Identities/MBR-020998
Gold, golden identity

Ana K Robinson

5 source records from 3 feeds.

MBR-020998Verified5 records

Golden record

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

First nameENR
Ana
Middle nameENR
K
Last nameENR
Robinson
Date of birthENR
1955-02-02
GenderENR
M
Member IDENR
UHC-45904-17
SSNENR
•••-••-1224
PhoneENR
4879860691
EmailENR
ana.robinson@proton.me
AddressENR
3989 Indian School Rd
CityENR
San Diego
StateENR
CA
ZIPENR
92142
GroupENR
GRP-6756
PlanENR
SELECT-EPO
Min confidence
0.97
Sources
TPA ×1CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.970.990.99TPATPA-54542CLMCLM-410399CLMCLM-410400CLMCLM-410398ENRENR-113667IDMBR-020998
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
TPA-54542TPA2026-03-20Ana Robinsonflagged1955-02-02—48798606913989 Indian School Rd, San Diego, CAScored1.00—
CLM-410399CLM2026-04-19Ana Robinsonflagged1955-02-02UHC-45904-17—3989 Indian School Rd, San Diego, CAScored1.00—
CLM-410400CLM2026-09-02Ana Robinsonflagged1955-02-02———Rule0.97D2 ssn4 + dob + last name
CLM-410398CLM2026-10-09Ana Robinsonflagged1955-02-02UHC-45904-1748798606913989 Indian School Rd, San Diego, CARule0.99D1 member id + dob exact
ENR-113667ENR2026-10-14Ana Robinsonflagged1955-02-02UHC-45904-1748798606913989 Indian School Rd, San Diego, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶TPA-54542TPACLM-410399CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410399CLMCLM-410398CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-410399CLMENR-113667ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-410398CLM ENR-113667ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶CLM-410400CLMCLM-410398CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410400CLMENR-113667ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-54542TPACLM-410398CLM 0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-54542TPAENR-113667ENR0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-54542TPACLM-410400CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-410399CLMCLM-410400CLM0.83Scoredweighted 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

  • Eligibility conflict resolvedProposed
    Ana Robinson: 2 plan codes across sources → canonical SELECT-EPO
    ACT-000873, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-410400 → UHC-45904-17 (Ana Robinson)
    ACT-002183, Claims processor
  • Care coordination outreachProposed
    Ana Robinson: 3 claims, no attributed provider
    ACT-019134, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallydbef295df6
    matching_agent, ENR-113667, identity id MBR-020998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410399
  • 2026-10-19 19:54:38Record linked automatically6510e8f387
    matching_agent, CLM-410398, identity id MBR-020998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410399
  • 2026-10-19 19:54:38Record linked automatically251e823f21
    matching_agent, CLM-410400, identity id MBR-020998, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410398
  • 2026-10-19 19:54:38Record linked automatically1d2eac2555
    scoring_agent, CLM-410399, identity id MBR-020998, confidence 1, method probabilistic, matched record TPA-54542, policy version 1
  • 2026-10-19 19:54:38Record linked automatically53cd633caf
    scoring_agent, TPA-54542, identity id MBR-020998, confidence 1, method probabilistic, matched record CLM-410399, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallycb9ccc4f19
    matching_agent, ENR-113667, identity id MBR-020998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410399
  • 2026-10-19 19:52:09Record linked automatically52efad962b
    matching_agent, CLM-410398, identity id MBR-020998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410399
  • 2026-10-19 19:52:09Record linked automatically555e90ec27
    matching_agent, CLM-410400, identity id MBR-020998, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410398
  • 2026-10-19 19:52:09Record linked automaticallyf739ed988c
    scoring_agent, CLM-410399, identity id MBR-020998, confidence 1, method probabilistic, matched record TPA-54542, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya40814bfe3
    scoring_agent, TPA-54542, identity id MBR-020998, confidence 1, method probabilistic, matched record CLM-410399, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6d1b911dcc
    matching_agent, ENR-113667, identity id MBR-020998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410399
  • 2026-10-19 19:45:42Record linked automatically63a6a0d5f2
    matching_agent, CLM-410398, identity id MBR-020998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410399
  • 2026-10-19 19:45:42Record linked automaticallybe907d5a40
    matching_agent, CLM-410400, identity id MBR-020998, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410398
  • 2026-10-19 19:45:42Record linked automatically2fc6ed0ac1
    scoring_agent, CLM-410399, identity id MBR-020998, confidence 1, method probabilistic, matched record TPA-54542, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd1d1d545e4
    scoring_agent, TPA-54542, identity id MBR-020998, confidence 1, method probabilistic, matched record CLM-410399, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0f3655da3b
    matching_agent, ENR-113667, identity id MBR-020998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410399
  • 2026-10-19 19:32:31Record linked automaticallyeb69426857
    matching_agent, CLM-410398, identity id MBR-020998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410399
  • 2026-10-19 19:32:31Record linked automatically5a1835d725
    matching_agent, CLM-410400, identity id MBR-020998, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410398
  • 2026-10-19 19:32:31Record linked automatically4ddbb01637
    scoring_agent, CLM-410399, identity id MBR-020998, confidence 1, method probabilistic, matched record TPA-54542, policy version 1
  • 2026-10-19 19:32:31Record linked automatically503f395dea
    scoring_agent, TPA-54542, identity id MBR-020998, confidence 1, method probabilistic, matched record CLM-410399, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2a29457426
    scoring_agent, ENR-113667, identity id MBR-019685, confidence 1, method probabilistic, matched record CLM-410348, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyad32f7d55f
    matching_agent, CLM-410400, identity id MBR-009102, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-113737
  • 2026-10-19 19:31:28Record linked automaticallybd91927e78
    scoring_agent, TPA-54542, identity id MBR-002714, confidence 1, method probabilistic, matched record TPA-54544, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0016542026-10-02Lakeside Internal Medicine Associates
in network
99214$236.00—Needs reviewNeeds review
CLM-2026-0016532026-10-02Lakeside Internal Medicine Associates
in network
99214$236.00$121.32ApprovedApproved
CLM-2026-0032672026-08-01Valley Bone and Joint Center
out of network
29881$6,306.00$1,368.66ApprovedApproved
CLM-2026-0099962025-10-31Mesa Family Practice
in network
36415$19.00—DeniedDenied