Identities/MBR-020672

Gold, golden identity

Amanda U McDonald

7 source records from 3 feeds.

MBR-020672Verified7 records

Golden record

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

First nameENR: Amanda
Middle nameENR: U
Last nameENR: McDonald
Date of birthENR: 1961-09-28
GenderENR: M
Member IDENR: UHC-80724-56
SSNENR: •••-••-8659
PhoneCLM: 3074863789
EmailCLM: amanda.mcdonald63@yahoo.com
AddressENR: 6337 Apache Blvd
CityENR: Miami
StateENR: FL
ZIPENR: 33178
GroupENR: GRP-3919
PlanENR: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

CLM ×4ENR ×1TPA ×2

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-426494	CLM	2026-03-19	Amanda McDonaldflagged	1961-09-28	—	—	6337 Apache Blvd, Miami, FL	Scored	1.00	—
CLM-426491	CLM	2026-03-31	Amanda McDonaldflagged	1961-09-28	UHC-80724-56	—	6337 Apache Blvd, Miami, FL	Scored	1.00	—
CLM-426492	CLM	2026-05-13	Amanda McDonaldflagged	1961-09-28	UHC-80724-56	3074863789	6337 Apache Blvd, Miami, FL	Scored	1.00	—
CLM-426493	CLM	2026-05-13	Amanda McDonaldflagged	1961-09-28	UHC-80724-56	3074863789	6337 Apache Blvd, Miami, FL	Scored	1.00	—
ENR-134747	ENR	2026-07-27	Amanda McDonaldflagged	1961-09-28	UHC-80724-56	—	6337 Apache Blvd, Miami, FL	Scored	1.00	—
TPA-61711	TPA	2026-08-31	Amanda McDonaldflagged	1961-09-28	—	—	6337 Apache Blvd, Miami, FL	Scored	1.00	—
TPA-61710	TPA	2026-10-05	Amanda McDonaldflagged	1961-09-28	—	—	6337 Apache Blvd, Miami, FL	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-426494CLMCLM-426491CLM1.00Scoredweighted 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-426494CLMCLM-426492CLM1.00Scoredweighted 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-426494CLMCLM-426493CLM1.00Scoredweighted 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-426494CLMTPA-61710TPA1.00Scoredweighted 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-426491CLMTPA-61710TPA1.00Scoredweighted 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-426492CLMTPA-61710TPA1.00Scoredweighted 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-426493CLMTPA-61710TPA1.00Scoredweighted 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-134747ENRTPA-61710TPA1.00Scoredweighted 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-61711TPATPA-61710TPA1.00Scoredweighted 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-426491CLMTPA-61711TPA1.00Scoredweighted 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-426492CLMTPA-61711TPA1.00Scoredweighted 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-426493CLMTPA-61711TPA1.00Scoredweighted 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-426491CLMCLM-426492CLM0.99RuleD1 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

▶CLM-426491CLMCLM-426493CLM0.99RuleD1 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

▶CLM-426492CLMCLM-426493CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-426491CLMENR-134747ENR0.99RuleD1 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

▶CLM-426492CLMENR-134747ENR0.99RuleD1 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

▶CLM-426493CLMENR-134747ENR0.99RuleD1 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

▶CLM-426494CLMENR-134747ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-426494CLMTPA-61711TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-134747ENRTPA-61711TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
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

