Identities/MBR-024524

Gold, golden identity

Frances Hansen

6 source records from 3 feeds.

MBR-024524Verified6 records

Golden record

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

First nameENR: Frances
Middle name—: —
Last nameENR: Hansen
Date of birthENR: 1958-11-10
GenderENR: F
Member IDENR: UHC-28727-85
SSNCLM: •••-••-2992
PhoneENR: 7442864153
EmailCLM: frances.hansen8@aol.com
AddressCLM: 1316 Ocean Ave
CityCLM: Houston
StateCLM: TX
ZIPCLM: 77016
GroupENR: GRP-5413
PlanENR: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

CLM ×4TPA ×1ENR ×1

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-429949	CLM	2026-04-07	Frances Hansenflagged	1958-11-10	—	—	1316 Ocean Ave, Houston, TX	Scored	1.00	—
TPA-63215	TPA	2026-07-04	Frances Hansenflagged	1958-11-10	UHC-28727-85	—	8848 Lincoln Way, San Diego, CA	Scored	1.00	—
CLM-429950	CLM	2026-07-07	Frances Hansenflagged	1958-11-10	UHC-28727-85	7442864153	8848 Lincoln Way, San Diego, CA	Scored	1.00	—
ENR-139259	ENR	2026-07-14	Frances Hansenflagged	1958-11-10	UHC-28727-85	7442864153	8848 Lincoln Way, San Diego, CA	Scored	1.00	—
CLM-429948	CLM	2026-07-18	Frances Hansenflagged	1958-11-10	—	7442864153	8848 Lincoln Way, San Diego, CA	Scored	1.00	—
CLM-429951	CLM	2026-09-27	Frances Hansenflagged	1958-11-10	UHC-28727-85	—	1316 Ocean Ave, Houston, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-63215TPACLM-429948CLM1.00Scoredweighted 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-429950CLMCLM-429948CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-139259ENRCLM-429948CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-429949CLMCLM-429951CLM1.00Scoredweighted 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

