Identities/MBR-019321
Gold, golden identity

John C Burke

4 source records from 2 feeds.

MBR-019321Verified4 records

Golden record

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

First nameENR
John
Middle nameENR
C
Last nameENR
Burke
Date of birthENR
1977-07-17
GenderENR
F
Member IDENR
UHC-80658-32
SSNENR
•••-••-5021
PhoneENR
4536671365
Email—
—
AddressENR
126 Main St
CityENR
Tempe
StateENR
AZ
ZIPENR
85214
GroupENR
GRP-5417
PlanENR
OPTIONS-PPO
Min confidence
0.97
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.971.001.000.97CLMCLM-412316CLMCLM-412318CLMCLM-412317ENRENR-116200IDMBR-019321
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
CLM-412316CLM2026-03-13John Burkeflagged1977-07-17—4536671365—Rule0.97D2 ssn4 + dob + last name
CLM-412318CLM2026-04-15John Burkeflagged1977-07-17——126 Main St, Tempe, AZScored1.00—
CLM-412317CLM2026-04-15John Burkeflagged1977-07-17——126 Main St, Tempe, AZScored1.00—
ENR-116200ENR2026-07-19John Burkeflagged1977-07-17UHC-80658-324536671365126 Main St, Tempe, AZRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-412318CLMCLM-412317CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-412316CLMENR-116200ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-412318CLMENR-116200ENR0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-412317CLMENR-116200ENR0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-412316CLMCLM-412317CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-412316CLMCLM-412318CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    John Burke: 2 plan codes across sources → canonical OPTIONS-PPO
    ACT-000813, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-412316 → UHC-80658-32 (John Burke)
    ACT-001562, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-412318 → UHC-80658-32 (John Burke)
    ACT-004564, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-412317 → UHC-80658-32 (John Burke)
    ACT-006262, Claims processor
  • Care coordination outreachProposed
    John Burke: 3 claims, no attributed provider
    ACT-019053, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically369405696b
    matching_agent, ENR-116200, identity id MBR-019321, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-412316
  • 2026-10-19 19:54:38Record linked automatically2218739023
    scoring_agent, CLM-412317, identity id MBR-019321, confidence 1, method probabilistic, matched record CLM-412318, policy version 1
  • 2026-10-19 19:54:38Record linked automatically684b278c60
    scoring_agent, CLM-412318, identity id MBR-019321, confidence 1, method probabilistic, matched record CLM-412317, policy version 1
  • 2026-10-19 19:54:38Record linked automatically28f437bdbd
    matching_agent, CLM-412316, identity id MBR-019321, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116200
  • 2026-10-19 19:52:09Record linked automatically3302ac420e
    matching_agent, ENR-116200, identity id MBR-019321, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-412316
  • 2026-10-19 19:52:09Record linked automaticallydfecd8a6ff
    scoring_agent, CLM-412317, identity id MBR-019321, confidence 1, method probabilistic, matched record CLM-412318, policy version 1
  • 2026-10-19 19:52:09Record linked automatically227296f58e
    scoring_agent, CLM-412318, identity id MBR-019321, confidence 1, method probabilistic, matched record CLM-412317, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb67aa02c6c
    matching_agent, CLM-412316, identity id MBR-019321, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116200
  • 2026-10-19 19:45:42Record linked automaticallyeaff56cf76
    matching_agent, ENR-116200, identity id MBR-019321, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-412316
  • 2026-10-19 19:45:42Record linked automatically0a7dfba88d
    scoring_agent, CLM-412317, identity id MBR-019321, confidence 1, method probabilistic, matched record CLM-412318, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7709eadf49
    scoring_agent, CLM-412318, identity id MBR-019321, confidence 1, method probabilistic, matched record CLM-412317, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2fca279b9f
    matching_agent, CLM-412316, identity id MBR-019321, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116200
  • 2026-10-19 19:32:31Record linked automatically40fa3aef7f
    matching_agent, ENR-116200, identity id MBR-019321, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-412316
  • 2026-10-19 19:32:31Record linked automatically926dcb13d6
    scoring_agent, CLM-412317, identity id MBR-019321, confidence 1, method probabilistic, matched record CLM-412318, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallycfb7b799c5
    scoring_agent, CLM-412318, identity id MBR-019321, confidence 1, method probabilistic, matched record CLM-412317, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyaa0fb5995c
    matching_agent, CLM-412316, identity id MBR-019321, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116200
  • 2026-10-19 19:31:28Record linked automatically4b37be094a
    scoring_agent, CLM-412317, identity id MBR-035353, confidence 1, method probabilistic, matched record PRV-23631, policy version 1
  • 2026-10-19 19:31:28Record linked automatically594faaae8a
    scoring_agent, CLM-412318, identity id MBR-031981, confidence 0.93, method probabilistic, matched record TPA-55434, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallydd26f1dcd4
    matching_agent, ENR-116200, identity id MBR-026481, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412251
  • 2026-10-19 19:31:28Record linked automatically2fbccdd992
    matching_agent, CLM-412316, identity id MBR-001357, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412315

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0185352026-03-22Mesa Reference Lab
in network
85025, 83036, 80053$140.00$0.00ApprovedApproved
CLM-2026-0122812026-04-04Canyon Cardiovascular Associates
in network
99214$308.00$115.96ApprovedApproved
CLM-2026-0009622026-02-01Mesa Bone and Joint Center
in network
27447$42,913.00—DeniedDenied