Identities/MBR-019814
Gold, golden identity

Priya F Chen

4 source records from 2 feeds.

MBR-019814Verified4 records

Golden record

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

First nameENR
Priya
Middle nameENR
F
Last nameENR
Chen
Date of birthENR
1999-03-03
GenderENR
F
Member IDENR
UHC-87411-86
SSNENR
•••-••-4709
PhoneENR
7486117223
EmailENR
priya.chen@hotmail.com
AddressENR
6678 Ridge Rd
CityENR
Nashville
StateENR
TN
ZIPENR
37262
GroupENR
GRP-5959
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
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

0.990.991.001.00CLMCLM-400928ENRENR-101230CLMCLM-400926CLMCLM-400927IDMBR-019814
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-400928CLM2026-03-15Priya Chenflagged1999-03-03UHC-87411-86—6678 Ridge Rd, Nashville, TNRule0.99D1 member id + dob exact
ENR-101230ENR2026-08-14Priya Chenflagged1999-03-03UHC-87411-8674861172236678 Ridge Rd, Nashville, TNRule0.99D1 member id + dob exact
CLM-400926CLM2026-08-28Priya Chenflagged1999-03-03——6678 Ridge Rd, Nashville, TNScored1.00—
CLM-400927CLM2026-10-04Priya Chenflagged1999-03-03UHC-87411-86—6678 Ridge Rd, Nashville, TNScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-400926CLMCLM-400927CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-400928CLM CLM-400927CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-101230ENRCLM-400927CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-400928CLM ENR-101230ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-400928CLM CLM-400926CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-101230ENRCLM-400926CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Priya Chen: 2 plan codes across sources → canonical MEDICARE-ADV-A
    ACT-000826, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-400926 → UHC-87411-86 (Priya Chen)
    ACT-002392, Claims processor
  • Care coordination outreachProposed
    Priya Chen: 3 claims, no attributed provider
    ACT-019076, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically5d105e5d7c
    scoring_agent, CLM-400927, identity id MBR-019814, confidence 1, method probabilistic, matched record CLM-400926, policy version 1
  • 2026-10-19 19:54:38Record linked automatically672601aa99
    scoring_agent, CLM-400926, identity id MBR-019814, confidence 1, method probabilistic, matched record CLM-400927, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1dff4e1a0e
    matching_agent, ENR-101230, identity id MBR-019814, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400928
  • 2026-10-19 19:54:38Record linked automatically5d669a5ec9
    matching_agent, CLM-400928, identity id MBR-019814, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101230
  • 2026-10-19 19:52:09Record linked automatically6f40bb7157
    scoring_agent, CLM-400927, identity id MBR-019814, confidence 1, method probabilistic, matched record CLM-400926, policy version 1
  • 2026-10-19 19:52:09Record linked automatically94f99ce2a0
    scoring_agent, CLM-400926, identity id MBR-019814, confidence 1, method probabilistic, matched record CLM-400927, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc2f0160f17
    matching_agent, ENR-101230, identity id MBR-019814, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400928
  • 2026-10-19 19:52:09Record linked automaticallyb825469c3b
    matching_agent, CLM-400928, identity id MBR-019814, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101230
  • 2026-10-19 19:45:42Record linked automatically765c927a00
    scoring_agent, CLM-400927, identity id MBR-019814, confidence 1, method probabilistic, matched record CLM-400926, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf0150fb995
    scoring_agent, CLM-400926, identity id MBR-019814, confidence 1, method probabilistic, matched record CLM-400927, policy version 1
  • 2026-10-19 19:45:42Record linked automatically026526e83c
    matching_agent, ENR-101230, identity id MBR-019814, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400928
  • 2026-10-19 19:45:42Record linked automatically54b6c36471
    matching_agent, CLM-400928, identity id MBR-019814, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101230
  • 2026-10-19 19:32:31Record linked automatically02fd43a23f
    scoring_agent, CLM-400927, identity id MBR-019814, confidence 1, method probabilistic, matched record CLM-400926, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7d1ad2cd9d
    scoring_agent, CLM-400926, identity id MBR-019814, confidence 1, method probabilistic, matched record CLM-400927, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd088dd1bea
    matching_agent, ENR-101230, identity id MBR-019814, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400928
  • 2026-10-19 19:32:31Record linked automatically8a26c7499e
    matching_agent, CLM-400928, identity id MBR-019814, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101230
  • 2026-10-19 19:31:28Record linked automatically0ae850fdff
    matching_agent, CLM-400928, identity id MBR-023675, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20272
  • 2026-10-19 19:31:28Record linked automaticallya42fcd642b
    matching_agent, CLM-400927, identity id MBR-020505, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-400926
  • 2026-10-19 19:31:28Record linked automatically32db0f0a28
    matching_agent, CLM-400926, identity id MBR-020505, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20269
  • 2026-10-19 19:31:28Record linked automatically05ffe9d90e
    matching_agent, ENR-101230, identity id MBR-016138, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20252

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0273872026-09-28Cornerstone Bone and Joint Center
in network
29881$10,635.00$3,775.49ApprovedApproved
CLM-2026-0039432026-07-25Canyon Diagnostic Imaging
in network
77067, 70553$2,199.00$527.63ApprovedApproved
CLM-2026-0046962026-03-12Mesa Reference Lab
in network
80053, 85025, 83036$195.00$0.00ApprovedApproved