Identities/MBR-020260
Gold, golden identity

Doris O Dunn

3 source records from 1 feed.

MBR-020260Verified3 records

Golden record

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

First nameCLM
Doris
Middle nameCLM
O
Last nameCLM
Dunn
Date of birthCLM
1990-04-22
GenderCLM
M
Member IDCLM
UHC-40407-79
SSNCLM
•••-••-1521
PhoneCLM
2944718445
EmailCLM
doris.dunn@outlook.com
AddressCLM
6561 Valley View Dr
CityCLM
Scottsdale
StateCLM
AZ
ZIPCLM
85289
GroupCLM
GRP-7604
PlanCLM
OPTIONS-PPO
Min confidence
0.99
Sources
CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.99CLMCLM-408242CLMCLM-408241CLMCLM-408240IDMBR-020260
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-408242CLM2026-03-17Doris Dunnflagged1990-04-22——6561 Valley View Dr, Scottsdale, AZScored1.00—
CLM-408241CLM2026-04-20Doris Dunnflagged1990-04-22UHC-40407-7929447184456561 Valley View Dr, Scottsdale, AZScored1.00—
CLM-408240CLM2026-10-03Doris Dunnflagged1990-04-22UHC-40407-79—6561 Valley View Dr, Scottsdale, AZRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-408242CLMCLM-408241CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-408241CLMCLM-408240CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-408242CLMCLM-408240CLM0.97RuleD2 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

  • Orphan claim re-pointedExecuted
    CLM-408242 → UHC-40407-79 (Doris Dunn)
    ACT-002113, Claims processor
  • Care coordination outreachProposed
    Doris Dunn: 3 claims, no attributed provider
    ACT-019096, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically78f3fd7506
    matching_agent, CLM-408240, identity id MBR-020260, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408241
  • 2026-10-19 19:54:38Record linked automatically7e40508d3c
    scoring_agent, CLM-408241, identity id MBR-020260, confidence 1, method probabilistic, matched record CLM-408242, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyab6c4555e5
    scoring_agent, CLM-408242, identity id MBR-020260, confidence 1, method probabilistic, matched record CLM-408241, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye4f336e2a2
    matching_agent, CLM-408240, identity id MBR-020260, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408241
  • 2026-10-19 19:52:09Record linked automaticallyeacc9a1b06
    scoring_agent, CLM-408241, identity id MBR-020260, confidence 1, method probabilistic, matched record CLM-408242, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9adadee2b6
    scoring_agent, CLM-408242, identity id MBR-020260, confidence 1, method probabilistic, matched record CLM-408241, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya8765daf16
    matching_agent, CLM-408240, identity id MBR-020260, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408241
  • 2026-10-19 19:45:42Record linked automaticallyce8dbfdfb0
    scoring_agent, CLM-408241, identity id MBR-020260, confidence 1, method probabilistic, matched record CLM-408242, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye4dcb5a7f7
    scoring_agent, CLM-408242, identity id MBR-020260, confidence 1, method probabilistic, matched record CLM-408241, policy version 1
  • 2026-10-19 19:32:31Record linked automatically48d80419a2
    matching_agent, CLM-408240, identity id MBR-020260, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408241
  • 2026-10-19 19:32:31Record linked automatically02f09b7872
    scoring_agent, CLM-408241, identity id MBR-020260, confidence 1, method probabilistic, matched record CLM-408242, policy version 1
  • 2026-10-19 19:32:31Record linked automatically77368739b1
    scoring_agent, CLM-408242, identity id MBR-020260, confidence 1, method probabilistic, matched record CLM-408241, policy version 1
  • 2026-10-19 19:31:28Record linked automatically196e0e84dd
    matching_agent, CLM-408241, identity id MBR-016054, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408242
  • 2026-10-19 19:31:28Record linked automatically5a24ac0cc0
    matching_agent, CLM-408242, identity id MBR-016054, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110833
  • 2026-10-19 19:31:28Record linked automatically430bac10a1
    scoring_agent, CLM-408240, identity id MBR-007740, confidence 0.99, method probabilistic, matched record ENR-110829, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0221712026-09-01Evergreen Orthopedic Specialists
in network
70553, 73721$3,995.00—Needs reviewNeeds review
CLM-2026-0085762026-04-03Evergreen Dermatology Clinic
out of network
99213, 11403$566.00$194.70ApprovedApproved
CLM-2026-0029832026-03-06Riverside Primary Care Associates
in network
99203, 90471$241.00$124.42ApprovedApproved