Identities/MBR-023190

Gold, golden identity

Joseph R Obrien

6 source records from 2 feeds.

MBR-023190Verified6 records

Golden record

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

First nameENR: Joseph
Middle nameENR: R
Last nameENR: Obrien
Date of birthENR: 1978-10-10
GenderENR: F
Member IDENR: UHC-03406-45
SSNENR: •••-••-4199
PhoneENR: 6749279236
EmailCLM: joseph.obrien34@yahoo.com
AddressENR: 1682 Sage Ct
CityENR: Orlando
StateENR: FL
ZIPENR: 32897
GroupENR: GRP-2985
PlanENR: OPTIONS-PPO

Min confidence

0.99

Sources

CLM ×4ENR ×2

Updated

2026-10-19 19:54:36

run-mvfoap9e

Identity graph

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

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

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
CLM-404700	CLM	2026-03-31	Juseph Obrienflagged	1978-10-10	—	6749279236	464 Forest Ave, Jacksonville, FL	Scored	0.99	—
CLM-404701	CLM	2026-04-12	Joeph Obrienflagged	1978-10-10	UHC-03406-45	—	464 Forest Ave, Jacksonville, FL	Scored	0.99	—
ENR-106195	ENR	2026-06-21	Joseph Obrienflagged	1978-10-10	UHC-03406-45	6749279236	1682 Sage Ct, Orlando, FL	Scored	1.00	—
ENR-106194	ENR	2026-08-10	Joseph Obrianflagged	1978-10-10	UHC-03406-45	6749279236	1682 Sage Ct, Orlando, FL	Rule	0.99	D1 member id + dob exact
CLM-404702	CLM	2026-09-16	Joseph Obrienflagged	1978-10-10	—	6749279236	464 Forest Ave, Jacksonville, FL	Scored	0.99	—
CLM-404703	CLM	2026-10-03	Joseph Obrienflagged	1978-10-10	—	—	1682 Sage Ct, Orlando, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶ENR-106195 ENRCLM-404703CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-404701CLMCLM-404702CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-404701CLMENR-106194ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-106195 ENRENR-106194ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-404701CLMENR-106195 ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-404700CLMCLM-404702CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-106194ENRCLM-404703CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-404700CLMCLM-404701CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-106195 ENRCLM-404702CLM0.79Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-106194ENRCLM-404702CLM0.78Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-404700CLMENR-106195 ENR0.78Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-404700CLMENR-106194ENR0.76Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.92	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-404702CLMCLM-404703CLM0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶CLM-404701CLMCLM-404703CLM0.74Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶CLM-404700CLMCLM-404703CLM0.73Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-404703 → UHC-03406-45 (Joseph Obrien)
ACT-001933, Claims processor
Orphan claim re-pointedExecuted
CLM-404702 → UHC-03406-45 (Joseph Obrien)
ACT-004446, Claims processor
Orphan claim re-pointedExecuted
CLM-404700 → UHC-03406-45 (Joseph Obrien)
ACT-004466, Claims processor
Care coordination outreachProposed
Joseph Obrien: 4 claims, no attributed provider
ACT-019226, Next-best-action
Duplicate member record retiredExecuted
Joseph Obrien: 2 enrollment records collapsed into UHC-03406-45
ACT-024951, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically69c6d84773
scoring_agent, CLM-404703, identity id MBR-023190, confidence 1, method probabilistic, matched record ENR-106195, policy version 1
2026-10-19 19:54:38Record linked automaticallyb72f82ea83
scoring_agent, CLM-404702, identity id MBR-023190, confidence 0.99, method probabilistic, matched record CLM-404701, policy version 1
2026-10-19 19:54:38Record linked automatically11ae3653d8
matching_agent, ENR-106194, identity id MBR-023190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404701
2026-10-19 19:54:38Record linked automatically431ef061d9
scoring_agent, ENR-106195, identity id MBR-023190, confidence 1, method probabilistic, matched record CLM-404703, policy version 1
2026-10-19 19:54:38Record linked automaticallye78cc35139
scoring_agent, CLM-404701, identity id MBR-023190, confidence 0.99, method probabilistic, matched record CLM-404702, policy version 1
2026-10-19 19:54:38Record linked automatically52cde8a616
scoring_agent, CLM-404700, identity id MBR-023190, confidence 0.99, method probabilistic, matched record CLM-404702, policy version 1
2026-10-19 19:52:09Record linked automatically693f2bc60b
scoring_agent, CLM-404703, identity id MBR-023190, confidence 1, method probabilistic, matched record ENR-106195, policy version 1
