Identities/MBR-020520
Gold, golden identity

Virginia F Ross

5 source records from 3 feeds.

MBR-020520Verified5 records

Golden record

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

First nameENR
Virginia
Middle nameCLM
F
Last nameENR
Ross
Date of birthENR
1999-07-13
GenderENR
F
Member IDENR
UHC-44106-88
SSNENR
•••-••-4263
PhoneENR
5742977313
EmailENR
virginia.ross@proton.me
AddressENR
6241 Main St
CityENR
Orlando
StateENR
FL
ZIPENR
32827
GroupENR
GRP-7113
PlanENR
MEDICARE-ADV-A
Min confidence
0.97
Sources
CLM ×3ENR ×1TPA ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.990.990.970.97CLMCLM-412291CLMCLM-412290ENRENR-116170CLMCLM-412292TPATPA-55416IDMBR-020520
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-412291CLM2026-03-18Virginia Rossflagged1999-07-13UHC-44106-88—6241 Main St, Orlando, FLRule0.99D1 member id + dob exact
CLM-412290CLM2026-03-18Virginia Rossflagged1999-07-13UHC-44106-88—6241 Main St, Orlando, FLRule0.99D1 member id + dob exact
ENR-116170ENR2026-04-19Virginia Rossflagged1999-07-13UHC-44106-8857429773136241 Main St, Orlando, FLRule0.99D1 member id + dob exact
CLM-412292CLM2026-07-31Virginia Rossflagged1999-07-13———Rule0.97D2 ssn4 + dob + last name
TPA-55416TPA2026-08-16Virginia Rossflagged1999-07-13——6241 Main St, Orlando, FLRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-412291CLMCLM-412290CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-412291CLMENR-116170ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-412290CLMENR-116170ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-116170ENRCLM-412292CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-116170ENRTPA-55416TPA0.97RuleD2 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
▶CLM-412292CLMTPA-55416TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-412291CLMTPA-55416TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-412290CLMTPA-55416TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-412291CLMCLM-412292CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-412290CLMCLM-412292CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-412292 → UHC-44106-88 (Virginia Ross)
    ACT-008883, Claims processor
  • Care coordination outreachProposed
    Virginia Ross: 3 claims, no attributed provider
    ACT-019117, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically2bbb33ca02
    matching_agent, TPA-55416, identity id MBR-020520, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116170
  • 2026-10-22 12:43:54Record linked automatically45bfde6c6d
    matching_agent, CLM-412292, identity id MBR-020520, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116170
  • 2026-10-22 12:43:54Record linked automatically8bc7d3d61d
    matching_agent, ENR-116170, identity id MBR-020520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412291
  • 2026-10-22 12:43:54Record linked automatically592bc94953
    matching_agent, CLM-412290, identity id MBR-020520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412291
  • 2026-10-22 12:43:54Record linked automatically44d92bc0d5
    matching_agent, CLM-412291, identity id MBR-020520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412290
  • 2026-10-19 19:54:38Record linked automaticallyc11c695940
    matching_agent, TPA-55416, identity id MBR-020520, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116170
  • 2026-10-19 19:54:38Record linked automaticallya467f74228
    matching_agent, CLM-412292, identity id MBR-020520, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116170
  • 2026-10-19 19:54:38Record linked automaticallye15fd85053
    matching_agent, ENR-116170, identity id MBR-020520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412291
  • 2026-10-19 19:54:38Record linked automatically053d63ffdd
    matching_agent, CLM-412290, identity id MBR-020520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412291
  • 2026-10-19 19:54:38Record linked automatically5e05962855
    matching_agent, CLM-412291, identity id MBR-020520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412290
  • 2026-10-19 19:52:09Record linked automatically2ea4950e05
    matching_agent, TPA-55416, identity id MBR-020520, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116170
  • 2026-10-19 19:52:09Record linked automatically8a5ef70d84
    matching_agent, CLM-412292, identity id MBR-020520, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116170
  • 2026-10-19 19:52:09Record linked automatically5299051c25
    matching_agent, ENR-116170, identity id MBR-020520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412291
  • 2026-10-19 19:52:09Record linked automaticallyc908956668
    matching_agent, CLM-412290, identity id MBR-020520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412291
  • 2026-10-19 19:52:09Record linked automatically80b70267c0
    matching_agent, CLM-412291, identity id MBR-020520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412290
  • 2026-10-19 19:45:42Record linked automatically47dc2f4199
    matching_agent, TPA-55416, identity id MBR-020520, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116170
  • 2026-10-19 19:45:42Record linked automatically27480869d9
    matching_agent, CLM-412292, identity id MBR-020520, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116170
  • 2026-10-19 19:45:42Record linked automatically4dc791c4a4
    matching_agent, ENR-116170, identity id MBR-020520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412291
  • 2026-10-19 19:45:42Record linked automatically47cce86d0d
    matching_agent, CLM-412290, identity id MBR-020520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412291
  • 2026-10-19 19:45:42Record linked automaticallyf4db11d11e
    matching_agent, CLM-412291, identity id MBR-020520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412290
  • 2026-10-19 19:32:31Record linked automaticallyb23ccacfd8
    matching_agent, TPA-55416, identity id MBR-020520, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116170
  • 2026-10-19 19:32:31Record linked automatically274d9e6eca
    matching_agent, CLM-412292, identity id MBR-020520, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116170
  • 2026-10-19 19:32:31Record linked automaticallyc68a352059
    matching_agent, ENR-116170, identity id MBR-020520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412291
  • 2026-10-19 19:32:31Record linked automaticallyceb8b21ca9
    matching_agent, CLM-412290, identity id MBR-020520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412291
  • 2026-10-19 19:32:31Record linked automatically44907f2fed
    matching_agent, CLM-412291, identity id MBR-020520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412290
  • 2026-10-19 19:31:28Record linked automatically29ba5e7328
    scoring_agent, TPA-55416, identity id MBR-030528, confidence 1, method probabilistic, matched record ENR-116251, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd80c3223a7
    matching_agent, CLM-412292, identity id MBR-021156, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23626
  • 2026-10-19 19:31:28Record linked automatically1fb416cddd
    scoring_agent, CLM-412291, identity id MBR-021156, confidence 1, method probabilistic, matched record PRV-23626, policy version 1
  • 2026-10-19 19:31:28Record linked automatically4904b74b34
    scoring_agent, ENR-116170, identity id MBR-007029, confidence 1.00, method probabilistic, matched record CLM-412236, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye538761000
    matching_agent, CLM-412290, identity id MBR-002466, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116256

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0285722026-07-03Heritage Family Practice
in network
99203, 36415$249.00$129.38ApprovedApproved
CLM-2026-0259582026-02-17Valley Heart Institute
in network
99214$311.00$142.82ApprovedApproved
CLM-2026-0006302026-03-06Mesa GI Associates
in network
88305$326.00$0.00ApprovedApproved