Identities/MBR-022078
Gold, golden identity

Douglas M Pierce

5 source records from 2 feeds.

MBR-022078Verified5 records

Golden record

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

First nameENR
Douglas
Middle nameENR
M
Last nameENR
Pierce
Date of birthENR
1939-01-26
GenderENR
F
Member IDENR
UHC-16964-87
SSNENR
•••-••-0011
PhoneENR
3945648784
EmailENR
douglas.pierce@aol.com
AddressENR
2467 Church St
CityENR
Glendale
StateENR
AZ
ZIPENR
85304
GroupENR
GRP-5423
PlanENR
CORE-HMO
Min confidence
1.00
Sources
CLM ×4ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.001.00CLMCLM-409315CLMCLM-409313CLMCLM-409312CLMCLM-409314ENRENR-112256IDMBR-022078
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-409315CLM2026-03-26Douglsa Pierceflagged1939-01-26UHC-16964-87—2467 Church St, Glendale, AZScored1.00—
CLM-409313CLM2026-05-07Dougls Pierceflagged1939-01-26UHC-16964-8739456487842467 Church St Apt 6, Glendale, AZScored1.00—
CLM-409312CLM2026-07-03Douglas Pierceflagged1939-01-26——2467 Church St, Glendale, AZScored1.00—
CLM-409314CLM2026-07-17Douglas Pierceflagged1939-01-26—39456487842467 Church St, Glendale, AZScored1.00—
ENR-112256ENR2026-08-12Douglas Pierceflagged1939-01-26UHC-16964-8739456487842467 Church St, Glendale, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-409312CLMCLM-409314CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409312CLMENR-112256ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409315CLMCLM-409312CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409313CLMCLM-409312CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409313CLMCLM-409314CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409315CLMCLM-409313CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409315CLMENR-112256ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-409313CLMENR-112256ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-409315CLMCLM-409314CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409314CLMENR-112256ENR0.97RuleD2 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

  • Orphan claim re-pointedExecuted
    CLM-409314 → UHC-16964-87 (Douglas Pierce)
    ACT-001455, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-409312 → UHC-16964-87 (Douglas Pierce)
    ACT-007599, Claims processor
  • Care coordination outreachProposed
    Douglas Pierce: 4 claims, no attributed provider
    ACT-019173, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyb9f194920e
    scoring_agent, ENR-112256, identity id MBR-022078, confidence 1, method probabilistic, matched record CLM-409312, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf1fd7d6f75
    scoring_agent, CLM-409314, identity id MBR-022078, confidence 1, method probabilistic, matched record CLM-409312, policy version 1
  • 2026-10-19 19:54:38Record linked automatically49ddb6c444
    scoring_agent, CLM-409312, identity id MBR-022078, confidence 1, method probabilistic, matched record CLM-409314, policy version 1
  • 2026-10-19 19:54:38Record linked automatically16f061420b
    scoring_agent, CLM-409313, identity id MBR-022078, confidence 1.00, method probabilistic, matched record CLM-409312, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyebe4ab0a20
    scoring_agent, CLM-409315, identity id MBR-022078, confidence 1.00, method probabilistic, matched record CLM-409312, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5c7806dfc1
    scoring_agent, ENR-112256, identity id MBR-022078, confidence 1, method probabilistic, matched record CLM-409312, policy version 1
  • 2026-10-19 19:52:09Record linked automatically379d3b684c
    scoring_agent, CLM-409314, identity id MBR-022078, confidence 1, method probabilistic, matched record CLM-409312, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallycb670f7342
    scoring_agent, CLM-409312, identity id MBR-022078, confidence 1, method probabilistic, matched record CLM-409314, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyde76c8f69a
    scoring_agent, CLM-409313, identity id MBR-022078, confidence 1.00, method probabilistic, matched record CLM-409312, policy version 1
  • 2026-10-19 19:52:09Record linked automatically37138645db
    scoring_agent, CLM-409315, identity id MBR-022078, confidence 1.00, method probabilistic, matched record CLM-409312, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5f2f7d2246
    scoring_agent, ENR-112256, identity id MBR-022078, confidence 1, method probabilistic, matched record CLM-409312, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2daa8c5a9a
    scoring_agent, CLM-409314, identity id MBR-022078, confidence 1, method probabilistic, matched record CLM-409312, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8eb1dea5d2
    scoring_agent, CLM-409312, identity id MBR-022078, confidence 1, method probabilistic, matched record CLM-409314, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9d7337f3d4
    scoring_agent, CLM-409313, identity id MBR-022078, confidence 1.00, method probabilistic, matched record CLM-409312, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb64b03942e
    scoring_agent, CLM-409315, identity id MBR-022078, confidence 1.00, method probabilistic, matched record CLM-409312, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0bd3ae6961
    scoring_agent, ENR-112256, identity id MBR-022078, confidence 1, method probabilistic, matched record CLM-409312, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf43cbad45e
    scoring_agent, CLM-409314, identity id MBR-022078, confidence 1, method probabilistic, matched record CLM-409312, policy version 1
  • 2026-10-19 19:32:31Record linked automatically22aaa6afd7
    scoring_agent, CLM-409312, identity id MBR-022078, confidence 1, method probabilistic, matched record CLM-409314, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb4102fd9cd
    scoring_agent, CLM-409313, identity id MBR-022078, confidence 1.00, method probabilistic, matched record CLM-409312, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyee9655660d
    scoring_agent, CLM-409315, identity id MBR-022078, confidence 1.00, method probabilistic, matched record CLM-409312, policy version 1
  • 2026-10-19 19:31:28Record linked automatically3e7789dee2
    matching_agent, ENR-112256, identity id MBR-039906, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409295
  • 2026-10-19 19:31:28Record linked automatically76fc44565d
    matching_agent, CLM-409314, identity id MBR-027431, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22769
  • 2026-10-19 19:31:28Record linked automaticallya1acaae858
    matching_agent, CLM-409313, identity id MBR-012063, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112285
  • 2026-10-19 19:31:28Record linked automatically3e6a68cb0f
    scoring_agent, CLM-409312, identity id MBR-012063, confidence 1, method probabilistic, matched record CLM-409311, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0005662026-07-03Desert Heart Institute
in network
93458$6,194.00$897.53ApprovedApproved
CLM-2026-0237092026-06-16Sunrise Cardiovascular Associates
in network
93306, 93015$2,028.00$0.00ApprovedApproved
CLM-2026-0232252026-04-22Lakeside Medical Group
in network
99203, 99214$397.00$221.14ApprovedApproved
CLM-2026-0243302026-02-23Meadow Bone and Joint Center
in network
20610$183.00$53.46ApprovedApproved