Identities/MBR-024328
Gold, golden identity

James Burke

4 source records from 2 feeds.

MBR-024328Verified4 records

Golden record

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

First nameENR
James
Middle name—
—
Last nameENR
Burke
Date of birthENR
1947-01-12
GenderENR
M
Member IDENR
UHC-47425-07
SSNENR
•••-••-2055
PhoneENR
7486023083
Email—
—
AddressENR
6978 Forest Ave
CityENR
San Diego
StateENR
CA
ZIPENR
92128
GroupENR
GRP-4283
PlanENR
NAVIGATE-HMO
Min confidence
0.88
Sources
ENR ×1CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.880.990.96ENRENR-111098CLMCLM-408415CLMCLM-408417CLMCLM-408416IDMBR-024328
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
ENR-111098ENR2026-04-06James Burkeflagged1947-01-12UHC-47425-0774860230836978 Forest Ave, San Diego, CARule0.99D1 member id + dob exact
CLM-408415CLM2026-05-04James Burkeflagged1946-01-12—74860230836978 Forest Ave, San Diego, CAScored0.88—
CLM-408417CLM2026-06-26James Burkeflagged1947-01-12UHC-47425-07——Rule0.99D1 member id + dob exact
CLM-408416CLM2026-08-08James Burkeflagged1947-10-12UHC-47425-07—6978 Forest Ave, San Diego, CARule0.96D3 member id + name

Evidence

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

ABScoreMethodRuleDecision
▶ENR-111098ENRCLM-408417CLM0.99RuleD1 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-111098ENRCLM-408416CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-408417CLMCLM-408416CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-111098ENRCLM-408415CLM0.88Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-408415CLMCLM-408417CLM0.82Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-408415 → UHC-47425-07 (James Burke)
    ACT-005992, Claims processor
  • Care coordination outreachProposed
    James Burke: 3 claims, no attributed provider
    ACT-019268, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyd09f037971
    matching_agent, CLM-408416, identity id MBR-024328, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-111098
  • 2026-10-19 19:54:38Record linked automaticallya7af65892e
    matching_agent, CLM-408417, identity id MBR-024328, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-111098
  • 2026-10-19 19:54:38Record linked automatically905cb79dc9
    scoring_agent, CLM-408415, identity id MBR-024328, confidence 0.88, method probabilistic, matched record ENR-111098, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf838480751
    matching_agent, ENR-111098, identity id MBR-024328, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408417
  • 2026-10-19 19:52:09Record linked automatically2b97159d7b
    matching_agent, CLM-408416, identity id MBR-024328, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-111098
  • 2026-10-19 19:52:09Record linked automatically38481d0dee
    matching_agent, CLM-408417, identity id MBR-024328, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-111098
  • 2026-10-19 19:52:09Record linked automaticallyf728edbfdf
    scoring_agent, CLM-408415, identity id MBR-024328, confidence 0.88, method probabilistic, matched record ENR-111098, policy version 1
  • 2026-10-19 19:52:09Record linked automatically39da53be72
    matching_agent, ENR-111098, identity id MBR-024328, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408417
  • 2026-10-19 19:45:42Record linked automaticallyc8fc927a2e
    matching_agent, CLM-408416, identity id MBR-024328, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-111098
  • 2026-10-19 19:45:42Record linked automaticallyb0c9615119
    matching_agent, CLM-408417, identity id MBR-024328, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-111098
  • 2026-10-19 19:45:42Record linked automatically220a1bde5d
    scoring_agent, CLM-408415, identity id MBR-024328, confidence 0.88, method probabilistic, matched record ENR-111098, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf805a2fe65
    matching_agent, ENR-111098, identity id MBR-024328, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408417
  • 2026-10-19 19:32:31Record linked automaticallyf792ef0311
    matching_agent, CLM-408416, identity id MBR-024328, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-111098
  • 2026-10-19 19:32:31Record linked automaticallye53d207e4d
    matching_agent, CLM-408417, identity id MBR-024328, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-111098
  • 2026-10-19 19:32:31Record linked automaticallyefe71c7841
    scoring_agent, CLM-408415, identity id MBR-024328, confidence 0.88, method probabilistic, matched record ENR-111098, policy version 1
  • 2026-10-19 19:32:31Record linked automatically75958e8fcb
    matching_agent, ENR-111098, identity id MBR-024328, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408417
  • 2026-10-19 19:31:28Record linked automaticallydbac52471d
    matching_agent, CLM-408415, identity id MBR-009516, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408414
  • 2026-10-19 19:31:28Record linked automatically7bca2abf18
    matching_agent, CLM-408417, identity id MBR-008506, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408419
  • 2026-10-19 19:31:28Record linked automatically670ddebbec
    matching_agent, CLM-408416, identity id MBR-003706, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-111089

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0233292026-07-15Summit Counseling Center
in network
90834, 90837$334.00—Needs reviewNeeds review
CLM-2026-0096742026-05-18Heritage Orthopedic Specialists
in network
27447$28,762.00—DeniedDenied
CLM-2026-0096732026-05-18Heritage Orthopedic Specialists
in network
27447$28,762.00—Needs reviewNeeds review
CLM-2026-0175152026-03-20Meadow Primary Care Associates
in network
36415, 99213, 90471$253.00$143.22ApprovedApproved