Identities/MBR-020288
Gold, golden identity

Joan Y Clark

4 source records from 3 feeds.

MBR-020288Verified4 records

Golden record

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

First nameENR
Joan
Middle nameENR
Y
Last nameENR
Clark
Date of birthENR
1967-11-09
GenderENR
M
Member IDENR
UHC-92120-58
SSNCLM
•••-••-2003
PhoneENR
2364835610
EmailENR
joan.clark6@proton.me
AddressENR
3163 Grand Ave
CityENR
Atlanta
StateENR
GA
ZIPENR
30308
GroupENR
GRP-5666
PlanENR
OPTIONS-PPO
Min confidence
1.00
Sources
CLM ×2TPA ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.00CLMCLM-410037CLMCLM-410038TPATPA-54396ENRENR-113239IDMBR-020288
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-410037CLM2026-03-17Joan Clarkflagged1967-11-09——3163 Grand Ave, Atlanta, GAScored1.00—
CLM-410038CLM2026-05-13Joan Clarkflagged1967-11-09UHC-92120-58—3163 Grand Ave, Atlanta, GAScored1.00—
TPA-54396TPA2026-09-03Joan Clarkflagged1967-11-09——3163 Grand Ave Apt 38, Atlanta, GAScored1.00—
ENR-113239ENR2026-09-04Joan Clarkflagged1967-11-09UHC-92120-5823648356103163 Grand Ave, Atlanta, GAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-410037CLMCLM-410038CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410037CLMENR-113239ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-54396TPAENR-113239ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410037CLMTPA-54396TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410038CLMTPA-54396TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410038CLMENR-113239ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Joan Clark: 2 plan codes across sources → canonical OPTIONS-PPO
    ACT-000847, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-410037 → UHC-92120-58 (Joan Clark)
    ACT-004283, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyc5743e48b2
    scoring_agent, ENR-113239, identity id MBR-020288, confidence 1, method probabilistic, matched record CLM-410037, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye760bcc54d
    scoring_agent, TPA-54396, identity id MBR-020288, confidence 1, method probabilistic, matched record CLM-410037, policy version 1
  • 2026-10-19 19:54:38Record linked automatically96aae2ebe7
    scoring_agent, CLM-410038, identity id MBR-020288, confidence 1, method probabilistic, matched record CLM-410037, policy version 1
  • 2026-10-19 19:54:38Record linked automatically56169d993c
    scoring_agent, CLM-410037, identity id MBR-020288, confidence 1, method probabilistic, matched record CLM-410038, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc0e3e35349
    scoring_agent, ENR-113239, identity id MBR-020288, confidence 1, method probabilistic, matched record CLM-410037, policy version 1
  • 2026-10-19 19:52:09Record linked automatically31c1ebd75c
    scoring_agent, TPA-54396, identity id MBR-020288, confidence 1, method probabilistic, matched record CLM-410037, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2438fbf147
    scoring_agent, CLM-410038, identity id MBR-020288, confidence 1, method probabilistic, matched record CLM-410037, policy version 1
  • 2026-10-19 19:52:09Record linked automatically080f6df1c4
    scoring_agent, CLM-410037, identity id MBR-020288, confidence 1, method probabilistic, matched record CLM-410038, policy version 1
  • 2026-10-19 19:45:42Record linked automatically87133b43d3
    scoring_agent, ENR-113239, identity id MBR-020288, confidence 1, method probabilistic, matched record CLM-410037, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyfe4d2f668d
    scoring_agent, TPA-54396, identity id MBR-020288, confidence 1, method probabilistic, matched record CLM-410037, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya017d91780
    scoring_agent, CLM-410038, identity id MBR-020288, confidence 1, method probabilistic, matched record CLM-410037, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8b1e0619a1
    scoring_agent, CLM-410037, identity id MBR-020288, confidence 1, method probabilistic, matched record CLM-410038, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybb4f40ab83
    scoring_agent, ENR-113239, identity id MBR-020288, confidence 1, method probabilistic, matched record CLM-410037, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya24bcdbf47
    scoring_agent, TPA-54396, identity id MBR-020288, confidence 1, method probabilistic, matched record CLM-410037, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6b19c8bf12
    scoring_agent, CLM-410038, identity id MBR-020288, confidence 1, method probabilistic, matched record CLM-410037, policy version 1
  • 2026-10-19 19:32:31Record linked automatically338aba47e8
    scoring_agent, CLM-410037, identity id MBR-020288, confidence 1, method probabilistic, matched record CLM-410038, policy version 1
  • 2026-10-19 19:31:28Record linked automatically96649e2cfd
    scoring_agent, TPA-54396, identity id MBR-030259, confidence 1, method probabilistic, matched record ENR-113023, policy version 1
  • 2026-10-19 19:31:28Record linked automatically245dd11af5
    matching_agent, ENR-113239, identity id MBR-009723, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113238
  • 2026-10-19 19:31:28Record linked automatically1d8def7799
    scoring_agent, CLM-410038, identity id MBR-004873, confidence 1, method probabilistic, matched record TPA-54486, policy version 1
  • 2026-10-19 19:31:28Record linked automatically23684f03de
    scoring_agent, CLM-410037, identity id MBR-004873, confidence 1, method probabilistic, matched record TPA-54486, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0341912026-04-18Sunrise Imaging Center
out of network
71046, 70553$2,277.00$735.34ApprovedApproved
CLM-2026-0112912026-02-02Desert Diabetes Center
in network
99215$315.00$135.30ApprovedApproved