Identities/MBR-019941

Gold, golden identity

Douglas R Edwards

5 source records from 3 feeds.

MBR-019941Verified5 records

Golden record

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

First nameENR: Douglas
Middle nameCLM: R
Last nameENR: Edwards
Date of birthCLM: 1996-09-28
GenderENR: F
Member IDENR: UHC-70622-63
SSNENR: •••-••-1170
PhoneENR: 4089910490
Email—: —
AddressENR: 1861 Bayshore Dr
CityENR: Sacramento
StateENR: CA
ZIPENR: 95888
GroupENR: GRP-9115
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.96

Sources

TPA ×1CLM ×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

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-62055	TPA	2026-03-15	Douglas Edwardsflagged	1996-09-28	UHC-70622-63	4089910490	—	Rule	0.99	D1 member id + dob exact
CLM-427311	CLM	2026-04-01	Douglas Edwardsflagged	1996-09-28	UHC-70622-63	4089910490	3670 Desert Sky Blvd, Mesa, AZ	Rule	0.99	D1 member id + dob exact
CLM-427310	CLM	2026-08-25	Douglas Edwardsflagged	1996-09-28	UHC-70622-63	4089910490	—	Rule	0.99	D1 member id + dob exact
CLM-427312	CLM	2026-09-22	Douglas Edwardsflagged	1996-09-28	UHC-70622-63	—	1861 Bayshore Dr, Sacramento, CA	Rule	0.99	D1 member id + dob exact
ENR-135788	ENR	2026-09-24	Douglas Edwardsflagged	—	UHC-70622-63	4089910490	1861 Bayshore Dr, Sacramento, CA	Rule	0.96	D3 member id + name

Evidence

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

Score

Method

Rule

Decision

▶TPA-62055 TPACLM-427310CLM 0.99RuleD1 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
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-427311CLMCLM-427310CLM 0.99RuleD1 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
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-62055 TPACLM-427311CLM0.99RuleD1 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
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-62055 TPACLM-427312CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-427311CLMCLM-427312CLM0.99RuleD1 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	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-427310CLM CLM-427312CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-62055 TPAENR-135788ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-427311CLMENR-135788ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-427310CLM ENR-135788ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight
Name	1.00	3
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-427312CLMENR-135788ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Douglas Edwards: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
ACT-000832, Eligibility engine
Care coordination outreachProposed
Douglas Edwards: 3 claims, no attributed provider
ACT-019085, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically8e45e7c0c0
matching_agent, ENR-135788, identity id MBR-019941, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-62055
2026-10-19 19:54:38Record linked automatically11ca040237
matching_agent, CLM-427312, identity id MBR-019941, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-62055
2026-10-19 19:54:38Record linked automatically676316756c
matching_agent, CLM-427310, identity id MBR-019941, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-62055
2026-10-19 19:54:38Record linked automatically053d0f5d73
matching_agent, CLM-427311, identity id MBR-019941, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-62055
2026-10-19 19:54:38Record linked automatically60d6f54621
matching_agent, TPA-62055, identity id MBR-019941, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427311
2026-10-19 19:52:09Record linked automatically78e9fc8dc8
matching_agent, ENR-135788, identity id MBR-019941, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-62055
2026-10-19 19:52:09Record linked automatically835aec3393
matching_agent, CLM-427312, identity id MBR-019941, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-62055
2026-10-19 19:52:09Record linked automatically890b0326b4
matching_agent, CLM-427310, identity id MBR-019941, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-62055
2026-10-19 19:52:09Record linked automatically7e94fb63b5
matching_agent, CLM-427311, identity id MBR-019941, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-62055
2026-10-19 19:52:09Record linked automatically9f1de0234c
matching_agent, TPA-62055, identity id MBR-019941, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427311
2026-10-19 19:45:42Record linked automaticallya26492ef0b
matching_agent, ENR-135788, identity id MBR-019941, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-62055
2026-10-19 19:45:42Record linked automatically2bfd4154dc
matching_agent, CLM-427312, identity id MBR-019941, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-62055
2026-10-19 19:45:42Record linked automatically38f9b9dd79
matching_agent, CLM-427310, identity id MBR-019941, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-62055
2026-10-19 19:45:42Record linked automaticallya920292794
matching_agent, CLM-427311, identity id MBR-019941, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-62055
2026-10-19 19:45:42Record linked automatically82e4197fb8
matching_agent, TPA-62055, identity id MBR-019941, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427311
2026-10-19 19:32:31Record linked automatically4369547531
matching_agent, ENR-135788, identity id MBR-019941, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-62055
2026-10-19 19:32:31Record linked automatically3457aa26aa
matching_agent, CLM-427312, identity id MBR-019941, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-62055
2026-10-19 19:32:31Record linked automatically4c149494d2
matching_agent, CLM-427310, identity id MBR-019941, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-62055
2026-10-19 19:32:31Record linked automaticallydacade9d62
matching_agent, CLM-427311, identity id MBR-019941, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-62055
2026-10-19 19:32:31Record linked automatically88163046a2
matching_agent, TPA-62055, identity id MBR-019941, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427311
2026-10-19 19:31:28Record linked automatically24d3d4184f
scoring_agent, CLM-427310, identity id MBR-036004, confidence 1, method probabilistic, matched record ENR-136143, policy version 1
2026-10-19 19:31:28Record linked automaticallyb9df651686
matching_agent, TPA-62055, identity id MBR-035262, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-136298
2026-10-19 19:31:28Record linked automaticallya30134fdc7
matching_agent, CLM-427312, identity id MBR-003726, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136145
2026-10-19 19:31:28Record linked automaticallyfd575e7691
matching_agent, CLM-427311, identity id MBR-003726, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-136145

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-006421	2026-08-09	Summit Cardiovascular Associates in network	93015, 93306	$1,595.00	$0.00	Approved	Approved
CLM-2026-015606	2026-07-29	Meadow Medical Group in network	36415	$18.00	$0.00	Approved	Approved
CLM-2026-006001	2026-03-04	Mesa Dermatology Clinic in network	17110	$246.00	—	Denied	Denied
CLM-2026-006000	2026-03-04	Mesa Dermatology Clinic in network	17110	$246.00	$102.52	Approved	Approved