Identities/MBR-019290

Gold, golden identity

Lucia L Holmes

4 source records from 2 feeds.

MBR-019290Verified4 recordsOpen steward case

Golden record

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

First nameCLM: Lucia
Middle nameCLM: L
Last nameCLM: Holmes
Date of birthCLM: 2007-02-04
GenderCLM: F
Member IDCLM: UHC-11141-74
SSNCLM: •••-••-0501
PhoneCLM: 7564792473
EmailCLM: lucia.holmes19@gmail.com
AddressCLM: 8617 Highland Ave
CityCLM: Glendale
StateCLM: AZ
ZIPCLM: 85314
GroupCLM: GRP-6266
PlanCLM: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

TPA ×1CLM ×3

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-56697	TPA	2026-03-12	Lucia Holmesflagged	2007-02-04	—	—	8617 Highland Ave, Glendale, AZ	Scored	1.00	—
CLM-415210	CLM	2026-04-25	Lucia Holmesflagged	2007-02-04	—	7564792473	8617 Highland Ave, Glendale, AZ	Scored	1.00	—
CLM-415213	CLM	2026-06-04	Lucia Holmesflagged	2007-02-04	—	—	8617 Highland Ave, Glendale, AZ	Scored	1.00	—
CLM-415212	CLM	2026-09-26	Lucia Holmesflagged	2007-02-04	UHC-11141-74	—	8617 Highland Ave, Glendale, AZ	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-56697TPACLM-415210CLM1.00Scoredweighted 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-56697TPACLM-415212CLM1.00Scoredweighted 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-415213CLMCLM-415212CLM1.00Scoredweighted 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-56697TPACLM-415213CLM1.00Scoredweighted 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-415210CLMCLM-415213CLM1.00Scoredweighted 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-415210CLMCLM-415212CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-415213 → UHC-11141-74 (Lucia Holmes)
ACT-005596, Claims processor
Orphan claim re-pointedExecuted
CLM-415210 → UHC-11141-74 (Lucia Holmes)
ACT-008876, Claims processor
Care coordination outreachProposed
Lucia Holmes: 3 claims, no attributed provider
ACT-019052, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyecd0c3b861
scoring_agent, CLM-415212, identity id MBR-019290, confidence 1, method probabilistic, matched record TPA-56697, policy version 1
2026-10-19 19:54:38Record linked automatically5801143dd7
scoring_agent, CLM-415213, identity id MBR-019290, confidence 1, method probabilistic, matched record TPA-56697, policy version 1
2026-10-19 19:54:38Record linked automatically2a68d7cc72
scoring_agent, CLM-415210, identity id MBR-019290, confidence 1, method probabilistic, matched record TPA-56697, policy version 1
2026-10-19 19:54:38Record linked automaticallybb5da0e40c
scoring_agent, TPA-56697, identity id MBR-019290, confidence 1, method probabilistic, matched record CLM-415210, policy version 1
2026-10-19 19:52:09Record linked automatically0a32fadd9f
scoring_agent, CLM-415212, identity id MBR-019290, confidence 1, method probabilistic, matched record TPA-56697, policy version 1
2026-10-19 19:52:09Record linked automaticallya2231f2f99
scoring_agent, CLM-415213, identity id MBR-019290, confidence 1, method probabilistic, matched record TPA-56697, policy version 1
2026-10-19 19:52:09Record linked automaticallyedacb53090
scoring_agent, CLM-415210, identity id MBR-019290, confidence 1, method probabilistic, matched record TPA-56697, policy version 1
2026-10-19 19:52:09Record linked automaticallya5474e629f
scoring_agent, TPA-56697, identity id MBR-019290, confidence 1, method probabilistic, matched record CLM-415210, policy version 1
2026-10-19 19:45:42Record linked automaticallyd599b4b219
scoring_agent, CLM-415212, identity id MBR-019290, confidence 1, method probabilistic, matched record TPA-56697, policy version 1
2026-10-19 19:45:42Record linked automatically7db868542c
scoring_agent, CLM-415213, identity id MBR-019290, confidence 1, method probabilistic, matched record TPA-56697, policy version 1
2026-10-19 19:45:42Record linked automatically54044d2282
scoring_agent, CLM-415210, identity id MBR-019290, confidence 1, method probabilistic, matched record TPA-56697, policy version 1
2026-10-19 19:45:42Record linked automatically8d93c75642
scoring_agent, TPA-56697, identity id MBR-019290, confidence 1, method probabilistic, matched record CLM-415210, policy version 1
2026-10-19 19:32:31Record linked automatically5cc3a1df5c
scoring_agent, CLM-415212, identity id MBR-019290, confidence 1, method probabilistic, matched record TPA-56697, policy version 1
2026-10-19 19:32:31Record linked automatically8d3ef9ca93
scoring_agent, CLM-415213, identity id MBR-019290, confidence 1, method probabilistic, matched record TPA-56697, policy version 1
2026-10-19 19:32:31Record linked automatically5124b42828
scoring_agent, CLM-415210, identity id MBR-019290, confidence 1, method probabilistic, matched record TPA-56697, policy version 1
2026-10-19 19:32:31Record linked automatically455a68257d
scoring_agent, TPA-56697, identity id MBR-019290, confidence 1, method probabilistic, matched record CLM-415210, policy version 1
2026-10-19 19:31:28Record linked automatically6c1eb1ed43
matching_agent, CLM-415212, identity id MBR-022154, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119932
2026-10-19 19:31:28Record linked automatically661331111b
matching_agent, CLM-415210, identity id MBR-017670, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119929

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-2026-028597	2026-08-30	Harbor Diabetes Center in network	83036, 95251	$270.00	$140.12	Approved	Approved
CLM-2026-016118	2026-05-17	Sunrise Medical Group in network	99232	$203.00	$0.00	Approved	Approved
CLM-2026-028541	2026-04-13	Harbor Medical Group out of network	93000	$116.00	$32.20	Approved	Approved