Gold, golden identity
Theresa Tucker
4 source records from 3 feeds.
MBR-019489Verified4 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Theresa
- Middle name—
- —
- Last nameENR
- Tucker
- Date of birthENR
- 1972-03-03
- GenderENR
- F
- Member IDENR
- UHC-63388-86
- SSNENR
- •••-••-0148
- PhoneENR
- 8127805521
- EmailENR
- theresa.tucker33@yahoo.com
- AddressTPA
- 884 Maple Ave # 571
- CityCLM
- San Diego
- StateCLM
- CA
- ZIPCLM
- 92197
- GroupENR
- GRP-5847
- PlanENR
- MEDICARE-ADV-B
Min confidence
0.94
Sources
CLM ×2ENR ×1TPA ×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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CLM-420156 | CLM | 2026-03-13 | Theresa Tuckerflagged | 1972-03-03 | — | 8127805521 | 6849 Grand Ave, Glendale, AZ | Scored | 0.94 | — |
| CLM-420155 | CLM | 2026-06-04 | Theresa Tuckerflagged | 1972-03-03 | UHC-63388-86 | — | 884 Maple Ave, San Diego, CA | Scored | 1.00 | — |
| ENR-126530 | ENR | 2026-07-12 | Theresa Tuckerflagged | 1972-03-03 | UHC-63388-86 | 8127805521 | 6849 Grand Ave, Glendale, AZ | Rule | 0.99 | D1 member id + dob exact |
| TPA-58875 | TPA | 2026-07-13 | Theresa Tuckerflagged | 1972-03-03 | — | 8127805521 | 884 Maple Ave # 571, San Diego, CA | Scored | 1.00 | — |
Evidence
6 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-420155CLMTPA-58875TPA1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-420155CLMENR-126530ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-420156CLMENR-126530ENR0.94Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-420156CLMTPA-58875TPA0.79Scoredweighted similaritySent to steward
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-126530ENRTPA-58875TPA0.79Scoredweighted similaritySent to steward
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-420156CLMCLM-420155CLM0.75Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-420156 → UHC-63388-86 (Theresa Tucker)ACT-009545, Claims processor
- Outreach address correctedProposedTheresa Tucker: 6849 Grand Ave, Glendale → 884 Maple Ave # 571, San DiegoACT-012223, Outreach
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:54Record linked automatically11e5ce9626scoring_agent, TPA-58875, identity id MBR-019489, confidence 1, method probabilistic, matched record CLM-420155, policy version 1
- 2026-10-22 12:43:54Record linked automatically8e256524e1matching_agent, ENR-126530, identity id MBR-019489, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420155
- 2026-10-22 12:43:54Record linked automatically7b971b938dscoring_agent, CLM-420155, identity id MBR-019489, confidence 1, method probabilistic, matched record TPA-58875, policy version 1
- 2026-10-22 12:43:54Record linked automatically16a9e7ca48scoring_agent, CLM-420156, identity id MBR-019489, confidence 0.94, method probabilistic, matched record ENR-126530, policy version 1
- 2026-10-19 19:54:38Record linked automatically9c2c0a0e4fscoring_agent, TPA-58875, identity id MBR-019489, confidence 1, method probabilistic, matched record CLM-420155, policy version 1
- 2026-10-19 19:54:38Record linked automatically74b299c48fmatching_agent, ENR-126530, identity id MBR-019489, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420155
- 2026-10-19 19:54:38Record linked automatically47a6e2bb02scoring_agent, CLM-420155, identity id MBR-019489, confidence 1, method probabilistic, matched record TPA-58875, policy version 1
- 2026-10-19 19:54:38Record linked automatically21d0f158fdscoring_agent, CLM-420156, identity id MBR-019489, confidence 0.94, method probabilistic, matched record ENR-126530, policy version 1
- 2026-10-19 19:52:09Record linked automatically996c153bbcscoring_agent, TPA-58875, identity id MBR-019489, confidence 1, method probabilistic, matched record CLM-420155, policy version 1
- 2026-10-19 19:52:09Record linked automatically41e2e3edc6matching_agent, ENR-126530, identity id MBR-019489, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420155
- 2026-10-19 19:52:09Record linked automatically1dbdfb2cafscoring_agent, CLM-420155, identity id MBR-019489, confidence 1, method probabilistic, matched record TPA-58875, policy version 1
- 2026-10-19 19:52:09Record linked automaticallybb905bee41scoring_agent, CLM-420156, identity id MBR-019489, confidence 0.94, method probabilistic, matched record ENR-126530, policy version 1
- 2026-10-19 19:45:42Record linked automatically82f987001fscoring_agent, TPA-58875, identity id MBR-019489, confidence 1, method probabilistic, matched record CLM-420155, policy version 1
- 2026-10-19 19:45:42Record linked automatically5af6386f7cmatching_agent, ENR-126530, identity id MBR-019489, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420155
- 2026-10-19 19:45:42Record linked automaticallyaea1cf470escoring_agent, CLM-420155, identity id MBR-019489, confidence 1, method probabilistic, matched record TPA-58875, policy version 1
- 2026-10-19 19:45:42Record linked automatically53d1c066b9scoring_agent, CLM-420156, identity id MBR-019489, confidence 0.94, method probabilistic, matched record ENR-126530, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyc3969ba530scoring_agent, TPA-58875, identity id MBR-019489, confidence 1, method probabilistic, matched record CLM-420155, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyfa440385c0matching_agent, ENR-126530, identity id MBR-019489, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420155
- 2026-10-19 19:32:31Record linked automaticallyb4f54cffd8scoring_agent, CLM-420155, identity id MBR-019489, confidence 1, method probabilistic, matched record TPA-58875, policy version 1
- 2026-10-19 19:32:31Record linked automatically5069307cabscoring_agent, CLM-420156, identity id MBR-019489, confidence 0.94, method probabilistic, matched record ENR-126530, policy version 1
- 2026-10-19 19:31:28Record linked automatically30c2032f30matching_agent, CLM-420156, identity id MBR-026102, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-420155
- 2026-10-19 19:31:28Record linked automaticallyef83365f98matching_agent, CLM-420155, identity id MBR-026102, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420157
- 2026-10-19 19:31:28Record linked automatically5da0159ad8matching_agent, ENR-126530, identity id MBR-025585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420207
- 2026-10-19 19:31:28Record linked automatically3eaf75c2afscoring_agent, TPA-58875, identity id MBR-002952, confidence 1, method probabilistic, matched record CLM-420361, policy version 1
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-2026-001300 | 2026-05-19 | Sunrise Clinical Laboratories in network | 85025 | $42.00 | — | Denied | Denied |
| CLM-2026-001299 | 2026-05-19 | Sunrise Clinical Laboratories in network | 85025 | $42.00 | $0.00 | Approved | Approved |
| CLM-2026-031275 | 2026-02-06 | Unity Physical Therapy in network | 97110, 97161, 97140 | $426.00 | $234.12 | Approved | Approved |