Identities/MBR-022670
Gold, golden identity

Douglas X Lewis

5 source records from 2 feeds.

MBR-022670Verified5 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
X
Last nameENR
Lewis
Date of birthENR
1967-09-08
GenderENR
F
Member IDENR
UHC-76690-56
SSNENR
•••-••-3752
PhoneCLM
7972822283
EmailENR
douglas.lewis@proton.me
AddressCLM
560 Spring St Apt 6
CityENR
Dallas
StateENR
TX
ZIPENR
75254
GroupENR
GRP-3273
PlanENR
OPTIONS-PPO
Min confidence
0.99
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

1.001.000.991.001.00CLMCLM-429417CLMCLM-429416ENRENR-138589CLMCLM-429415CLMCLM-429414IDMBR-022670
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-429417CLM2026-03-28Douglas Lewisflagged1967-09-08—7972822283560 Spring St, Dallas, TXScored1.00—
CLM-429416CLM2026-03-28Douglas Lewisflagged1967-09-08—7972822283560 Spring St, Dallas, TXScored1.00—
ENR-138589ENR2026-06-29Douglas Lewisflagged1967-09-08UHC-76690-56—560 Spring St # 509, Dallas, TXRule0.99D1 member id + dob exact
CLM-429415CLM2026-08-13Douglas Lewisflagged1967-09-08—7972822283560 Spring St, Dallas, TXScored1.00—
CLM-429414CLM2026-09-09Douglas Lewisflagged1967-09-08UHC-76690-56—560 Spring St Apt 6, Dallas, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-429417CLMCLM-429414CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-429416CLMCLM-429414CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-429415CLMCLM-429414CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-138589ENRCLM-429414CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-429417CLMCLM-429415CLM0.97RuleD2 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
▶CLM-429416CLMCLM-429415CLM0.97RuleD2 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
▶ENR-138589ENRCLM-429415CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-429417CLMCLM-429416CLM0.97RuleD2 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
▶CLM-429417CLMENR-138589ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-429416CLMENR-138589ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-429415 → UHC-76690-56 (Douglas Lewis)
    ACT-006417, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-429417 → UHC-76690-56 (Douglas Lewis)
    ACT-008014, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-429416 → UHC-76690-56 (Douglas Lewis)
    ACT-009327, Claims processor
  • Outreach address correctedProposed
    Douglas Lewis: 560 Spring St # 509, Dallas → 560 Spring St Apt 6, Dallas
    ACT-012444, Outreach
  • Care coordination outreachProposed
    Douglas Lewis: 4 claims, no attributed provider
    ACT-019201, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallye328b05bd5
    scoring_agent, CLM-429414, identity id MBR-022670, confidence 1, method probabilistic, matched record CLM-429417, policy version 1
  • 2026-10-19 19:54:38Record linked automatically118085c039
    scoring_agent, CLM-429415, identity id MBR-022670, confidence 1, method probabilistic, matched record CLM-429414, policy version 1
  • 2026-10-19 19:54:38Record linked automatically38cb4246c1
    matching_agent, ENR-138589, identity id MBR-022670, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429414
  • 2026-10-19 19:54:38Record linked automaticallybedf1da9b0
    scoring_agent, CLM-429416, identity id MBR-022670, confidence 1, method probabilistic, matched record CLM-429414, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya5b89953bc
    scoring_agent, CLM-429417, identity id MBR-022670, confidence 1, method probabilistic, matched record CLM-429414, policy version 1
  • 2026-10-19 19:52:09Record linked automatically607b93491e
    scoring_agent, CLM-429414, identity id MBR-022670, confidence 1, method probabilistic, matched record CLM-429417, policy version 1
  • 2026-10-19 19:52:09Record linked automatically82f9110f38
    scoring_agent, CLM-429415, identity id MBR-022670, confidence 1, method probabilistic, matched record CLM-429414, policy version 1
  • 2026-10-19 19:52:09Record linked automatically51e00d971d
    matching_agent, ENR-138589, identity id MBR-022670, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429414
  • 2026-10-19 19:52:09Record linked automatically32c96b8636
    scoring_agent, CLM-429416, identity id MBR-022670, confidence 1, method probabilistic, matched record CLM-429414, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6511f8d8fb
    scoring_agent, CLM-429417, identity id MBR-022670, confidence 1, method probabilistic, matched record CLM-429414, policy version 1
  • 2026-10-19 19:45:42Record linked automatically03fff42ebb
    scoring_agent, CLM-429414, identity id MBR-022670, confidence 1, method probabilistic, matched record CLM-429417, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6e480e9e83
    scoring_agent, CLM-429415, identity id MBR-022670, confidence 1, method probabilistic, matched record CLM-429414, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7968ad3f36
    matching_agent, ENR-138589, identity id MBR-022670, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429414
  • 2026-10-19 19:45:42Record linked automatically82cc842665
    scoring_agent, CLM-429416, identity id MBR-022670, confidence 1, method probabilistic, matched record CLM-429414, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallybc5c39dc6d
    scoring_agent, CLM-429417, identity id MBR-022670, confidence 1, method probabilistic, matched record CLM-429414, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0392ac3859
    scoring_agent, CLM-429414, identity id MBR-022670, confidence 1, method probabilistic, matched record CLM-429417, policy version 1
  • 2026-10-19 19:32:31Record linked automatically48e4a6b657
    scoring_agent, CLM-429415, identity id MBR-022670, confidence 1, method probabilistic, matched record CLM-429414, policy version 1
  • 2026-10-19 19:32:31Record linked automatically43afafcfe5
    matching_agent, ENR-138589, identity id MBR-022670, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429414
  • 2026-10-19 19:32:31Record linked automaticallye807a02737
    scoring_agent, CLM-429416, identity id MBR-022670, confidence 1, method probabilistic, matched record CLM-429414, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3e4c3f6a0e
    scoring_agent, CLM-429417, identity id MBR-022670, confidence 1, method probabilistic, matched record CLM-429414, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6062420fa9
    scoring_agent, CLM-429417, identity id MBR-025206, confidence 1, method probabilistic, matched record ENR-138835, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0757928f46
    matching_agent, CLM-429415, identity id MBR-018494, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429416
  • 2026-10-19 19:31:28Record linked automaticallyc06bff47e3
    matching_agent, CLM-429416, identity id MBR-018494, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429415
  • 2026-10-19 19:31:28Record linked automatically5beb47ab0f
    matching_agent, CLM-429414, identity id MBR-016775, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138834
  • 2026-10-19 19:31:28Record linked automaticallybd2d673adf
    matching_agent, ENR-138589, identity id MBR-010612, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429216

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0001722026-07-30Lakeside Skin Care Associates
in network
11102$224.00$78.88ApprovedApproved
CLM-2026-0191592026-07-31Desert Medical Group
in network
99213, 99203$339.00$170.18ApprovedApproved
CLM-2026-0304522026-03-22Mesa Behavioral Health
in network
90837$240.00$88.80ApprovedApproved
CLM-2026-0253052026-02-13Heritage GI Associates
in network
43239, 45378$3,801.00$0.00ApprovedApproved