Identities/MBR-020958

Gold, golden identity

Alice W Duncan

5 source records from 2 feeds.

MBR-020958Verified5 records

Golden record

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

First nameENR: Alice
Middle nameENR: W
Last nameENR: Duncan
Date of birthENR: 1962-04-05
GenderENR: F
Member IDENR: UHC-66041-95
SSNENR: •••-••-2880
PhoneENR: 8075082517
EmailENR: alice.duncan@aol.com
AddressCLM: 4992 Church St # 454
CityENR: Seattle
StateENR: WA
ZIPENR: 98161
GroupENR: GRP-5994
PlanENR: MEDICARE-ADV-A

Min confidence

1.00

Sources

ENR ×1CLM ×4

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
ENR-110903	ENR	2026-03-20	Alice Duncanflagged	1962-04-05	UHC-66041-95	8075082517	4992 Church St, Seattle, WA	Scored	1.00	—
CLM-408263	CLM	2026-04-26	Alice Duncanflagged	1962-04-05	UHC-66041-95	—	4992 Church St, Seattle, WA	Scored	1.00	—
CLM-408264	CLM	2026-04-26	Alice Duncanflagged	1962-04-05	UHC-66041-95	—	4992 Church St, Seattle, WA	Scored	1.00	—
CLM-408266	CLM	2026-05-09	Alice Duncanflagged	1962-04-05	—	8075082517	4992 Church St, Seattle, WA	Scored	1.00	—
CLM-408265	CLM	2026-05-20	Alice Duncanflagged	1962-04-05	UHC-66041-95	—	4992 Church St # 454, Seattle, WA	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-408266CLMCLM-408265CLM1.00Scoredweighted 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-110903ENRCLM-408266CLM1.00Scoredweighted 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-408263CLMCLM-408266CLM1.00Scoredweighted 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-408264CLMCLM-408266CLM1.00Scoredweighted 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-110903ENRCLM-408263CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-110903ENRCLM-408264CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-408263CLMCLM-408264CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-110903ENRCLM-408265CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-408263CLMCLM-408265CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-408264CLMCLM-408265CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-408266 → UHC-66041-95 (Alice Duncan)
ACT-004228, Claims processor
Outreach address correctedProposed
Alice Duncan: 4992 Church St, Seattle → 4992 Church St # 454, Seattle
ACT-012329, Outreach
Care coordination outreachProposed
Alice Duncan: 4 claims, no attributed provider
ACT-019131, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically277d34c55b
scoring_agent, CLM-408265, identity id MBR-020958, confidence 1, method probabilistic, matched record CLM-408266, policy version 1
2026-10-19 19:54:38Record linked automatically8fdb68b749
scoring_agent, CLM-408266, identity id MBR-020958, confidence 1, method probabilistic, matched record ENR-110903, policy version 1
2026-10-19 19:54:38Record linked automaticallya1ec74ab5b
scoring_agent, CLM-408264, identity id MBR-020958, confidence 1, method probabilistic, matched record CLM-408266, policy version 1
2026-10-19 19:54:38Record linked automatically4841546b0c
scoring_agent, CLM-408263, identity id MBR-020958, confidence 1, method probabilistic, matched record CLM-408266, policy version 1
2026-10-19 19:54:38Record linked automatically121fe416d0
scoring_agent, ENR-110903, identity id MBR-020958, confidence 1, method probabilistic, matched record CLM-408266, policy version 1
2026-10-19 19:52:09Record linked automaticallycf1ae35bd3
scoring_agent, CLM-408265, identity id MBR-020958, confidence 1, method probabilistic, matched record CLM-408266, policy version 1
2026-10-19 19:52:09Record linked automaticallya2bf2949d6
scoring_agent, CLM-408266, identity id MBR-020958, confidence 1, method probabilistic, matched record ENR-110903, policy version 1
2026-10-19 19:52:09Record linked automatically4c9f58ef58