Orphan claim re-pointedExecuted
CLM-426494 → UHC-80724-56 (Amanda McDonald)
ACT-003601, Claims processor
Care coordination outreachProposed
Amanda McDonald: 4 claims, no attributed provider
ACT-019120, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyd3f8c72578
scoring_agent, TPA-61710, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426494, policy version 1
2026-10-19 19:54:38Record linked automatically96bd14ea7b
scoring_agent, TPA-61711, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426491, policy version 1
2026-10-19 19:54:38Record linked automatically6a6f8c47b7
scoring_agent, ENR-134747, identity id MBR-020672, confidence 1, method probabilistic, matched record TPA-61710, policy version 1
2026-10-19 19:54:38Record linked automatically64b05650bc
scoring_agent, CLM-426493, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426494, policy version 1
2026-10-19 19:54:38Record linked automaticallye73aae171b
scoring_agent, CLM-426492, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426494, policy version 1
2026-10-19 19:54:38Record linked automatically10372f804d
scoring_agent, CLM-426491, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426494, policy version 1
2026-10-19 19:54:38Record linked automaticallyac1f654f82
scoring_agent, CLM-426494, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426491, policy version 1
2026-10-19 19:52:09Record linked automatically3a075227df
scoring_agent, TPA-61710, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426494, policy version 1
2026-10-19 19:52:09Record linked automatically63ba4fccc8
scoring_agent, TPA-61711, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426491, policy version 1
2026-10-19 19:52:09Record linked automaticallyd7c936b1a1
scoring_agent, ENR-134747, identity id MBR-020672, confidence 1, method probabilistic, matched record TPA-61710, policy version 1
2026-10-19 19:52:09Record linked automatically9047fcb93f
scoring_agent, CLM-426493, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426494, policy version 1
2026-10-19 19:52:09Record linked automaticallyc6c594a87b
scoring_agent, CLM-426492, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426494, policy version 1
2026-10-19 19:52:09Record linked automatically6b75ed43f4
scoring_agent, CLM-426491, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426494, policy version 1
2026-10-19 19:52:09Record linked automaticallyf27c5ea5a0
scoring_agent, CLM-426494, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426491, policy version 1
2026-10-19 19:45:42Record linked automaticallycfccb4e9e0
scoring_agent, TPA-61710, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426494, policy version 1
2026-10-19 19:45:42Record linked automaticallya70917b232
scoring_agent, TPA-61711, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426491, policy version 1
2026-10-19 19:45:42Record linked automatically78d44db0c0
scoring_agent, ENR-134747, identity id MBR-020672, confidence 1, method probabilistic, matched record TPA-61710, policy version 1
2026-10-19 19:45:42Record linked automatically78fac37741
scoring_agent, CLM-426493, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426494, policy version 1
2026-10-19 19:45:42Record linked automatically57a317d254
scoring_agent, CLM-426492, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426494, policy version 1
2026-10-19 19:45:42Record linked automaticallye32f5e8fdd
scoring_agent, CLM-426491, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426494, policy version 1
2026-10-19 19:45:42Record linked automatically73ba9a52e1
scoring_agent, CLM-426494, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426491, policy version 1
2026-10-19 19:32:31Record linked automatically917a2cc832
scoring_agent, TPA-61710, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426494, policy version 1
2026-10-19 19:32:31Record linked automatically4115e2762c
scoring_agent, TPA-61711, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426491, policy version 1
2026-10-19 19:32:31Record linked automatically240262885b
scoring_agent, ENR-134747, identity id MBR-020672, confidence 1, method probabilistic, matched record TPA-61710, policy version 1
2026-10-19 19:32:31Record linked automatically35b464ee43
scoring_agent, CLM-426493, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426494, policy version 1
2026-10-19 19:32:31Record linked automaticallyf142ffd79e
scoring_agent, CLM-426492, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426494, policy version 1
2026-10-19 19:32:31Record linked automatically0553a4e7be
scoring_agent, CLM-426491, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426494, policy version 1
2026-10-19 19:32:31Record linked automatically521159316e
scoring_agent, CLM-426494, identity id MBR-020672, confidence 1, method probabilistic, matched record CLM-426491, policy version 1
2026-10-19 19:31:28Record linked automatically4f2ddfceaf
scoring_agent, TPA-61710, identity id MBR-038981, confidence 0.99, method probabilistic, matched record CLM-426632, policy version 1
2026-10-19 19:31:28Record linked automaticallycdafd04aaf
matching_agent, ENR-134747, identity id MBR-034169, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134746
2026-10-19 19:31:28Record linked automatically8920a7ad83
scoring_agent, CLM-426493, identity id MBR-007211, confidence 1, method probabilistic, matched record CLM-426494, policy version 1
2026-10-19 19:31:28Record linked automatically0ca893a945
scoring_agent, CLM-426494, identity id MBR-007211, confidence 1, method probabilistic, matched record CLM-426492, policy version 1
2026-10-19 19:31:28Record linked automatically32488e68e9
scoring_agent, CLM-426492, identity id MBR-007211, confidence 1, method probabilistic, matched record CLM-426494, policy version 1
2026-10-19 19:31:28Record linked automaticallye4067847d4
matching_agent, CLM-426491, identity id MBR-002904, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135035
2026-10-19 19:31:28Record linked automaticallyd5942a1c40
matching_agent, TPA-61711, identity id MBR-002831, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-135230

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-2026-020786	2026-04-07	Mesa Clinical Laboratories in network	83036, 85025	$110.00	$0.00	Approved	Approved
CLM-2026-008484	2026-04-06	Canyon Primary Care Associates in network	99214	$216.00	$113.92	Approved	Approved
CLM-2026-021460	2026-03-05	Sunrise Bone and Joint Center in network	29881	$10,825.00	—	Denied	Denied
CLM-2026-008528	2026-03-06	Evergreen Orthopedic Specialists in network	99213	$151.00	$53.62	Approved	Approved