▶TPA-63215TPACLM-429950CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-63215TPACLM-429951CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-429950CLMCLM-429951CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-139259ENRCLM-429951CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-63215TPAENR-139259ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-429950CLMENR-139259ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-429948CLMCLM-429951CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-429949CLMCLM-429948CLM0.75Scoredweighted 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-429949CLMCLM-429950CLM0.75Scoredweighted 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-429949CLMENR-139259ENR0.75Scoredweighted 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-429949CLMTPA-63215TPA0.75Scoredweighted 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-429948 → UHC-28727-85 (Frances Hansen)
ACT-002153, Claims processor
Orphan claim re-pointedExecuted
CLM-429949 → UHC-28727-85 (Frances Hansen)
ACT-007761, Claims processor
Outreach address correctedProposed
Frances Hansen: 8848 Lincoln Way, San Diego → 1316 Ocean Ave, Houston
ACT-012580, Outreach
Care coordination outreachProposed
Frances Hansen: 4 claims, no attributed provider
ACT-019275, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically5027ff48c2
scoring_agent, CLM-429951, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429949, policy version 1
2026-10-19 19:54:38Record linked automaticallycddde44d87
scoring_agent, CLM-429948, identity id MBR-024524, confidence 1, method probabilistic, matched record TPA-63215, policy version 1
2026-10-19 19:54:38Record linked automatically902fec0ced
scoring_agent, ENR-139259, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429948, policy version 1
2026-10-19 19:54:38Record linked automaticallyd50eb49e39
scoring_agent, CLM-429950, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429948, policy version 1
2026-10-19 19:54:38Record linked automaticallyb5b6147865
scoring_agent, TPA-63215, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429948, policy version 1
2026-10-19 19:54:38Record linked automatically8b3bdbf0fd
scoring_agent, CLM-429949, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429951, policy version 1
2026-10-19 19:52:09Record linked automaticallye2472fd05a
scoring_agent, CLM-429951, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429949, policy version 1
2026-10-19 19:52:09Record linked automatically8cd0c0aafd
scoring_agent, CLM-429948, identity id MBR-024524, confidence 1, method probabilistic, matched record TPA-63215, policy version 1
2026-10-19 19:52:09Record linked automaticallye82c530d72
scoring_agent, ENR-139259, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429948, policy version 1
2026-10-19 19:52:09Record linked automatically88238fd5eb
scoring_agent, CLM-429950, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429948, policy version 1
2026-10-19 19:52:09Record linked automatically841f185485
scoring_agent, TPA-63215, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429948, policy version 1
2026-10-19 19:52:09Record linked automatically52fba2be5b
scoring_agent, CLM-429949, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429951, policy version 1
2026-10-19 19:45:42Record linked automaticallyb1da09b9e6
scoring_agent, CLM-429951, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429949, policy version 1
2026-10-19 19:45:42Record linked automatically3a067078f9
scoring_agent, CLM-429948, identity id MBR-024524, confidence 1, method probabilistic, matched record TPA-63215, policy version 1
2026-10-19 19:45:42Record linked automatically5921500b8f
scoring_agent, ENR-139259, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429948, policy version 1
2026-10-19 19:45:42Record linked automatically3bef55fd47
scoring_agent, CLM-429950, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429948, policy version 1
2026-10-19 19:45:42Record linked automatically4bf14a0617
scoring_agent, TPA-63215, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429948, policy version 1
2026-10-19 19:45:42Record linked automatically0188281534
scoring_agent, CLM-429949, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429951, policy version 1
2026-10-19 19:32:31Record linked automatically245c018496
scoring_agent, CLM-429951, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429949, policy version 1
2026-10-19 19:32:31Record linked automatically002c19035a
scoring_agent, CLM-429948, identity id MBR-024524, confidence 1, method probabilistic, matched record TPA-63215, policy version 1
2026-10-19 19:32:31Record linked automatically857d994a32
scoring_agent, ENR-139259, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429948, policy version 1
2026-10-19 19:32:31Record linked automatically083eadc8f0
scoring_agent, CLM-429950, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429948, policy version 1
2026-10-19 19:32:31Record linked automaticallyd1da384aa1
scoring_agent, TPA-63215, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429948, policy version 1
2026-10-19 19:32:31Record linked automatically421ab2afd0
scoring_agent, CLM-429949, identity id MBR-024524, confidence 1, method probabilistic, matched record CLM-429951, policy version 1
2026-10-19 19:31:28Record linked automatically730743c29f
matching_agent, ENR-139259, identity id MBR-034545, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429719
2026-10-19 19:31:28Record linked automatically0c95e53a1b
matching_agent, CLM-429951, identity id MBR-033718, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139522
2026-10-19 19:31:28Record linked automatically9e766bd4a4
scoring_agent, TPA-63215, identity id MBR-018207, confidence 1, method probabilistic, matched record ENR-139713, policy version 1
2026-10-19 19:31:28Record linked automatically6ed12dd7fc
scoring_agent, CLM-429948, identity id MBR-007049, confidence 1, method probabilistic, matched record TPA-63133, policy version 1
2026-10-19 19:31:28Record linked automaticallybe3e5ee545
matching_agent, CLM-429949, identity id MBR-007049, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429948
2026-10-19 19:31:28Record linked automatically18d97536e1
scoring_agent, CLM-429950, identity id MBR-000333, confidence 1, method probabilistic, matched record ENR-139521, 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-2026-033202	2026-09-19	Riverside Primary Care Associates in network	36415, 99395, 99213	$397.00	$236.22	Approved	Approved
CLM-2026-003145	2026-07-03	Canyon Clinical Laboratories in network	85025, 80053	$79.00	$0.00	Approved	Approved
CLM-2026-020077	2026-06-08	Desert Heart Institute in network	93015	$395.00	$0.00	Approved	Approved
CLM-2026-024351	2026-04-05	Riverside Medical Group in network	99214, 99395	$461.00	$265.82	Approved	Approved