Identities/MBR-022043
Gold, golden identity

Pamela G Lucas

4 source records from 2 feeds.

MBR-022043Verified4 records

Golden record

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

First nameENR
Pamela
Middle nameENR
G
Last nameENR
Lucas
Date of birthENR
1939-05-07
GenderENR
M
Member IDENR
UHC-85455-92
SSNCLM
•••-••-7561
PhoneENR
7537765688
Email—
—
AddressENR
5790 Union St
CityENR
Austin
StateENR
TX
ZIPENR
78759
GroupENR
GRP-5824
PlanENR
NAVIGATE-HMO
Min confidence
0.97
Sources
CLM ×3ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.971.001.00CLMCLM-411888CLMCLM-411886CLMCLM-411887ENRENR-115646IDMBR-022043
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-411888CLM2026-03-25Pamela Lucasflagged1939-05-07UHC-85455-92—5790 Union St, Austin, TXScored1.00—
CLM-411886CLM2026-04-09Pamela Lucasflagged1939-05-07——4414 Apache Blvd, San Diego, CARule0.97D2 ssn4 + dob + last name
CLM-411887CLM2026-04-21Pamela Lucasflagged1939-05-07—75377656885790 Union St, Austin, TXScored1.00—
ENR-115646ENR2026-05-16Pamela Lucasflagged1939-05-07UHC-85455-9275377656885790 Union St, Austin, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-411888CLMCLM-411887CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-411887CLMENR-115646ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-411888CLMENR-115646ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-411886CLMCLM-411887CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-411888CLMCLM-411886CLM0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none
▶CLM-411886CLMENR-115646ENR0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-411886 → UHC-85455-92 (Pamela Lucas)
    ACT-005900, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-411887 → UHC-85455-92 (Pamela Lucas)
    ACT-006126, Claims processor
  • Care coordination outreachProposed
    Pamela Lucas: 3 claims, no attributed provider
    ACT-019169, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallydfcfc931c3
    scoring_agent, ENR-115646, identity id MBR-022043, confidence 1, method probabilistic, matched record CLM-411887, policy version 1
  • 2026-10-22 12:43:54Record linked automatically4a393b9d20
    scoring_agent, CLM-411887, identity id MBR-022043, confidence 1, method probabilistic, matched record CLM-411888, policy version 1
  • 2026-10-22 12:43:54Record linked automatically0c217e8b91
    matching_agent, CLM-411886, identity id MBR-022043, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411887
  • 2026-10-22 12:43:54Record linked automatically15671ea427
    scoring_agent, CLM-411888, identity id MBR-022043, confidence 1, method probabilistic, matched record CLM-411887, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4b64b8838d
    scoring_agent, ENR-115646, identity id MBR-022043, confidence 1, method probabilistic, matched record CLM-411887, policy version 1
  • 2026-10-19 19:54:38Record linked automatically3fe56cd21a
    scoring_agent, CLM-411887, identity id MBR-022043, confidence 1, method probabilistic, matched record CLM-411888, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc5ee99af45
    matching_agent, CLM-411886, identity id MBR-022043, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411887
  • 2026-10-19 19:54:38Record linked automaticallye163f20d95
    scoring_agent, CLM-411888, identity id MBR-022043, confidence 1, method probabilistic, matched record CLM-411887, policy version 1
  • 2026-10-19 19:52:09Record linked automatically16a4e72a6d
    scoring_agent, ENR-115646, identity id MBR-022043, confidence 1, method probabilistic, matched record CLM-411887, policy version 1
  • 2026-10-19 19:52:09Record linked automatically70f2e13ddc
    scoring_agent, CLM-411887, identity id MBR-022043, confidence 1, method probabilistic, matched record CLM-411888, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd243dd4bb0
    matching_agent, CLM-411886, identity id MBR-022043, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411887
  • 2026-10-19 19:52:09Record linked automatically6586b5933f
    scoring_agent, CLM-411888, identity id MBR-022043, confidence 1, method probabilistic, matched record CLM-411887, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya39fab3756
    scoring_agent, ENR-115646, identity id MBR-022043, confidence 1, method probabilistic, matched record CLM-411887, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyab7ebc6598
    scoring_agent, CLM-411887, identity id MBR-022043, confidence 1, method probabilistic, matched record CLM-411888, policy version 1
  • 2026-10-19 19:45:42Record linked automatically51da2f6460
    matching_agent, CLM-411886, identity id MBR-022043, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411887
  • 2026-10-19 19:45:42Record linked automaticallyb2a9cf3b33
    scoring_agent, CLM-411888, identity id MBR-022043, confidence 1, method probabilistic, matched record CLM-411887, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyeb6ff7d511
    scoring_agent, ENR-115646, identity id MBR-022043, confidence 1, method probabilistic, matched record CLM-411887, policy version 1
  • 2026-10-19 19:32:31Record linked automatically41dc870552
    scoring_agent, CLM-411887, identity id MBR-022043, confidence 1, method probabilistic, matched record CLM-411888, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd80edf62a5
    matching_agent, CLM-411886, identity id MBR-022043, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411887
  • 2026-10-19 19:32:31Record linked automatically0ae8cd3a20
    scoring_agent, CLM-411888, identity id MBR-022043, confidence 1, method probabilistic, matched record CLM-411887, policy version 1
  • 2026-10-19 19:31:28Record linked automatically76c08b063d
    matching_agent, ENR-115646, identity id MBR-014608, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115647
  • 2026-10-19 19:31:28Record linked automatically45da62e44b
    matching_agent, CLM-411886, identity id MBR-010683, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115755
  • 2026-10-19 19:31:28Record linked automaticallya06776637e
    matching_agent, CLM-411887, identity id MBR-010683, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115755
  • 2026-10-19 19:31:28Record linked automaticallyb85a1e6545
    scoring_agent, CLM-411888, identity id MBR-010683, confidence 1, method probabilistic, matched record ENR-115755, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0180062026-03-30Desert Internal Medicine Associates
in network
99232$175.00—DeniedDenied
CLM-2026-0172052026-03-29Summit Endocrine Associates
in network
83036$71.00—DeniedDenied
CLM-2026-0142422026-03-03Valley Primary Care Associates
out of network
99214, 36415, 99203$520.00—DeniedDenied