Identities/MBR-018793
Gold, golden identity

Priya Welch

5 source records from 2 feeds.

MBR-018793Verified5 records

Golden record

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

First nameENR
Priya
Middle name—
—
Last nameENR
Welch
Date of birthENR
1991-08-20
GenderENR
F
Member IDENR
UHC-03974-15
SSNENR
•••-••-2186
PhoneENR
8995936937
EmailENR
priya.welch80@yahoo.com
AddressENR
8413 Ocean Ave
CityENR
Nashville
StateENR
TN
ZIPENR
37244
GroupENR
GRP-4390
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
ENR ×2CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.000.991.000.99ENRENR-121264CLMCLM-416156CLMCLM-416154ENRENR-121263CLMCLM-416155IDMBR-018793
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
ENR-121264ENR2026-03-10Priya Welchflagged1991-08-20UHC-03974-1589959369378413 Ocean Ave, Nashville, TNScored1.00—
CLM-416156CLM2026-04-10Priya Welchflagged1991-08-20—89959369378413 Ocean Ave, Nashville, TNScored1.00—
CLM-416154CLM2026-04-21Priya Weelchflagged1991-08-20—89959369378413 Ocean Ave, Nashville, TNScored0.99—
ENR-121263ENR2026-05-15Priya Welchflagged1991-08-20UHC-03974-1589959369378413 Ocean Ave, Nashville, TNScored1.00—
CLM-416155CLM2026-09-20Priya Welchflagged1991-08-20UHC-03974-15——Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-121264ENRCLM-416156 CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-416156 CLMENR-121263ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-416156 CLMCLM-416154CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-121264ENRCLM-416155CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-121263ENRCLM-416155CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-121264ENRENR-121263ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶ENR-121264ENRCLM-416154CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-416154CLMENR-121263ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-416156 CLMCLM-416155CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-416154CLMCLM-416155CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-416156 → UHC-03974-15 (Priya Welch)
    ACT-006283, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-416154 → UHC-03974-15 (Priya Welch)
    ACT-010107, Claims processor
  • Care coordination outreachProposed
    Priya Welch: 3 claims, no attributed provider
    ACT-019025, Next-best-action
  • Duplicate member record retiredExecuted
    Priya Welch: 2 enrollment records collapsed into UHC-03974-15
    ACT-024465, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallycf1cb3a5ac
    matching_agent, CLM-416155, identity id MBR-018793, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121264
  • 2026-10-22 12:43:54Record linked automaticallyadab2182df
    scoring_agent, ENR-121263, identity id MBR-018793, confidence 1, method probabilistic, matched record CLM-416156, policy version 1
  • 2026-10-22 12:43:54Record linked automatically1ff6166579
    scoring_agent, CLM-416154, identity id MBR-018793, confidence 0.99, method probabilistic, matched record CLM-416156, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyb2108f8a47
    scoring_agent, CLM-416156, identity id MBR-018793, confidence 1, method probabilistic, matched record ENR-121264, policy version 1
  • 2026-10-22 12:43:54Record linked automatically59823d6c13
    scoring_agent, ENR-121264, identity id MBR-018793, confidence 1, method probabilistic, matched record CLM-416156, policy version 1
  • 2026-10-19 19:54:38Record linked automatically79c442bc8a
    matching_agent, CLM-416155, identity id MBR-018793, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121264
  • 2026-10-19 19:54:38Record linked automatically789af13fd0
    scoring_agent, ENR-121263, identity id MBR-018793, confidence 1, method probabilistic, matched record CLM-416156, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8d941a9abc
    scoring_agent, CLM-416154, identity id MBR-018793, confidence 0.99, method probabilistic, matched record CLM-416156, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5c22f74411
    scoring_agent, CLM-416156, identity id MBR-018793, confidence 1, method probabilistic, matched record ENR-121264, policy version 1
  • 2026-10-19 19:54:38Record linked automatically97065f90e4
    scoring_agent, ENR-121264, identity id MBR-018793, confidence 1, method probabilistic, matched record CLM-416156, policy version 1
  • 2026-10-19 19:52:09Record linked automatically49829d263d
    matching_agent, CLM-416155, identity id MBR-018793, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121264
  • 2026-10-19 19:52:09Record linked automatically3a5068d1d0
    scoring_agent, ENR-121263, identity id MBR-018793, confidence 1, method probabilistic, matched record CLM-416156, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyef79f1422f
    scoring_agent, CLM-416154, identity id MBR-018793, confidence 0.99, method probabilistic, matched record CLM-416156, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya6f99a0304
    scoring_agent, CLM-416156, identity id MBR-018793, confidence 1, method probabilistic, matched record ENR-121264, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc6a747141a
    scoring_agent, ENR-121264, identity id MBR-018793, confidence 1, method probabilistic, matched record CLM-416156, policy version 1
  • 2026-10-19 19:45:42Record linked automatically53f4505913
    matching_agent, CLM-416155, identity id MBR-018793, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121264
  • 2026-10-19 19:45:42Record linked automatically89512072cc
    scoring_agent, ENR-121263, identity id MBR-018793, confidence 1, method probabilistic, matched record CLM-416156, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallycc57056a78
    scoring_agent, CLM-416154, identity id MBR-018793, confidence 0.99, method probabilistic, matched record CLM-416156, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5d051ead01
    scoring_agent, CLM-416156, identity id MBR-018793, confidence 1, method probabilistic, matched record ENR-121264, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8c42eb5863
    scoring_agent, ENR-121264, identity id MBR-018793, confidence 1, method probabilistic, matched record CLM-416156, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6b51cac7e4
    matching_agent, CLM-416155, identity id MBR-018793, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121264
  • 2026-10-19 19:32:31Record linked automatically8fbce6a526
    scoring_agent, ENR-121263, identity id MBR-018793, confidence 1, method probabilistic, matched record CLM-416156, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf8dbb84651
    scoring_agent, CLM-416154, identity id MBR-018793, confidence 0.99, method probabilistic, matched record CLM-416156, policy version 1
  • 2026-10-19 19:32:31Record linked automatically28d67835ca
    scoring_agent, CLM-416156, identity id MBR-018793, confidence 1, method probabilistic, matched record ENR-121264, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2d89dde46f
    scoring_agent, ENR-121264, identity id MBR-018793, confidence 1, method probabilistic, matched record CLM-416156, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya74377b251
    matching_agent, CLM-416155, identity id MBR-040302, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121146
  • 2026-10-19 19:31:28Record linked automatically41f50b24cf
    matching_agent, CLM-416154, identity id MBR-021182, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-57018
  • 2026-10-19 19:31:28Record linked automatically2ab701c599
    scoring_agent, ENR-121264, identity id MBR-013591, confidence 1, method probabilistic, matched record CLM-416228, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7a0514a594
    matching_agent, CLM-416156, identity id MBR-008640, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24726
  • 2026-10-19 19:31:28Record linked automatically1030b73bd3
    scoring_agent, ENR-121263, identity id MBR-002075, confidence 1, method probabilistic, matched record TPA-57061, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0179792026-09-10Pinecrest Primary Care Associates
in network
99214$280.00$153.60ApprovedApproved
CLM-2026-0333662026-03-22Harbor Medical Group
in network
90471, 99395$346.00$197.78ApprovedApproved
CLM-2026-0186412026-03-17Heritage Community Hospital
in network
96374$140.00$0.00ApprovedApproved