2026-10-19 19:52:09Record linked automaticallycfd9c7d44d
scoring_agent, CLM-404702, identity id MBR-023190, confidence 0.99, method probabilistic, matched record CLM-404701, policy version 1
2026-10-19 19:52:09Record linked automatically35f8673550
matching_agent, ENR-106194, identity id MBR-023190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404701
2026-10-19 19:52:09Record linked automaticallyb506ac4791
scoring_agent, ENR-106195, identity id MBR-023190, confidence 1, method probabilistic, matched record CLM-404703, policy version 1
2026-10-19 19:52:09Record linked automaticallya831556c35
scoring_agent, CLM-404701, identity id MBR-023190, confidence 0.99, method probabilistic, matched record CLM-404702, policy version 1
2026-10-19 19:52:09Record linked automatically6651d78559
scoring_agent, CLM-404700, identity id MBR-023190, confidence 0.99, method probabilistic, matched record CLM-404702, policy version 1
2026-10-19 19:45:42Record linked automaticallydf8a773b5a
scoring_agent, CLM-404703, identity id MBR-023190, confidence 1, method probabilistic, matched record ENR-106195, policy version 1
2026-10-19 19:45:42Record linked automaticallyf8a7894e85
scoring_agent, CLM-404702, identity id MBR-023190, confidence 0.99, method probabilistic, matched record CLM-404701, policy version 1
2026-10-19 19:45:42Record linked automaticallyab4f7c88d6
matching_agent, ENR-106194, identity id MBR-023190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404701
2026-10-19 19:45:42Record linked automaticallya932ae25f3
scoring_agent, ENR-106195, identity id MBR-023190, confidence 1, method probabilistic, matched record CLM-404703, policy version 1
2026-10-19 19:45:42Record linked automatically490b8ce6d5
scoring_agent, CLM-404701, identity id MBR-023190, confidence 0.99, method probabilistic, matched record CLM-404702, policy version 1
2026-10-19 19:45:42Record linked automatically7852391d83
scoring_agent, CLM-404700, identity id MBR-023190, confidence 0.99, method probabilistic, matched record CLM-404702, policy version 1
2026-10-19 19:32:31Record linked automatically1a6876fe68
scoring_agent, CLM-404703, identity id MBR-023190, confidence 1, method probabilistic, matched record ENR-106195, policy version 1
2026-10-19 19:32:31Record linked automatically36f5f053d1
scoring_agent, CLM-404702, identity id MBR-023190, confidence 0.99, method probabilistic, matched record CLM-404701, policy version 1
2026-10-19 19:32:31Record linked automatically6ba676339c
matching_agent, ENR-106194, identity id MBR-023190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404701
2026-10-19 19:32:31Record linked automatically7a17b9349c
scoring_agent, ENR-106195, identity id MBR-023190, confidence 1, method probabilistic, matched record CLM-404703, policy version 1
2026-10-19 19:32:31Record linked automaticallya3fc866ef6
scoring_agent, CLM-404701, identity id MBR-023190, confidence 0.99, method probabilistic, matched record CLM-404702, policy version 1
2026-10-19 19:32:31Record linked automatically02e9e8f43d
scoring_agent, CLM-404700, identity id MBR-023190, confidence 0.99, method probabilistic, matched record CLM-404702, policy version 1
2026-10-19 19:31:28Record linked automatically355d1e82a7
scoring_agent, CLM-404702, identity id MBR-039153, confidence 1, method probabilistic, matched record ENR-106142, policy version 1
2026-10-19 19:31:28Record linked automatically9218618228
scoring_agent, CLM-404703, identity id MBR-034589, confidence 1, method probabilistic, matched record ENR-106144, policy version 1
2026-10-19 19:31:28Record linked automaticallyb1489db5bf
scoring_agent, CLM-404701, identity id MBR-013205, confidence 1, method probabilistic, matched record TPA-52086, policy version 1
2026-10-19 19:31:28Record linked automatically7ce3da4d7d
scoring_agent, CLM-404700, identity id MBR-013205, confidence 1, method probabilistic, matched record TPA-52086, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-002364	2026-09-25	Riverside GI Associates in network	88305	$292.00	$0.00	Approved	Approved
CLM-2026-011862	2026-09-14	Lakeside Internal Medicine Associates in network	93000, 99214	$273.00	—	Needs review	Needs review
CLM-2026-011431	2026-04-06	Mesa Orthopedic Specialists in network	27447	$38,175.00	—	Denied	Denied
CLM-2026-011430	2026-04-06	Mesa Orthopedic Specialists in network	27447	$38,175.00	—	Needs review	Needs review
CLM-2026-011923	2026-03-23	Northgate Primary Care Associates out of network	99213, 90471	$233.00	$79.85	Approved	Approved