Identities/MBR-018240
Gold, golden identity

Dorothy Gray

4 source records from 3 feeds.

MBR-018240Verified4 records

Golden record

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

First nameENR
Dorothy
Middle name—
—
Last nameENR
Gray
Date of birthENR
2001-09-19
GenderENR
F
Member IDENR
UHC-49733-88
SSNENR
•••-••-4721
PhoneENR
6877555507
EmailENR
dorothy.gray@proton.me
AddressENR
1611 Market St
CityENR
Denver
StateENR
CO
ZIPENR
80242
GroupENR
GRP-8819
PlanENR
NAVIGATE-HMO
Min confidence
0.97
Sources
TPA ×1CLM ×2ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.971.001.001.00TPATPA-63076CLMCLM-429575ENRENR-138800CLMCLM-429574IDMBR-018240
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
TPA-63076TPA2026-03-08Dorothy Grayflagged2001-09-19——1611 Market St # 488, Denver, CORule0.97D2 ssn4 + dob + last name
CLM-429575CLM2026-04-14Dorothy Grayflagged2001-09-19UHC-49733-88—1611 Market St, Denver, COScored1.00—
ENR-138800ENR2026-06-22Dorothy Grayflagged2001-09-19UHC-49733-8868775555071611 Market St, Denver, COScored1.00—
CLM-429574CLM2026-09-19Dorothy Grayflagged2001-09-19—68775555071611 Market St, Denver, COScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-429575CLM CLM-429574CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-138800ENRCLM-429574CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-429575CLM ENR-138800ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-63076TPAENR-138800ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-63076TPACLM-429574CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-63076TPACLM-429575CLM 0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-429574 → UHC-49733-88 (Dorothy Gray)
    ACT-003028, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallya44a977268
    scoring_agent, CLM-429574, identity id MBR-018240, confidence 1, method probabilistic, matched record CLM-429575, policy version 1
  • 2026-10-19 19:54:38Record linked automatically141e2e93f1
    scoring_agent, ENR-138800, identity id MBR-018240, confidence 1, method probabilistic, matched record CLM-429574, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycfed4bcf62
    scoring_agent, CLM-429575, identity id MBR-018240, confidence 1, method probabilistic, matched record CLM-429574, policy version 1
  • 2026-10-19 19:54:38Record linked automatically22acadaae9
    matching_agent, TPA-63076, identity id MBR-018240, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138800
  • 2026-10-19 19:52:09Record linked automatically088d035d53
    scoring_agent, CLM-429574, identity id MBR-018240, confidence 1, method probabilistic, matched record CLM-429575, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2cc2e9f025
    scoring_agent, ENR-138800, identity id MBR-018240, confidence 1, method probabilistic, matched record CLM-429574, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyed793dec29
    scoring_agent, CLM-429575, identity id MBR-018240, confidence 1, method probabilistic, matched record CLM-429574, policy version 1
  • 2026-10-19 19:52:09Record linked automatically595ea6aa87
    matching_agent, TPA-63076, identity id MBR-018240, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138800
  • 2026-10-19 19:45:42Record linked automatically94155b6e00
    scoring_agent, CLM-429574, identity id MBR-018240, confidence 1, method probabilistic, matched record CLM-429575, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6b343fe60e
    scoring_agent, ENR-138800, identity id MBR-018240, confidence 1, method probabilistic, matched record CLM-429574, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallydcbb3fa87c
    scoring_agent, CLM-429575, identity id MBR-018240, confidence 1, method probabilistic, matched record CLM-429574, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyfec948e121
    matching_agent, TPA-63076, identity id MBR-018240, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138800
  • 2026-10-19 19:32:31Record linked automaticallycea1e81b9d
    scoring_agent, CLM-429574, identity id MBR-018240, confidence 1, method probabilistic, matched record CLM-429575, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2494145e66
    scoring_agent, ENR-138800, identity id MBR-018240, confidence 1, method probabilistic, matched record CLM-429574, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9e34723983
    scoring_agent, CLM-429575, identity id MBR-018240, confidence 1, method probabilistic, matched record CLM-429574, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1678a5c2c9
    matching_agent, TPA-63076, identity id MBR-018240, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138800
  • 2026-10-19 19:31:28Record linked automaticallybe546eb612
    scoring_agent, ENR-138800, identity id MBR-022928, confidence 0.94, method probabilistic, matched record CLM-429382, policy version 1
  • 2026-10-19 19:31:28Record linked automatically5be6ea4687
    scoring_agent, CLM-429574, identity id MBR-012165, confidence 1, method probabilistic, matched record CLM-429576, policy version 1
  • 2026-10-19 19:31:28Record linked automatically15000f6b73
    scoring_agent, CLM-429575, identity id MBR-012165, confidence 1, method probabilistic, matched record CLM-429576, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0064482026-08-19Desert Reference Lab
in network
87086, 80061$125.00—Needs reviewNeeds review
CLM-2026-0064472026-08-19Meadow Reference Lab
out of network
87086, 80061$125.00$0.00ApprovedApproved
CLM-2026-0334022026-03-19Evergreen Reference Lab
in network
80061, 87086, 85025$158.00—Needs reviewNeeds review
CLM-2026-0334012026-03-19Evergreen Reference Lab
in network
80061, 87086, 85025$158.00$0.00ApprovedApproved