Identities/MBR-026403

Gold, golden identity

Margaret S James

5 source records from 3 feeds.

MBR-026403Verified5 records

Golden record

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

First nameENR: Margaret
Middle nameENR: S
Last nameENR: James
Date of birthENR: 1943-09-04
GenderENR: M
Member IDENR: UHC-23284-60
SSNENR: •••-••-6134
PhoneENR: 5157697467
EmailENR: margaret.james@proton.me
AddressTPA: 831 Grand Ave # 328
CityENR: Tempe
StateENR: AZ
ZIPENR: 85240
GroupENR: GRP-7770
PlanENR: OPTIONS-PPO

Min confidence

0.86

Sources

CLM ×2ENR ×2TPA ×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-403147	CLM	2026-04-18	Margaret Jamesflagged	1943-09-04	—	—	831 Grand Ave, Tempe, AZ	Scored	1.00	—
ENR-104082	ENR	2026-04-28	Margaret Jamesflagged	1943-09-04	UHC-23284-60	—	831 Grand Ave, Tempe, AZ	Scored	1.00	—
ENR-104083	ENR	2026-05-01	Margaret Jamesflagged	1944-09-04	—	5157697467	831 Grand Ave, Tempe, AZ	Scored	0.86	—
CLM-403148	CLM	2026-05-16	Margaret Jamesflagged	1943-09-04	—	—	831 Grand Ave Apt 13, Tempe, AZ	Scored	1.00	—
TPA-51344	TPA	2026-08-17	Margaret Jamesflagged	1943-09-04	—	—	831 Grand Ave # 328, Tempe, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-403147 CLMCLM-403148 CLM1.00Scoredweighted 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

▶ENR-104082ENRCLM-403148 CLM1.00Scoredweighted 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-403147 CLMTPA-51344TPA1.00Scoredweighted 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

▶ENR-104082ENRTPA-51344TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403148 CLMTPA-51344TPA1.00Scoredweighted 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-403147 CLMENR-104082ENR0.97RuleD2 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403147 CLMENR-104083ENR0.86Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-104082ENRENR-104083ENR0.86Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-104083ENRCLM-403148 CLM0.81Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-104083ENRTPA-51344TPA0.81Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-403148 → UHC-23284-60 (Margaret James)
ACT-008944, Claims processor
Orphan claim re-pointedExecuted
CLM-403147 → UHC-23284-60 (Margaret James)
ACT-009399, Claims processor
Outreach address correctedProposed
Margaret James: 831 Grand Ave, Tempe → 831 Grand Ave # 328, Tempe
ACT-012706, Outreach
Duplicate member record retiredExecuted
Margaret James: 2 enrollment records collapsed into UHC-23284-60
ACT-025312, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically64d2aa2357
scoring_agent, TPA-51344, identity id MBR-026403, confidence 1, method probabilistic, matched record CLM-403147, policy version 1
2026-10-19 19:54:38Record linked automatically3b378e9893
scoring_agent, CLM-403148, identity id MBR-026403, confidence 1, method probabilistic, matched record CLM-403147, policy version 1
2026-10-19 19:54:38Record linked automaticallyb50e27ee26
scoring_agent, ENR-104083, identity id MBR-026403, confidence 0.86, method probabilistic, matched record CLM-403147, policy version 1
2026-10-19 19:54:38Record linked automatically2d64ec52d3
scoring_agent, ENR-104082, identity id MBR-026403, confidence 1, method probabilistic, matched record CLM-403148, policy version 1
2026-10-19 19:54:38Record linked automatically4156ff769c
scoring_agent, CLM-403147, identity id MBR-026403, confidence 1, method probabilistic, matched record CLM-403148, policy version 1
2026-10-19 19:52:09Record linked automatically9e7a815db5
scoring_agent, TPA-51344, identity id MBR-026403, confidence 1, method probabilistic, matched record CLM-403147, policy version 1
2026-10-19 19:52:09Record linked automatically77753c7aae
scoring_agent, CLM-403148, identity id MBR-026403, confidence 1, method probabilistic, matched record CLM-403147, policy version 1
2026-10-19 19:52:09Record linked automatically6830225dfd
scoring_agent, ENR-104083, identity id MBR-026403, confidence 0.86, method probabilistic, matched record CLM-403147, policy version 1
2026-10-19 19:52:09Record linked automatically54ddd32d04
scoring_agent, ENR-104082, identity id MBR-026403, confidence 1, method probabilistic, matched record CLM-403148, policy version 1
2026-10-19 19:52:09Record linked automatically9153bc7805
scoring_agent, CLM-403147, identity id MBR-026403, confidence 1, method probabilistic, matched record CLM-403148, policy version 1
2026-10-19 19:45:42Record linked automatically5c86cfd66b
scoring_agent, TPA-51344, identity id MBR-026403, confidence 1, method probabilistic, matched record CLM-403147, policy version 1
2026-10-19 19:45:42Record linked automatically02668b0842
scoring_agent, CLM-403148, identity id MBR-026403, confidence 1, method probabilistic, matched record CLM-403147, policy version 1
2026-10-19 19:45:42Record linked automaticallybca7331ce9
scoring_agent, ENR-104083, identity id MBR-026403, confidence 0.86, method probabilistic, matched record CLM-403147, policy version 1
2026-10-19 19:45:42Record linked automatically5b0320dc01
scoring_agent, ENR-104082, identity id MBR-026403, confidence 1, method probabilistic, matched record CLM-403148, policy version 1
2026-10-19 19:45:42Record linked automaticallydc44634b4f
scoring_agent, CLM-403147, identity id MBR-026403, confidence 1, method probabilistic, matched record CLM-403148, policy version 1
2026-10-19 19:32:31Record linked automatically22550d7a6e
scoring_agent, TPA-51344, identity id MBR-026403, confidence 1, method probabilistic, matched record CLM-403147, policy version 1
2026-10-19 19:32:31Record linked automaticallyb555736ef9
scoring_agent, CLM-403148, identity id MBR-026403, confidence 1, method probabilistic, matched record CLM-403147, policy version 1
2026-10-19 19:32:31Record linked automaticallybe112d73e9
scoring_agent, ENR-104083, identity id MBR-026403, confidence 0.86, method probabilistic, matched record CLM-403147, policy version 1
2026-10-19 19:32:31Record linked automaticallyb3b9c71c37
scoring_agent, ENR-104082, identity id MBR-026403, confidence 1, method probabilistic, matched record CLM-403148, policy version 1
2026-10-19 19:32:31Record linked automatically429d51a623
scoring_agent, CLM-403147, identity id MBR-026403, confidence 1, method probabilistic, matched record CLM-403148, policy version 1
2026-10-19 19:31:28Record linked automatically3a533af524
scoring_agent, TPA-51344, identity id MBR-009506, confidence 0.99, method probabilistic, matched record TPA-51343, policy version 1
2026-10-19 19:31:28Record linked automatically23621f7eb7
matching_agent, ENR-104082, identity id MBR-009229, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20941
2026-10-19 19:31:28Record linked automaticallyb2fab3db95
matching_agent, ENR-104083, identity id MBR-009229, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20941
2026-10-19 19:31:28Record linked automatically9c9708875c
matching_agent, CLM-403148, identity id MBR-001987, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403147
2026-10-19 19:31:28Record linked automatically509a514778
matching_agent, CLM-403147, identity id MBR-001987, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403148

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-2026-028789	2026-05-13	Unity Medical Group in network	93000, 80053	$173.00	$82.26	Approved	Approved
CLM-2026-030743	2026-03-30	Evergreen Rehabilitation Center in network	97110	$236.00	$121.32	Approved	Approved