scoring_agent, CLM-408264, identity id MBR-020958, confidence 1, method probabilistic, matched record CLM-408266, policy version 1
2026-10-19 19:52:09Record linked automatically1681d47a84
scoring_agent, CLM-408263, identity id MBR-020958, confidence 1, method probabilistic, matched record CLM-408266, policy version 1
2026-10-19 19:52:09Record linked automatically039b5d5380
scoring_agent, ENR-110903, identity id MBR-020958, confidence 1, method probabilistic, matched record CLM-408266, policy version 1
2026-10-19 19:45:42Record linked automaticallya523a22ba6
scoring_agent, CLM-408265, identity id MBR-020958, confidence 1, method probabilistic, matched record CLM-408266, policy version 1
2026-10-19 19:45:42Record linked automatically1fe1b41ea4
scoring_agent, CLM-408266, identity id MBR-020958, confidence 1, method probabilistic, matched record ENR-110903, policy version 1
2026-10-19 19:45:42Record linked automatically9957a6c0a0
scoring_agent, CLM-408264, identity id MBR-020958, confidence 1, method probabilistic, matched record CLM-408266, policy version 1
2026-10-19 19:45:42Record linked automatically400490e4c9
scoring_agent, CLM-408263, identity id MBR-020958, confidence 1, method probabilistic, matched record CLM-408266, policy version 1
2026-10-19 19:45:42Record linked automaticallyc16e0d5581
scoring_agent, ENR-110903, identity id MBR-020958, confidence 1, method probabilistic, matched record CLM-408266, policy version 1
2026-10-19 19:32:31Record linked automaticallyd826449a3a
scoring_agent, CLM-408265, identity id MBR-020958, confidence 1, method probabilistic, matched record CLM-408266, policy version 1
2026-10-19 19:32:31Record linked automatically0f5a058bee
scoring_agent, CLM-408266, identity id MBR-020958, confidence 1, method probabilistic, matched record ENR-110903, policy version 1
2026-10-19 19:32:31Record linked automaticallyfb086a5cc4
scoring_agent, CLM-408264, identity id MBR-020958, confidence 1, method probabilistic, matched record CLM-408266, policy version 1
2026-10-19 19:32:31Record linked automaticallyd50c7db35c
scoring_agent, CLM-408263, identity id MBR-020958, confidence 1, method probabilistic, matched record CLM-408266, policy version 1
2026-10-19 19:32:31Record linked automatically80a8444572
scoring_agent, ENR-110903, identity id MBR-020958, confidence 1, method probabilistic, matched record CLM-408266, policy version 1
2026-10-19 19:31:28Record linked automatically3f12d648a1
scoring_agent, CLM-408266, identity id MBR-044378, confidence 0.99, method probabilistic, matched record TPA-53646, policy version 1
2026-10-19 19:31:28Record linked automatically51035b004e
scoring_agent, CLM-408263, identity id MBR-026810, confidence 0.99, method probabilistic, matched record TPA-53645, policy version 1
2026-10-19 19:31:28Record linked automaticallyf3e98dd5fb
matching_agent, ENR-110903, identity id MBR-011003, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408297
2026-10-19 19:31:28Record linked automatically5fc6da8c39
matching_agent, CLM-408264, identity id MBR-010236, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110854
2026-10-19 19:31:28Record linked automaticallyd0bd8a73a6
matching_agent, CLM-408265, identity id MBR-010236, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-408264

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-2026-023659	2026-05-15	Mesa Regional Medical Center out of network	99283, 99285	$3,743.00	$1,434.35	Approved	Approved
CLM-2026-011046	2026-04-19	Riverside Orthopedic Specialists in network	99213	$173.00	$67.26	Approved	Approved
CLM-2026-019518	2026-04-11	Unity Counseling Center in network	90837	$187.00	—	Needs review	Needs review
CLM-2026-015508	2026-04-13	Heritage Behavioral Health in network	90791	$366.00	$186.92	Approved	Approved