Identities/MBR-021800
Gold, golden identity

Grace H Ross

5 source records from 3 feeds.

MBR-021800Verified5 records

Golden record

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

First nameENR
Grace
Middle nameENR
H
Last nameENR
Ross
Date of birthENR
1985-12-22
GenderENR
F
Member IDENR
UHC-85981-15
SSNENR
•••-••-2549
PhoneENR
2152747706
EmailENR
grace.ross@icloud.com
AddressENR
5740 Sunset Blvd
CityENR
Eden Prairie
StateENR
MN
ZIPENR
55308
GroupENR
GRP-9022
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
CLM ×3TPA ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.000.990.99CLMCLM-410677TPATPA-54684CLMCLM-410676CLMCLM-410678ENRENR-114009IDMBR-021800
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-410677CLM2026-03-24Grace Rossflagged1985-12-22UHC-85981-1521527477065740 Sunset Blvd, Eden Prairie, MNScored1.00—
TPA-54684TPA2026-03-28Grace Rossflagged1985-12-22—21527477065740 Sunset Blvd, Eden Prairie, MNScored1.00—
CLM-410676CLM2026-07-21Grace Rossflagged1985-12-22UHC-85981-1521527477065740 Sunset Blvd, Eden Prairie, MNScored1.00—
CLM-410678CLM2026-09-30Grace Rossflagged1985-12-22UHC-85981-15——Rule0.99D1 member id + dob exact
ENR-114009ENR2026-10-12Grace Rossflagged1985-12-22UHC-85981-1521527477065740 Sunset Blvd, Eden Prairie, MNRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶TPA-54684 TPACLM-410676CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-410677CLMTPA-54684 TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-410677CLMCLM-410676CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-410677CLMCLM-410678CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410676CLMCLM-410678CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410677CLMENR-114009ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-410676CLMENR-114009ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-410678CLMENR-114009ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Email1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-54684 TPACLM-410678CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-54684 TPAENR-114009ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Grace Ross: 3 claims, no attributed provider
    ACT-019163, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically4b28875979
    matching_agent, ENR-114009, identity id MBR-021800, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410677
  • 2026-10-19 19:54:38Record linked automatically3cc7c0723f
    matching_agent, CLM-410678, identity id MBR-021800, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410677
  • 2026-10-19 19:54:38Record linked automaticallydd72596e9b
    scoring_agent, CLM-410676, identity id MBR-021800, confidence 1, method probabilistic, matched record TPA-54684, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyeeaa913a46
    scoring_agent, TPA-54684, identity id MBR-021800, confidence 1, method probabilistic, matched record CLM-410677, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallybe5670869a
    scoring_agent, CLM-410677, identity id MBR-021800, confidence 1, method probabilistic, matched record TPA-54684, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6e36346e4f
    matching_agent, ENR-114009, identity id MBR-021800, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410677
  • 2026-10-19 19:52:09Record linked automaticallybe2968ee65
    matching_agent, CLM-410678, identity id MBR-021800, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410677
  • 2026-10-19 19:52:09Record linked automaticallydb0e411fa5
    scoring_agent, CLM-410676, identity id MBR-021800, confidence 1, method probabilistic, matched record TPA-54684, policy version 1
  • 2026-10-19 19:52:09Record linked automatically71284866ba
    scoring_agent, TPA-54684, identity id MBR-021800, confidence 1, method probabilistic, matched record CLM-410677, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya67c649cf6
    scoring_agent, CLM-410677, identity id MBR-021800, confidence 1, method probabilistic, matched record TPA-54684, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf23ac5a562
    matching_agent, ENR-114009, identity id MBR-021800, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410677
  • 2026-10-19 19:45:42Record linked automatically5f0272d670
    matching_agent, CLM-410678, identity id MBR-021800, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410677
  • 2026-10-19 19:45:42Record linked automatically472bc9053b
    scoring_agent, CLM-410676, identity id MBR-021800, confidence 1, method probabilistic, matched record TPA-54684, policy version 1
  • 2026-10-19 19:45:42Record linked automatically73325a584b
    scoring_agent, TPA-54684, identity id MBR-021800, confidence 1, method probabilistic, matched record CLM-410677, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyaf5f7002f8
    scoring_agent, CLM-410677, identity id MBR-021800, confidence 1, method probabilistic, matched record TPA-54684, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye3448ceb57
    matching_agent, ENR-114009, identity id MBR-021800, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410677
  • 2026-10-19 19:32:31Record linked automaticallyb0e2b4ec5c
    matching_agent, CLM-410678, identity id MBR-021800, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410677
  • 2026-10-19 19:32:31Record linked automaticallye3b5630863
    scoring_agent, CLM-410676, identity id MBR-021800, confidence 1, method probabilistic, matched record TPA-54684, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb043443872
    scoring_agent, TPA-54684, identity id MBR-021800, confidence 1, method probabilistic, matched record CLM-410677, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc4c216d582
    scoring_agent, CLM-410677, identity id MBR-021800, confidence 1, method probabilistic, matched record TPA-54684, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya4964071eb
    scoring_agent, CLM-410676, identity id MBR-028205, confidence 1, method probabilistic, matched record ENR-114142, policy version 1
  • 2026-10-19 19:31:28Record linked automatically5352256f61
    matching_agent, CLM-410678, identity id MBR-011368, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410677
  • 2026-10-19 19:31:28Record linked automaticallyf5d820f7ae
    matching_agent, CLM-410677, identity id MBR-011368, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114143
  • 2026-10-19 19:31:28Record linked automatically34427c1b30
    matching_agent, ENR-114009, identity id MBR-005620, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114008

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0277082026-09-23Meadow GI Associates
out of network
43239$1,447.00$437.71ApprovedApproved
CLM-2026-0039582026-06-28Cornerstone Diabetes Center
in network
99215, 83036$496.00$232.52ApprovedApproved
CLM-2026-0265252026-03-07Valley Clinical Laboratories
out of network
80053$78.00$0.00ApprovedApproved