UHC-52353-84
SSNENR: •••-••-3711
PhoneCLM: 8765327319
EmailENR: evelyn.fisher49@gmail.com
AddressENR: 489 Highland Ave
CityENR: Sacramento
StateENR: CA
ZIP—: —
GroupENR: GRP-3943
PlanENR: CORE-HMO

Min confidence

0.99

Sources

TPA ×1CLM ×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-51062	TPA	2026-03-03	Evelyn Fisherflagged	2005-10-08	UHC-52353-84	—	489 Highland Ave, Sacramento, CA	Rule	0.99	D1 member id + dob exact
CLM-402496	CLM	2026-07-24	Evelyn Fisherflagged	2005-10-08	UHC-52353-84	—	489 Highland Ave, Sacramento, CA	Rule	0.99	D1 member id + dob exact
CLM-402497	CLM	2026-08-31	Evelyn Fysherflagged	2005-10-08	UHC-52353-84	8765327319	—	Rule	0.99	D1 member id + dob exact
CLM-402495	CLM	2026-09-11	Evelyn Fisherflagged	2005-10-08	UHC-52353-84	—	489 Highland Ave, Sacramento, CA	Rule	0.99	D1 member id + dob exact
ENR-103206	ENR	2026-10-14	Evelyn Fisherflagged	2005-10-08	UHC-52353-84	—	489 Highland Ave, Sacramento, CA	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

▶TPA-51062TPACLM-402495CLM 0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-402496CLMCLM-402495CLM 0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-402497CLMCLM-402495CLM 0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-51062TPACLM-402496CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-51062TPACLM-402497CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-402496CLMCLM-402497CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-51062TPAENR-103206ENR0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-402496CLMENR-103206ENR0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-402497CLMENR-103206ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-402495CLM ENR-103206ENR0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Care coordination outreachProposed
Evelyn Fisher: 3 claims, no attributed provider
ACT-018947, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically4637c6bb18
matching_agent, ENR-103206, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51062
2026-10-19 19:54:38Record linked automatically43cd37739f
matching_agent, CLM-402495, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51062
2026-10-19 19:54:38Record linked automatically06c155378d
matching_agent, CLM-402497, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51062
2026-10-19 19:54:38Record linked automatically4e8a8723c3
matching_agent, CLM-402496, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51062
2026-10-19 19:54:38Record linked automatically189ec937a8
matching_agent, TPA-51062, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402496
2026-10-19 19:52:09Record linked automatically4ab2cb5ea7
matching_agent, ENR-103206, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51062
2026-10-19 19:52:09Record linked automaticallya9786aa7b8
matching_agent, CLM-402495, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51062
2026-10-19 19:52:09Record linked automatically94a9f45385
matching_agent, CLM-402497, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51062
2026-10-19 19:52:09Record linked automatically09199a1094
matching_agent, CLM-402496, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51062
2026-10-19 19:52:09Record linked automatically1ef5db8442
matching_agent, TPA-51062, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402496
2026-10-19 19:45:42Record linked automatically054518648c
matching_agent, ENR-103206, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51062
2026-10-19 19:45:42Record linked automatically9b4b643b6d
matching_agent, CLM-402495, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51062
2026-10-19 19:45:42Record linked automatically1bbd9d3e0c
matching_agent, CLM-402497, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51062
2026-10-19 19:45:42Record linked automatically294cf836b1
matching_agent, CLM-402496, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51062
2026-10-19 19:45:42Record linked automatically37546f9f0b
matching_agent, TPA-51062, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402496
2026-10-19 19:32:31Record linked automatically748dd9abf3
matching_agent, ENR-103206, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51062
2026-10-19 19:32:31Record linked automatically0080168ebf
matching_agent, CLM-402495, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51062
2026-10-19 19:32:31Record linked automaticallya1f52a90af
matching_agent, CLM-402497, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51062
2026-10-19 19:32:31Record linked automaticallyc01db4a998
matching_agent, CLM-402496, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51062
2026-10-19 19:32:31Record linked automatically0504250a67
matching_agent, TPA-51062, identity id MBR-017187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402496
2026-10-19 19:31:28Record linked automaticallyf6032a9960
scoring_agent, TPA-51062, identity id MBR-033879, confidence 1, method probabilistic, matched record ENR-103078, policy version 1
2026-10-19 19:31:28Record linked automatically6bb3d6acc4
scoring_agent, CLM-402495, identity id MBR-033127, confidence 1, method probabilistic, matched record TPA-51143, policy version 1
2026-10-19 19:31:28Record linked automaticallyc8fda550d0
matching_agent, CLM-402497, identity id MBR-010605, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103281
2026-10-19 19:31:28Record linked automatically5854e53d55
matching_agent, CLM-402496, identity id MBR-001120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103280

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-2026-015094	2026-07-29	Mesa Internal Medicine Associates in network	93000, 99214	$287.00	—	Needs review	Needs review
CLM-2026-032422	2026-08-21	Northgate Medical Group in network	99395	$294.00	$152.28	Approved	Approved
CLM-2026-022504	2026-06-14	Harbor Medical Group in network	99395, 99213	$481.00	$268.22	Approved	Approved