Identities/MBR-018940

Gold, golden identity

Ana X Fuller

5 source records from 3 feeds.

MBR-018940Verified5 records

Golden record

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

First nameENR: Ana
Middle nameCLM: X
Last nameCLM: Fuller
Date of birthENR: 1978-10-18
GenderENR: M
Member IDENR: UHC-64825-97
SSNENR: •••-••-9574
PhoneENR: 4338276984
EmailENR: ana.fuller18@gmail.com
AddressENR: 9872 Spring St
CityENR: Phoenix
StateENR: AZ
ZIPENR: 85042
GroupENR: GRP-8602
PlanENR: NAVIGATE-HMO

Min confidence

0.99

Sources

TPA ×1CLM ×3ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-51768	TPA	2026-03-11	Ana Fullerflagged	1978-10-18	—	—	9872 Spring St, Phoenix, AZ	Scored	1.00	—
CLM-404081	CLM	2026-03-19	Ana Fullerflagged	1978-10-18	UHC-64825-97	—	9872 Spring St, Phoenix, AZ	Scored	1.00	—
CLM-404080	CLM	2026-05-15	Ana Fullerflagged	1978-10-18	UHC-64825-97	—	9872 Spring St, Phoenix, AZ	Scored	1.00	—
CLM-404082	CLM	2026-06-26	Ana Fullerflagged	1978-10-18	—	—	9872 Spring St, Phoenix, AZ	Scored	1.00	—
ENR-105333	ENR	2026-08-20	Ana Fuullerflagged	1978-10-18	UHC-64825-97	4338276984	9872 Spring St, Phoenix, AZ	Scored	0.99	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-51768TPACLM-404080CLM1.00Scoredweighted 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-51768TPACLM-404081CLM1.00Scoredweighted 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-51768TPACLM-404082CLM1.00Scoredweighted 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-404081CLMCLM-404082CLM1.00Scoredweighted 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-404080CLMCLM-404082CLM1.00Scoredweighted 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-404082CLMENR-105333ENR0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-51768TPAENR-105333ENR0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-404081CLMCLM-404080CLM0.99RuleD1 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-404081CLMENR-105333ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-404080CLMENR-105333ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-404082 → UHC-64825-97 (Ana Fuller)
ACT-002320, Claims processor
Care coordination outreachProposed
Ana Fuller: 3 claims, no attributed provider
ACT-019032, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically68af8c6ba3
scoring_agent, ENR-105333, identity id MBR-018940, confidence 0.99, method probabilistic, matched record CLM-404082, policy version 1
2026-10-22 12:43:54Record linked automatically42c7abdf0d
scoring_agent, CLM-404082, identity id MBR-018940, confidence 1, method probabilistic, matched record TPA-51768, policy version 1
2026-10-22 12:43:54Record linked automatically5c955c433d
scoring_agent, CLM-404080, identity id MBR-018940, confidence 1, method probabilistic, matched record TPA-51768, policy version 1
2026-10-22 12:43:54Record linked automatically682bb45646
scoring_agent, CLM-404081, identity id MBR-018940, confidence 1, method probabilistic, matched record TPA-51768, policy version 1
2026-10-22 12:43:54Record linked automatically796ec79f6a
scoring_agent, TPA-51768, identity id MBR-018940, confidence 1, method probabilistic, matched record CLM-404081, policy version 1
2026-10-19 19:54:38Record linked automatically3593e3d1b4
scoring_agent, ENR-105333, identity id MBR-018940, confidence 0.99, method probabilistic, matched record CLM-404082, policy version 1
2026-10-19 19:54:38Record linked automaticallya37dcf203f
scoring_agent, CLM-404082, identity id MBR-018940, confidence 1, method probabilistic, matched record TPA-51768, policy version 1
2026-10-19 19:54:38Record linked automatically376c089be8
scoring_agent, CLM-404080, identity id MBR-018940, confidence 1, method probabilistic, matched record TPA-51768, policy version 1
2026-10-19 19:54:38Record linked automatically82b5b24f68
scoring_agent, CLM-404081, identity id MBR-018940, confidence 1, method probabilistic, matched record TPA-51768, policy version 1
