Identities/MBR-026253
Gold, golden identity

Betty Stephens

4 source records from 2 feeds.

MBR-026253Verified4 recordsOpen steward case

Golden record

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

First nameCLM
Betty
Middle name—
—
Last nameCLM
Stephens
Date of birthCLM
2006-12-15
GenderCLM
M
Member IDCLM
UHC-08557-91
SSNCLM
•••-••-3441
PhoneCLM
8869139445
EmailCLM
betty.stephens@outlook.com
AddressCLM
6241 Lincoln Way
CityCLM
Eden Prairie
StateCLM
MN
ZIP—
—
GroupCLM
GRP-0690
PlanCLM
OPTIONS-PPO
Min confidence
0.94
Sources
CLM ×3TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.980.94CLMCLM-428817CLMCLM-428815TPATPA-62729CLMCLM-428814IDMBR-026253
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-428817CLM2026-04-17Batty Stephensflagged2006-12-15UHC-08557-91—2735 Lincoln Way, Atlanta, GARule0.99D1 member id + dob exact
CLM-428815CLM2026-07-03Betty Stephensflagged2006-12-15UHC-08557-9188691394456241 Lincoln Way Apt 40, Eden Prairie, MNRule0.99D1 member id + dob exact
TPA-62729TPA2026-09-19Betty Stephensflagged2006-12-15——2735 Lincoln Way, Atlanta, GAScored0.98—
CLM-428814CLM2026-10-16Betty Stephensflagged2006-12-15—88691394456241 Lincoln Way, Eden Prairie, MNScored0.94—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-428817CLMCLM-428815CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953
Date of birth1.003exact
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-428817CLMTPA-62729TPA0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-428815CLMTPA-62729TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-428815CLMCLM-428814CLM0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-62729TPACLM-428814CLM0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none
▶CLM-428817CLMCLM-428814CLM0.73Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.953
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-428814 → UHC-08557-91 (Betty Stephens)
    ACT-010006, Claims processor
  • Care coordination outreachProposed
    Betty Stephens: 3 claims, no attributed provider
    ACT-019324, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically0cfb4daa58
    scoring_agent, CLM-428814, identity id MBR-026253, confidence 0.94, method probabilistic, matched record CLM-428815, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf71ac7d655
    scoring_agent, TPA-62729, identity id MBR-026253, confidence 0.98, method probabilistic, matched record CLM-428817, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd7f2cec9ed
    matching_agent, CLM-428815, identity id MBR-026253, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428817
  • 2026-10-19 19:54:38Record linked automaticallyffb7e83d93
    matching_agent, CLM-428817, identity id MBR-026253, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428815
  • 2026-10-19 19:52:09Record linked automaticallyed2945fa23
    scoring_agent, CLM-428814, identity id MBR-026253, confidence 0.94, method probabilistic, matched record CLM-428815, policy version 1
  • 2026-10-19 19:52:09Record linked automatically899efbc077
    scoring_agent, TPA-62729, identity id MBR-026253, confidence 0.98, method probabilistic, matched record CLM-428817, policy version 1
  • 2026-10-19 19:52:09Record linked automatically601c003bd3
    matching_agent, CLM-428815, identity id MBR-026253, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428817
  • 2026-10-19 19:52:09Record linked automatically1f3fec8a90
    matching_agent, CLM-428817, identity id MBR-026253, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428815
  • 2026-10-19 19:45:42Record linked automatically059636fd46
    scoring_agent, CLM-428814, identity id MBR-026253, confidence 0.94, method probabilistic, matched record CLM-428815, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5ae30c3c82
    scoring_agent, TPA-62729, identity id MBR-026253, confidence 0.98, method probabilistic, matched record CLM-428817, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5d8abce15a
    matching_agent, CLM-428815, identity id MBR-026253, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428817
  • 2026-10-19 19:45:42Record linked automaticallyb39410821e
    matching_agent, CLM-428817, identity id MBR-026253, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428815
  • 2026-10-19 19:32:31Record linked automatically783b8d0d7c
    scoring_agent, CLM-428814, identity id MBR-026253, confidence 0.94, method probabilistic, matched record CLM-428815, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye158cf273c
    scoring_agent, TPA-62729, identity id MBR-026253, confidence 0.98, method probabilistic, matched record CLM-428817, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5db5124d69
    matching_agent, CLM-428815, identity id MBR-026253, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428817
  • 2026-10-19 19:32:31Record linked automatically7e7fc3430c
    matching_agent, CLM-428817, identity id MBR-026253, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428815
  • 2026-10-19 19:31:28Record linked automaticallyf2d599cdd4
    matching_agent, CLM-428814, identity id MBR-006772, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428813
  • 2026-10-19 19:31:28Record linked automatically55c0d2cd14
    matching_agent, CLM-428815, identity id MBR-006772, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428813
  • 2026-10-19 19:31:28Record linked automaticallyf35d111c65
    scoring_agent, CLM-428817, identity id MBR-002524, confidence 1.00, method probabilistic, matched record PRV-28465, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0329942026-10-04Summit Medical Group
in network
70553$2,557.00—Needs reviewNeeds review
CLM-2026-0250392026-05-26Riverside Imaging Center
in network
71046$120.00$0.00ApprovedApproved
CLM-2026-0187062026-03-05Desert Medical Group
in network
93000$74.00$20.88ApprovedApproved