Identities/MBR-020349

Gold, golden identity

Rebecca C Hamilton

5 source records from 3 feeds.

MBR-020349Verified5 records

Golden record

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

First nameCLM: Rebecca
Middle nameENR: C
Last nameENR: Hamilton
Date of birthENR: 1954-02-23
GenderENR: F
Member IDENR: UHC-26416-03
SSNENR: •••-••-8669
PhoneENR: 2155193615
Email—: —
AddressENR: 2665 Indian School Rd
CityENR: Plano
StateENR: TX
ZIPENR: 75019
GroupENR: GRP-3728
PlanENR: MEDICARE-ADV-A

Min confidence

1.00

Sources

CLM ×3ENR ×1TPA ×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
CLM-428217	CLM	2026-03-17	Rebecca Hamiltonflagged	1954-02-23	UHC-26416-03	—	2665 Indian School Rd # 658, Plano, TX	Scored	1.00	—
ENR-137014	ENR	2026-04-11	Becky Hamiltonflagged	1954-02-23	UHC-26416-03	2155193615	2665 Indian School Rd, Plano, TX	Scored	1.00	—
CLM-428215	CLM	2026-04-22	Rebecca Hamiltonflagged	1954-02-23	UHC-26416-03	2155193615	2665 Indian School Rd # 301, Plano, TX	Scored	1.00	—
TPA-62477	TPA	2026-07-18	Rebecca Hamiltonflagged	1954-02-23	—	2155193615	2665 Indian School Rd, Plano, TX	Scored	1.00	—
CLM-428216	CLM	2026-07-24	Rebecca Hamiltonflagged	1954-02-23	—	—	2665 Indian School Rd, Plano, TX	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-428217CLMCLM-428216CLM 1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-428215 CLMCLM-428216CLM 1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-62477TPACLM-428216CLM 1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-428217CLMTPA-62477TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-137014ENRTPA-62477TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-428215 CLMTPA-62477TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-428217CLMCLM-428215 CLM0.99RuleD1 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-137014ENRCLM-428215 CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-428217CLMENR-137014ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-137014ENRCLM-428216CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Rebecca Hamilton: 2 plan codes across sources → canonical MEDICARE-ADV-A
ACT-000851, Eligibility engine
Orphan claim re-pointedExecuted
CLM-428216 → UHC-26416-03 (Rebecca Hamilton)
ACT-004980, Claims processor
Care coordination outreachProposed
Rebecca Hamilton: 3 claims, no attributed provider
ACT-019105, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically8da63fe3ff
scoring_agent, CLM-428216, identity id MBR-020349, confidence 1, method probabilistic, matched record CLM-428217, policy version 1
2026-10-19 19:54:38Record linked automatically873df31eaa
scoring_agent, TPA-62477, identity id MBR-020349, confidence 1, method probabilistic, matched record CLM-428217, policy version 1
2026-10-19 19:54:38Record linked automatically424ff54dee
scoring_agent, CLM-428215, identity id MBR-020349, confidence 1, method probabilistic, matched record TPA-62477, policy version 1
2026-10-19 19:54:38Record linked automaticallyd73bfd2d03
scoring_agent, ENR-137014, identity id MBR-020349, confidence 1, method probabilistic, matched record TPA-62477, policy version 1
2026-10-19 19:54:38Record linked automatically019fd92138
scoring_agent, CLM-428217, identity id MBR-020349, confidence 1, method probabilistic, matched record TPA-62477, policy version 1
2026-10-19 19:52:09Record linked automatically9266eabbf5
scoring_agent, CLM-428216, identity id MBR-020349, confidence 1, method probabilistic, matched record CLM-428217, policy version 1
2026-10-19 19:52:09Record linked automatically172e892266
scoring_agent, TPA-62477, identity id MBR-020349, confidence 1, method probabilistic, matched record CLM-428217, policy version 1
2026-10-19 19:52:09Record linked automatically7b020cadce
scoring_agent, CLM-428215, identity id MBR-020349, confidence 1, method probabilistic, matched record TPA-62477, policy version 1
2026-10-19 19:52:09Record linked automaticallye836d8b984
scoring_agent, ENR-137014, identity id MBR-020349, confidence 1, method probabilistic, matched record TPA-62477, policy version 1
2026-10-19 19:52:09Record linked automatically551340c08c
scoring_agent, CLM-428217, identity id MBR-020349, confidence 1, method probabilistic, matched record TPA-62477, policy version 1
2026-10-19 19:45:42Record linked automaticallydc3925c18a
scoring_agent, CLM-428216, identity id MBR-020349, confidence 1, method probabilistic, matched record CLM-428217, policy version 1
2026-10-19 19:45:42Record linked automatically8719d8c4a0
scoring_agent, TPA-62477, identity id MBR-020349, confidence 1, method probabilistic, matched record CLM-428217, policy version 1
2026-10-19 19:45:42Record linked automatically6ebf5c1f7a
scoring_agent, CLM-428215, identity id MBR-020349, confidence 1, method probabilistic, matched record TPA-62477, policy version 1
2026-10-19 19:45:42Record linked automatically8237299372
scoring_agent, ENR-137014, identity id MBR-020349, confidence 1, method probabilistic, matched record TPA-62477, policy version 1
2026-10-19 19:45:42Record linked automatically787ee23de1
scoring_agent, CLM-428217, identity id MBR-020349, confidence 1, method probabilistic, matched record TPA-62477, policy version 1
2026-10-19 19:32:31Record linked automatically05e29f646a
scoring_agent, CLM-428216, identity id MBR-020349, confidence 1, method probabilistic, matched record CLM-428217, policy version 1
2026-10-19 19:32:31Record linked automatically827438ae8e
scoring_agent, TPA-62477, identity id MBR-020349, confidence 1, method probabilistic, matched record CLM-428217, policy version 1
2026-10-19 19:32:31Record linked automatically11e09fb1f0
scoring_agent, CLM-428215, identity id MBR-020349, confidence 1, method probabilistic, matched record TPA-62477, policy version 1
2026-10-19 19:32:31Record linked automatically24be0ab0f9
scoring_agent, ENR-137014, identity id MBR-020349, confidence 1, method probabilistic, matched record TPA-62477, policy version 1
2026-10-19 19:32:31Record linked automatically1f7b12dc75
scoring_agent, CLM-428217, identity id MBR-020349, confidence 1, method probabilistic, matched record TPA-62477, policy version 1
2026-10-19 19:31:28Record linked automatically40ff117384
matching_agent, CLM-428217, identity id MBR-040018, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137296
2026-10-19 19:31:28Record linked automatically0acc062887
scoring_agent, CLM-428215, identity id MBR-012375, confidence 1, method probabilistic, matched record TPA-62401, policy version 1
2026-10-19 19:31:28Record linked automatically33167626c8
matching_agent, TPA-62477, identity id MBR-007641, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137482
2026-10-19 19:31:28Record linked automaticallyd430308295
matching_agent, CLM-428216, identity id MBR-006905, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137294

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-2026-013764	2026-06-23	Meadow Diagnostic Imaging out of network	76700	$610.00	$4.78	Approved	Approved
CLM-2026-012210	2026-04-16	Meadow Heart Institute in network	99214, 93224	$692.00	$354.04	Approved	Approved
CLM-2026-027698	2026-02-10	Sunrise Medical Group out of network	99232	$245.00	—	Needs review	Needs review
CLM-2026-027697	2026-02-10	Desert Medical Group in network	99232	$245.00	$0.00	Approved	Approved