2026-10-19 19:54:38Record linked automatically1e34cdee15
scoring_agent, TPA-51768, identity id MBR-018940, confidence 1, method probabilistic, matched record CLM-404081, policy version 1
2026-10-19 19:52:09Record linked automatically7c67771657
scoring_agent, ENR-105333, identity id MBR-018940, confidence 0.99, method probabilistic, matched record CLM-404082, policy version 1
2026-10-19 19:52:09Record linked automatically32e51d2168
scoring_agent, CLM-404082, identity id MBR-018940, confidence 1, method probabilistic, matched record TPA-51768, policy version 1
2026-10-19 19:52:09Record linked automatically6c7c24efda
scoring_agent, CLM-404080, identity id MBR-018940, confidence 1, method probabilistic, matched record TPA-51768, policy version 1
2026-10-19 19:52:09Record linked automatically89ca488b92
scoring_agent, CLM-404081, identity id MBR-018940, confidence 1, method probabilistic, matched record TPA-51768, policy version 1
2026-10-19 19:52:09Record linked automaticallybefb1c7399
scoring_agent, TPA-51768, identity id MBR-018940, confidence 1, method probabilistic, matched record CLM-404081, policy version 1
2026-10-19 19:45:42Record linked automaticallyc113289e88
scoring_agent, ENR-105333, identity id MBR-018940, confidence 0.99, method probabilistic, matched record CLM-404082, policy version 1
2026-10-19 19:45:42Record linked automatically36ad51095c
scoring_agent, CLM-404082, identity id MBR-018940, confidence 1, method probabilistic, matched record TPA-51768, policy version 1
2026-10-19 19:45:42Record linked automaticallyae8df65db8
scoring_agent, CLM-404080, identity id MBR-018940, confidence 1, method probabilistic, matched record TPA-51768, policy version 1
2026-10-19 19:45:42Record linked automaticallye7c0408aea
scoring_agent, CLM-404081, identity id MBR-018940, confidence 1, method probabilistic, matched record TPA-51768, policy version 1
2026-10-19 19:45:42Record linked automatically3dc68581f7
scoring_agent, TPA-51768, identity id MBR-018940, confidence 1, method probabilistic, matched record CLM-404081, policy version 1
2026-10-19 19:32:31Record linked automaticallyae3d9e07d6
scoring_agent, ENR-105333, identity id MBR-018940, confidence 0.99, method probabilistic, matched record CLM-404082, policy version 1
2026-10-19 19:32:31Record linked automatically8e930303b1
scoring_agent, CLM-404082, identity id MBR-018940, confidence 1, method probabilistic, matched record TPA-51768, policy version 1
2026-10-19 19:32:31Record linked automatically53c8406788
scoring_agent, CLM-404080, identity id MBR-018940, confidence 1, method probabilistic, matched record TPA-51768, policy version 1
2026-10-19 19:32:31Record linked automatically908db13ef6
scoring_agent, CLM-404081, identity id MBR-018940, confidence 1, method probabilistic, matched record TPA-51768, policy version 1
2026-10-19 19:32:31Record linked automatically2e5b17e317
scoring_agent, TPA-51768, identity id MBR-018940, confidence 1, method probabilistic, matched record CLM-404081, policy version 1
2026-10-19 19:31:28Record linked automatically4692e720ba
matching_agent, CLM-404080, identity id MBR-032996, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105286
2026-10-19 19:31:28Record linked automatically1e76102a45
matching_agent, CLM-404081, identity id MBR-013037, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105292

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-2026-003693	2026-06-11	Heritage Primary Care Associates in network	99203, 90471	$227.00	$115.74	Approved	Approved
CLM-2026-012073	2026-05-02	Heritage Community Hospital in network	96374	$199.00	$0.00	Approved	Approved
CLM-2026-007410	2026-02-11	Unity Cardiovascular Associates in network	93458	$5,089.00	—	Denied	Denied
CLM-2026-007409	2026-02-11	Unity Cardiovascular Associates in network	93458	$5,089.00	$1,978.22	Approved	Approved