Identities/MBR-022792
Gold, golden identity

Douglas Jensen

4 source records from 2 feeds.

MBR-022792Verified4 records

Golden record

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

First nameENR
Douglas
Middle name—
—
Last nameENR
Jensen
Date of birthENR
1974-04-27
GenderENR
F
Member IDENR
UHC-04832-19
SSNENR
•••-••-2018
PhoneENR
7262998344
EmailENR
douglas.jensen43@aol.com
AddressCLM
3849 Valley View Dr
CityCLM
San Diego
StateCLM
CA
ZIPCLM
92169
GroupENR
GRP-0703
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
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

1.000.990.991.00CLMCLM-422154ENRENR-129032CLMCLM-422155CLMCLM-422156IDMBR-022792
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-422154CLM2026-03-29Douglas Jensenflagged1974-04-27—72629983443849 Valley View Dr, San Diego, CAScored1.00—
ENR-129032ENR2026-04-29Douglas Jensenflagged1974-04-27UHC-04832-197262998344—Rule0.99D1 member id + dob exact
CLM-422155CLM2026-06-03Douglas Jensenflagged1974-04-27UHC-04832-19—3849 Valley View Dr, San Diego, CARule0.99D1 member id + dob exact
CLM-422156CLM2026-06-20Douglas Jensenflagged1974-04-27UHC-04832-1972629983443849 Valley View Dr, San Diego, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-422154CLMCLM-422156CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-129032ENRCLM-422155CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-129032ENRCLM-422156CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422155CLMCLM-422156CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422154CLMCLM-422155CLM0.97RuleD2 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-422154CLMENR-129032ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-422154 → UHC-04832-19 (Douglas Jensen)
    ACT-009296, Claims processor
  • Care coordination outreachProposed
    Douglas Jensen: 3 claims, no attributed provider
    ACT-019206, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically9904494fd7
    scoring_agent, CLM-422156, identity id MBR-022792, confidence 1, method probabilistic, matched record CLM-422154, policy version 1
  • 2026-10-22 12:43:54Record linked automatically6fd1cb6b06
    matching_agent, CLM-422155, identity id MBR-022792, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129032
  • 2026-10-22 12:43:54Record linked automatically8573f4070c
    matching_agent, ENR-129032, identity id MBR-022792, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422155
  • 2026-10-22 12:43:54Record linked automaticallyab15c86e54
    scoring_agent, CLM-422154, identity id MBR-022792, confidence 1, method probabilistic, matched record CLM-422156, policy version 1
  • 2026-10-19 19:54:38Record linked automatically12325dd89b
    scoring_agent, CLM-422156, identity id MBR-022792, confidence 1, method probabilistic, matched record CLM-422154, policy version 1
  • 2026-10-19 19:54:38Record linked automatically9209c8dd42
    matching_agent, CLM-422155, identity id MBR-022792, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129032
  • 2026-10-19 19:54:38Record linked automatically176bf55fbb
    matching_agent, ENR-129032, identity id MBR-022792, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422155
  • 2026-10-19 19:54:38Record linked automatically82288e9bcd
    scoring_agent, CLM-422154, identity id MBR-022792, confidence 1, method probabilistic, matched record CLM-422156, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5904b639c0
    scoring_agent, CLM-422156, identity id MBR-022792, confidence 1, method probabilistic, matched record CLM-422154, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1c32d312dc
    matching_agent, CLM-422155, identity id MBR-022792, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129032
  • 2026-10-19 19:52:09Record linked automatically94965b23e0
    matching_agent, ENR-129032, identity id MBR-022792, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422155
  • 2026-10-19 19:52:09Record linked automatically31394fff40
    scoring_agent, CLM-422154, identity id MBR-022792, confidence 1, method probabilistic, matched record CLM-422156, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb5a1b98db3
    scoring_agent, CLM-422156, identity id MBR-022792, confidence 1, method probabilistic, matched record CLM-422154, policy version 1
  • 2026-10-19 19:45:42Record linked automatically23d5f5be75
    matching_agent, CLM-422155, identity id MBR-022792, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129032
  • 2026-10-19 19:45:42Record linked automatically017b0d304e
    matching_agent, ENR-129032, identity id MBR-022792, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422155
  • 2026-10-19 19:45:42Record linked automatically93bb8c59d0
    scoring_agent, CLM-422154, identity id MBR-022792, confidence 1, method probabilistic, matched record CLM-422156, policy version 1
  • 2026-10-19 19:32:31Record linked automatically45928746ea
    scoring_agent, CLM-422156, identity id MBR-022792, confidence 1, method probabilistic, matched record CLM-422154, policy version 1
  • 2026-10-19 19:32:31Record linked automatically83844be1ca
    matching_agent, CLM-422155, identity id MBR-022792, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129032
  • 2026-10-19 19:32:31Record linked automaticallycbc17bd778
    matching_agent, ENR-129032, identity id MBR-022792, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422155
  • 2026-10-19 19:32:31Record linked automatically28c1f32068
    scoring_agent, CLM-422154, identity id MBR-022792, confidence 1, method probabilistic, matched record CLM-422156, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye4a456abb6
    matching_agent, CLM-422156, identity id MBR-028906, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129146
  • 2026-10-19 19:31:28Record linked automatically7c1e4326fd
    matching_agent, ENR-129032, identity id MBR-026715, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422079
  • 2026-10-19 19:31:28Record linked automatically58fcfc22b5
    scoring_agent, CLM-422155, identity id MBR-005605, confidence 1, method probabilistic, matched record ENR-129145, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2dc1f2d111
    scoring_agent, CLM-422154, identity id MBR-000191, confidence 1, method probabilistic, matched record CLM-422152, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0293522026-05-08Canyon Regional Medical Center
in network
99283, 99285$3,095.00$1,552.25ApprovedApproved
CLM-2026-0223822026-05-05Pinecrest GI Associates
in network
99214$276.00$131.12ApprovedApproved
CLM-2026-0303062026-02-26Northgate Cardiovascular Associates
in network
99214, 93224$722.00$407.64ApprovedApproved