Identities/MBR-021547

Gold, golden identity

Yuki Nguyen

5 source records from 3 feeds.

MBR-021547Verified5 records

Golden record

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

First nameENR: Yuki
Middle name—: —
Last nameENR: Nguyen
Date of birthENR: 1955-01-22
GenderENR: F
Member IDENR: UHC-27496-70
SSNENR: •••-••-7805
PhoneENR: 8686306366
EmailENR: yuki.nguyen39@hotmail.com
AddressCLM: 1631 Jefferson Ave Apt 28
CityPRV: Orlando
StatePRV: FL
ZIP—: —
GroupENR: GRP-9428
PlanENR: OPTIONS-PPO

Min confidence

0.93

Sources

PRV ×1ENR ×1CLM ×3

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
PRV-21408	PRV	2026-03-23	Yuki Nguyenflagged	1955-01-22	UHC-27496-70	8686306366	1631 Jefferson Ave, Orlando, FL	Scored	1.00	—
ENR-106390	ENR	2026-05-16	Yuki Nguyenflagged	1955-01-22	UHC-27496-70	8686306366	7942 Maple Ave Apt 23, Austin, TX	Scored	1.00	—
CLM-404842	CLM	2026-09-06	Yuki Nguyenflagged	1955-01-22	—	8686306366	—	Scored	1.00	—
CLM-404843	CLM	2026-09-08	Yuki Nguyenflagged	1955-01-22	—	—	1631 Jefferson Ave Apt 28, Orlando, FL	Scored	0.93	—
CLM-404844	CLM	2026-09-12	Yuki Nguyenflagged	1955-01-22	UHC-27496-70	—	—	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶PRV-21408PRVCLM-404842CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-106390ENRCLM-404842CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-21408PRVCLM-404844CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-106390ENRCLM-404844CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-21408PRVENR-106390ENR0.99RuleD1 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
Email	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-21408PRVCLM-404843CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-404842CLMCLM-404843CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-404842CLMCLM-404844CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-404843CLMCLM-404844CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶ENR-106390ENRCLM-404843CLM0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Yuki Nguyen: 2 plan codes across sources → canonical OPTIONS-PPO
ACT-000889, Eligibility engine
Orphan claim re-pointedExecuted
CLM-404842 → UHC-27496-70 (Yuki Nguyen)
ACT-003857, Claims processor
Orphan claim re-pointedExecuted
CLM-404843 → UHC-27496-70 (Yuki Nguyen)
ACT-006922, Claims processor
Outreach address correctedProposed
Yuki Nguyen: 7942 Maple Ave Apt 23, Austin → 1631 Jefferson Ave Apt 28, Orlando
ACT-012370, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyfeb737e562
matching_agent, CLM-404844, identity id MBR-021547, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21408
2026-10-19 19:54:38Record linked automatically622e6bc0a4
scoring_agent, CLM-404843, identity id MBR-021547, confidence 0.93, method probabilistic, matched record PRV-21408, policy version 1
2026-10-19 19:54:38Record linked automaticallyb42dd92e43
scoring_agent, CLM-404842, identity id MBR-021547, confidence 1, method probabilistic, matched record PRV-21408, policy version 1
2026-10-19 19:54:38Record linked automaticallyef1d13c369
scoring_agent, ENR-106390, identity id MBR-021547, confidence 1, method probabilistic, matched record CLM-404842, policy version 1
2026-10-19 19:54:38Record linked automatically613252c341
scoring_agent, PRV-21408, identity id MBR-021547, confidence 1, method probabilistic, matched record CLM-404842, policy version 1
2026-10-19 19:52:09Record linked automatically60b70ede75
matching_agent, CLM-404844, identity id MBR-021547, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21408
2026-10-19 19:52:09Record linked automaticallyb41bf51ad6
scoring_agent, CLM-404843, identity id MBR-021547, confidence 0.93, method probabilistic, matched record PRV-21408, policy version 1
2026-10-19 19:52:09Record linked automatically0b29b3653f
scoring_agent, CLM-404842, identity id MBR-021547, confidence 1, method probabilistic, matched record PRV-21408, policy version 1
2026-10-19 19:52:09Record linked automatically3bb8214020
scoring_agent, ENR-106390, identity id MBR-021547, confidence 1, method probabilistic, matched record CLM-404842, policy version 1
2026-10-19 19:52:09Record linked automaticallycb349f06d7
scoring_agent, PRV-21408, identity id MBR-021547, confidence 1, method probabilistic, matched record CLM-404842, policy version 1
2026-10-19 19:45:42Record linked automaticallyb52bb49c06
matching_agent, CLM-404844, identity id MBR-021547, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21408
2026-10-19 19:45:42Record linked automaticallyb43a49b325
scoring_agent, CLM-404843, identity id MBR-021547, confidence 0.93, method probabilistic, matched record PRV-21408, policy version 1
2026-10-19 19:45:42Record linked automatically64e64cd078
scoring_agent, CLM-404842, identity id MBR-021547, confidence 1, method probabilistic, matched record PRV-21408, policy version 1
2026-10-19 19:45:42Record linked automaticallyf7e5e101fb
scoring_agent, ENR-106390, identity id MBR-021547, confidence 1, method probabilistic, matched record CLM-404842, policy version 1
2026-10-19 19:45:42Record linked automaticallyd1b1e4697b
scoring_agent, PRV-21408, identity id MBR-021547, confidence 1, method probabilistic, matched record CLM-404842, policy version 1
2026-10-19 19:32:31Record linked automaticallyb1e7e89783
matching_agent, CLM-404844, identity id MBR-021547, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21408
2026-10-19 19:32:31Record linked automatically3ad650d41c
scoring_agent, CLM-404843, identity id MBR-021547, confidence 0.93, method probabilistic, matched record PRV-21408, policy version 1
2026-10-19 19:32:31Record linked automatically9f7bedd3fc
scoring_agent, CLM-404842, identity id MBR-021547, confidence 1, method probabilistic, matched record PRV-21408, policy version 1
2026-10-19 19:32:31Record linked automatically53f13f79a4
scoring_agent, ENR-106390, identity id MBR-021547, confidence 1, method probabilistic, matched record CLM-404842, policy version 1
2026-10-19 19:32:31Record linked automatically372e4cf640
scoring_agent, PRV-21408, identity id MBR-021547, confidence 1, method probabilistic, matched record CLM-404842, policy version 1
2026-10-19 19:31:28Record linked automatically5db3f59613
scoring_agent, PRV-21408, identity id MBR-017601, confidence 0.94, method probabilistic, matched record ENR-106230, policy version 1
2026-10-19 19:31:28Record linked automatically4216e28077
matching_agent, CLM-404844, identity id MBR-013451, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-106343
2026-10-19 19:31:28Record linked automaticallya50dd76ca7
scoring_agent, CLM-404842, identity id MBR-008413, confidence 1, method probabilistic, matched record ENR-106339, policy version 1
2026-10-19 19:31:28Record linked automaticallyfa1f7c3499
matching_agent, ENR-106390, identity id MBR-004513, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-21442

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-015872	2026-08-03	Riverside Primary Care Associates in network	36415, 99203, 90471	$295.00	$172.36	Approved	Approved
CLM-2026-021011	2026-08-30	Lakeside Medical Group in network	36415, 90471	$43.00	$18.60	Approved	Approved
CLM-2026-009654	2026-08-28	Evergreen Internal Medicine Associates in network	80053, 99215	$363.00	$205.06	Approved	Approved