Identities/MBR-018071

Gold, golden identity

Lori Z Gibson

6 source records from 4 feeds.

MBR-018071Verified6 records

Golden record

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

First nameENR: Lori
Middle nameENR: Z
Last nameENR: Gibson
Date of birthENR: 1960-08-15
GenderENR: F
Member IDENR: UHC-03400-57
SSNENR: •••-••-6402
PhoneENR: 8174259575
EmailENR: lori.gibson64@yahoo.com
AddressENR: 8161 Ridge Rd
CityENR: Austin
StateENR: TX
ZIPENR: 78715
GroupENR: GRP-3036
PlanENR: SELECT-EPO

Min confidence

0.98

Sources

TPA ×1CLM ×2ENR ×2PRV ×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-57015	TPA	2026-03-07	Lori Gibsonflagged	1960-08-15	—	8174259575	8161 Ridge Rd, Austin, TX	Scored	1.00	—
CLM-416030	CLM	2026-05-09	Lori Gibsonflagged	1960-08-15	UHC-03400-57	—	8161 Ridge Rd, Austin, TX	Scored	1.00	—
ENR-121101	ENR	2026-05-16	Lori Gibsonflagged	1960-08-15	UHC-03400-57	8174259575	8161 Ridge Rd, Austin, TX	Scored	1.00	—
CLM-416029	CLM	2026-05-29	Luri Gibsonflagged	1960-08-15	—	8174259575	8161 Ridge Rd, Austin, TX	Scored	0.98	—
PRV-24756	PRV	2026-07-16	Lori Gibsonflagged	1960-08-15	—	8174259575	8161 Ridge Rd, Austin, TX	Scored	1.00	—
ENR-121100	ENR	2026-07-18	Lori Gibsonflagged	1960-08-15	UHC-03400-57	8174259575	8161 Ridge Rd, Austin, TX	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-57015TPACLM-416030CLM1.00Scoredweighted 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

▶TPA-57015TPAENR-121100ENR1.00Scoredweighted 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

▶TPA-57015TPAENR-121101ENR1.00Scoredweighted 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

▶TPA-57015TPAPRV-24756PRV1.00Scoredweighted 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-416030CLMPRV-24756PRV1.00Scoredweighted 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-416030CLMENR-121100ENR0.99RuleD1 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

▶ENR-121101ENRENR-121100ENR0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-416030CLMENR-121101ENR0.99RuleD1 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-57015TPACLM-416029 CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-121101ENRCLM-416029 CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416029 CLMENR-121100ENR0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416029 CLMPRV-24756PRV0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416030CLMCLM-416029 CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-24756PRVENR-121100ENR0.97RuleD2 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-121101ENRPRV-24756PRV0.97RuleD2 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Lori Gibson: 2 plan codes across sources → canonical SELECT-EPO
ACT-000764, Eligibility engine
Orphan claim re-pointedExecuted
CLM-416029 → UHC-03400-57 (Lori Gibson)
ACT-001350, Claims processor
Duplicate member record retiredExecuted
Lori Gibson: 2 enrollment records collapsed into UHC-03400-57
ACT-024379, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically8173828523
scoring_agent, ENR-121100, identity id MBR-018071, confidence 1, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:54:38Record linked automatically873c74f221
scoring_agent, PRV-24756, identity id MBR-018071, confidence 1, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:54:38Record linked automatically80b4f253cd
scoring_agent, CLM-416029, identity id MBR-018071, confidence 0.98, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:54:38Record linked automaticallyb500248420
scoring_agent, ENR-121101, identity id MBR-018071, confidence 1, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:54:38Record linked automatically07f836faac
scoring_agent, CLM-416030, identity id MBR-018071, confidence 1, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:54:38Record linked automaticallye0981063e8
scoring_agent, TPA-57015, identity id MBR-018071, confidence 1, method probabilistic, matched record CLM-416030, policy version 1
2026-10-19 19:52:09Record linked automaticallyd9936dcb5f
scoring_agent, ENR-121100, identity id MBR-018071, confidence 1, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:52:09Record linked automaticallya384e81324
scoring_agent, PRV-24756, identity id MBR-018071, confidence 1, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:52:09Record linked automatically61f0a1590b
scoring_agent, CLM-416029, identity id MBR-018071, confidence 0.98, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:52:09Record linked automatically5349780860
scoring_agent, ENR-121101, identity id MBR-018071, confidence 1, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:52:09Record linked automaticallyf7e60729e6
scoring_agent, CLM-416030, identity id MBR-018071, confidence 1, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:52:09Record linked automatically67dd6095a8
scoring_agent, TPA-57015, identity id MBR-018071, confidence 1, method probabilistic, matched record CLM-416030, policy version 1
2026-10-19 19:45:42Record linked automatically7812585701
scoring_agent, ENR-121100, identity id MBR-018071, confidence 1, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:45:42Record linked automatically08edf308de
scoring_agent, PRV-24756, identity id MBR-018071, confidence 1, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:45:42Record linked automaticallye8e41c3a33
scoring_agent, CLM-416029, identity id MBR-018071, confidence 0.98, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:45:42Record linked automatically01e0ea81b2
scoring_agent, ENR-121101, identity id MBR-018071, confidence 1, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:45:42Record linked automatically7c121e851d
scoring_agent, CLM-416030, identity id MBR-018071, confidence 1, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:45:42Record linked automaticallya0d1b11314
scoring_agent, TPA-57015, identity id MBR-018071, confidence 1, method probabilistic, matched record CLM-416030, policy version 1
2026-10-19 19:32:31Record linked automatically615df5c9e2
scoring_agent, ENR-121100, identity id MBR-018071, confidence 1, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:32:31Record linked automaticallyddcf40ed79
scoring_agent, PRV-24756, identity id MBR-018071, confidence 1, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:32:31Record linked automatically2e7e026f2e
scoring_agent, CLM-416029, identity id MBR-018071, confidence 0.98, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:32:31Record linked automatically3f8482ae20
scoring_agent, ENR-121101, identity id MBR-018071, confidence 1, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:32:31Record linked automaticallyc9b0d11fab
scoring_agent, CLM-416030, identity id MBR-018071, confidence 1, method probabilistic, matched record TPA-57015, policy version 1
2026-10-19 19:32:31Record linked automatically811cf9e4c9
scoring_agent, TPA-57015, identity id MBR-018071, confidence 1, method probabilistic, matched record CLM-416030, policy version 1
2026-10-19 19:31:28Record linked automatically1a15fb5313
matching_agent, CLM-416030, identity id MBR-029208, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120969
2026-10-19 19:31:28Record linked automatically49922e8dc3
matching_agent, PRV-24756, identity id MBR-022024, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416254
2026-10-19 19:31:28Record linked automaticallyee84f8747f
matching_agent, TPA-57015, identity id MBR-019432, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416151
2026-10-19 19:31:28Record linked automatically6a0eb4851d
matching_agent, CLM-416029, identity id MBR-017940, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120967
2026-10-19 19:31:28Record linked automatically0646c30a47
scoring_agent, ENR-121101, identity id MBR-014812, confidence 0.99, method probabilistic, matched record CLM-416131, policy version 1
2026-10-19 19:31:28Record linked automatically468d265716
matching_agent, ENR-121100, identity id MBR-004428, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416130

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-2026-000062	2026-05-03	Unity Primary Care Associates in network	99203	$226.00	$110.12	Approved	Approved
CLM-2026-032265	2026-04-19	Lakeside Medical Group out of network	99203, 99213, 90471	$440.00	—	Denied	Denied