Identities/MBR-018628
Gold, golden identity

Doris Q Obrien

3 source records from 3 feeds.

MBR-018628Verified3 records

Golden record

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

First nameENR
Doris
Middle nameENR
Q
Last nameENR
Obrien
Date of birthENR
1973-11-11
GenderENR
M
Member IDENR
UHC-18952-16
SSNENR
•••-••-5953
PhoneENR
7817896098
EmailENR
doris.obrien63@hotmail.com
AddressENR
8287 Grand Ave
CityENR
Fresno
StateENR
CA
ZIPENR
93705
GroupENR
GRP-2666
PlanENR
MEDICARE-ADV-A
Min confidence
0.93
Sources
TPA ×1CLM ×1ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.930.99TPATPA-64210CLMCLM-432190ENRENR-142276IDMBR-018628
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-64210TPA2026-03-10Doris Obrienflagged1973-11-11UHC-18952-16—8287 Grand Ave, Fresno, CARule0.99D1 member id + dob exact
CLM-432190CLM2026-04-05Doris Obrienflagged1973-11-11——8287 Grand Ave, Fresno, CAScored0.93—
ENR-142276ENR2026-04-09Doris Obrienflagged1973-11-11UHC-18952-1678178960988287 Grand Ave, Fresno, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶TPA-64210TPAENR-142276ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-64210TPACLM-432190CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-432190CLMENR-142276ENR0.93Scoredweighted 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-432190 → UHC-18952-16 (Doris Obrien)
    ACT-002899, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyff5274584d
    matching_agent, ENR-142276, identity id MBR-018628, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-64210
  • 2026-10-22 12:43:54Record linked automatically3921f90c5e
    scoring_agent, CLM-432190, identity id MBR-018628, confidence 0.93, method probabilistic, matched record TPA-64210, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyc6b980007b
    matching_agent, TPA-64210, identity id MBR-018628, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142276
  • 2026-10-19 19:54:38Record linked automatically60212eff18
    matching_agent, ENR-142276, identity id MBR-018628, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-64210
  • 2026-10-19 19:54:38Record linked automatically73b3b8fc92
    scoring_agent, CLM-432190, identity id MBR-018628, confidence 0.93, method probabilistic, matched record TPA-64210, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyed26528487
    matching_agent, TPA-64210, identity id MBR-018628, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142276
  • 2026-10-19 19:52:09Record linked automatically543ce3b92f
    matching_agent, ENR-142276, identity id MBR-018628, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-64210
  • 2026-10-19 19:52:09Record linked automaticallyb51d8834fb
    scoring_agent, CLM-432190, identity id MBR-018628, confidence 0.93, method probabilistic, matched record TPA-64210, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc67de6f5dc
    matching_agent, TPA-64210, identity id MBR-018628, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142276
  • 2026-10-19 19:45:42Record linked automaticallyc783298c21
    matching_agent, ENR-142276, identity id MBR-018628, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-64210
  • 2026-10-19 19:45:42Record linked automatically8bffb7eb17
    scoring_agent, CLM-432190, identity id MBR-018628, confidence 0.93, method probabilistic, matched record TPA-64210, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8e422fddd0
    matching_agent, TPA-64210, identity id MBR-018628, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142276
  • 2026-10-19 19:32:31Record linked automaticallydc4030d9d9
    matching_agent, ENR-142276, identity id MBR-018628, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-64210
  • 2026-10-19 19:32:31Record linked automaticallycb08eb072a
    scoring_agent, CLM-432190, identity id MBR-018628, confidence 0.93, method probabilistic, matched record TPA-64210, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8c1a39c774
    matching_agent, TPA-64210, identity id MBR-018628, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142276
  • 2026-10-19 19:31:28Record linked automatically6e3581edcf
    matching_agent, TPA-64210, identity id MBR-010330, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-142823
  • 2026-10-19 19:31:28Record linked automatically3080e01815
    matching_agent, ENR-142276, identity id MBR-005954, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432041
  • 2026-10-19 19:31:28Record linked automaticallyf6a3532e33
    scoring_agent, CLM-432190, identity id MBR-004967, confidence 1, method probabilistic, matched record CLM-432189, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0059232026-03-02Riverside Primary Care Associates
in network
90471, 99213$198.00$96.10ApprovedApproved