Identities/MBR-021914
Gold, golden identity

Shirley R Hunter

4 source records from 2 feeds.

MBR-021914Verified4 records

Golden record

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

First nameCLM
Shirley
Middle nameCLM
R
Last nameCLM
Hunter
Date of birthCLM
1958-03-17
GenderCLM
F
Member IDCLM
UHC-87251-20
SSNCLM
•••-••-3989
PhoneCLM
8344662722
EmailTPA
shirley.hunter64@outlook.com
AddressCLM
4214 Spring St
CityCLM
San Diego
StateCLM
CA
ZIPCLM
92173
Group—
—
PlanCLM
CHOICE-PLUS-PPO
Min confidence
1.00
Sources
CLM ×3TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.00CLMCLM-422798CLMCLM-422797CLMCLM-422796TPATPA-60009IDMBR-021914
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-422798CLM2026-03-25Shirley Hunterflagged1958-03-17——4214 Spring St, San Diego, CAScored1.00—
CLM-422797CLM2026-03-30Shirley Hunterflagged1958-03-17UHC-87251-2083446627224214 Spring St, San Diego, CAScored1.00—
CLM-422796CLM2026-04-03Shirley Hunterflagged1958-03-17UHC-87251-2083446627224214 Spring St, San Diego, CAScored1.00—
TPA-60009TPA2026-06-03Shirley Hunterflagged1958-03-17—83446627224214 Spring St, San Diego, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-422798CLMCLM-422796CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422798CLMCLM-422797CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422798CLMTPA-60009TPA 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422797CLMTPA-60009TPA 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422796CLMTPA-60009TPA 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422797CLMCLM-422796CLM0.99RuleD1 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

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-422798 → UHC-87251-20 (Shirley Hunter)
    ACT-005948, Claims processor
  • Care coordination outreachProposed
    Shirley Hunter: 3 claims, no attributed provider
    ACT-019165, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically243a77aea2
    scoring_agent, TPA-60009, identity id MBR-021914, confidence 1, method probabilistic, matched record CLM-422798, policy version 1
  • 2026-10-19 19:54:38Record linked automatically589fc908e8
    scoring_agent, CLM-422796, identity id MBR-021914, confidence 1, method probabilistic, matched record CLM-422798, policy version 1
  • 2026-10-19 19:54:38Record linked automatically460dd5b331
    scoring_agent, CLM-422797, identity id MBR-021914, confidence 1, method probabilistic, matched record CLM-422798, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycd99d3cfd1
    scoring_agent, CLM-422798, identity id MBR-021914, confidence 1, method probabilistic, matched record CLM-422797, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4d20b62dc3
    scoring_agent, TPA-60009, identity id MBR-021914, confidence 1, method probabilistic, matched record CLM-422798, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd16b63c825
    scoring_agent, CLM-422796, identity id MBR-021914, confidence 1, method probabilistic, matched record CLM-422798, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb2ef264aab
    scoring_agent, CLM-422797, identity id MBR-021914, confidence 1, method probabilistic, matched record CLM-422798, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5894b939a8
    scoring_agent, CLM-422798, identity id MBR-021914, confidence 1, method probabilistic, matched record CLM-422797, policy version 1
  • 2026-10-19 19:45:42Record linked automatically05479e3f31
    scoring_agent, TPA-60009, identity id MBR-021914, confidence 1, method probabilistic, matched record CLM-422798, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyaa7d19b17f
    scoring_agent, CLM-422796, identity id MBR-021914, confidence 1, method probabilistic, matched record CLM-422798, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyfc94b33cda
    scoring_agent, CLM-422797, identity id MBR-021914, confidence 1, method probabilistic, matched record CLM-422798, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf78b128d67
    scoring_agent, CLM-422798, identity id MBR-021914, confidence 1, method probabilistic, matched record CLM-422797, policy version 1
  • 2026-10-19 19:32:31Record linked automatically189b9fc48d
    scoring_agent, TPA-60009, identity id MBR-021914, confidence 1, method probabilistic, matched record CLM-422798, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4998d6f22b
    scoring_agent, CLM-422796, identity id MBR-021914, confidence 1, method probabilistic, matched record CLM-422798, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfde3e70714
    scoring_agent, CLM-422797, identity id MBR-021914, confidence 1, method probabilistic, matched record CLM-422798, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5b1a62649a
    scoring_agent, CLM-422798, identity id MBR-021914, confidence 1, method probabilistic, matched record CLM-422797, policy version 1
  • 2026-10-19 19:31:28Record linked automatically55f4bae752
    scoring_agent, TPA-60009, identity id MBR-014012, confidence 1, method probabilistic, matched record CLM-422785, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb7201cb14a
    matching_agent, CLM-422797, identity id MBR-002746, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422798
  • 2026-10-19 19:31:28Record linked automatically7021652aa7
    matching_agent, CLM-422796, identity id MBR-002746, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422798
  • 2026-10-19 19:31:28Record linked automatically5d2d1e5d1c
    matching_agent, CLM-422798, identity id MBR-002746, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129999

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0029812026-03-28Meadow Primary Care Associates
in network
99214, 99203$524.00$299.88ApprovedApproved
CLM-2026-0233382026-03-06Lakeside Skin Care Associates
in network
17110$190.00$67.80ApprovedApproved
CLM-2026-0173332026-03-17Summit Primary Care Associates
in network
99213, 99395$433.00—Needs reviewNeeds review