Identities/MBR-026560

Gold, golden identity

Susan Morrison

6 source records from 2 feeds.

MBR-026560Verified6 records

Golden record

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

First namePRV: Susan
Middle name—: —
Last namePRV: Morrison
Date of birthPRV: 1959-02-28
GenderPRV: F
Member IDCLM: UHC-92801-47
SSNPRV: •••-••-5423
PhonePRV: 8742334613
EmailCLM: susan.morrison@outlook.com
AddressPRV: 2746 Apache Blvd
CityPRV: Denver
StatePRV: CO
ZIPPRV: 80252
GroupCLM: GRP-5352
PlanCLM: NAVIGATE-HMO

Min confidence

0.97

Sources

PRV ×1CLM ×5

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
PRV-27909	PRV	2026-04-18	Susan Morrisonflagged	1959-02-28	—	8742334613	2746 Apache Blvd, Denver, CO	Scored	1.00	—
CLM-426913	CLM	2026-04-25	Susan Morrisonflagged	1959-02-28	UHC-92801-47	—	2746 Apache Blvd, Denver, CO	Scored	1.00	—
CLM-426912	CLM	2026-04-26	Sue Morrisonflagged	1959-02-28	UHC-92801-47	—	2746 Apache Blvd, Denver, CO	Rule	0.99	D1 member id + dob exact
CLM-426914	CLM	2026-05-08	Susan Morrisonflagged	1959-02-28	UHC-92801-47	8742334613	2746 Apache Blvd, Denver, CO	Scored	1.00	—
CLM-426911	CLM	2026-08-05	Susaan Morrisonflagged	1959-02-28	—	—	—	Rule	0.97	D2 ssn4 + dob + last name
CLM-426915	CLM	2026-08-17	Sue Morrisonflagged	1959-02-28	—	—	2746 Apache Blvd, Denver, CO	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-27909PRVCLM-426913CLM1.00Scoredweighted 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

▶PRV-27909PRVCLM-426914CLM1.00Scoredweighted 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-426913CLMCLM-426915CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-426914CLMCLM-426915CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-426913CLMCLM-426912CLM0.99RuleD1 member id + dob exactAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-426913CLMCLM-426914CLM0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-426912CLMCLM-426914CLM0.99RuleD1 member id + dob exactAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-27909PRVCLM-426911CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-426912CLMCLM-426911CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-27909PRVCLM-426912CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-27909PRVCLM-426915CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
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-426912CLMCLM-426915CLM0.97RuleD2 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-426911CLMCLM-426915CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-426913CLMCLM-426911CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-426914CLMCLM-426911CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Susan Morrison: 2 plan codes across sources → canonical NAVIGATE-HMO
ACT-001055, Eligibility engine
Orphan claim re-pointedExecuted
CLM-426915 → UHC-92801-47 (Susan Morrison)
ACT-003260, Claims processor
Orphan claim re-pointedExecuted
CLM-426911 → UHC-92801-47 (Susan Morrison)
ACT-005605, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyac06f58417
scoring_agent, CLM-426915, identity id MBR-026560, confidence 1, method probabilistic, matched record CLM-426913, policy version 1
2026-10-19 19:54:38Record linked automatically027a25e44d
matching_agent, CLM-426911, identity id MBR-026560, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-27909
2026-10-19 19:54:38Record linked automatically3c9fdc62b5
scoring_agent, CLM-426914, identity id MBR-026560, confidence 1, method probabilistic, matched record PRV-27909, policy version 1
2026-10-19 19:54:38Record linked automaticallybcfdb75813
matching_agent, CLM-426912, identity id MBR-026560, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426913
2026-10-19 19:54:38Record linked automatically9a38511862
scoring_agent, CLM-426913, identity id MBR-026560, confidence 1, method probabilistic, matched record PRV-27909, policy version 1
2026-10-19 19:54:38Record linked automaticallyd521706a93
scoring_agent, PRV-27909, identity id MBR-026560, confidence 1, method probabilistic, matched record CLM-426913, policy version 1
2026-10-19 19:52:09Record linked automatically9d96cd0b8d
scoring_agent, CLM-426915, identity id MBR-026560, confidence 1, method probabilistic, matched record CLM-426913, policy version 1
2026-10-19 19:52:09Record linked automatically7b7a1397eb
matching_agent, CLM-426911, identity id MBR-026560, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-27909
2026-10-19 19:52:09Record linked automaticallyfd603d8f9f
scoring_agent, CLM-426914, identity id MBR-026560, confidence 1, method probabilistic, matched record PRV-27909, policy version 1
2026-10-19 19:52:09Record linked automaticallyecb3f7c03b
matching_agent, CLM-426912, identity id MBR-026560, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426913
2026-10-19 19:52:09Record linked automatically9a3190b3b2
scoring_agent, CLM-426913, identity id MBR-026560, confidence 1, method probabilistic, matched record PRV-27909, policy version 1
2026-10-19 19:52:09Record linked automatically73548f15f9
scoring_agent, PRV-27909, identity id MBR-026560, confidence 1, method probabilistic, matched record CLM-426913, policy version 1
2026-10-19 19:45:42Record linked automaticallya9001088ea
scoring_agent, CLM-426915, identity id MBR-026560, confidence 1, method probabilistic, matched record CLM-426913, policy version 1
2026-10-19 19:45:42Record linked automatically4bc33a7e84
matching_agent, CLM-426911, identity id MBR-026560, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-27909
2026-10-19 19:45:42Record linked automaticallyca1f171862
scoring_agent, CLM-426914, identity id MBR-026560, confidence 1, method probabilistic, matched record PRV-27909, policy version 1
2026-10-19 19:45:42Record linked automatically5e77c67e39
matching_agent, CLM-426912, identity id MBR-026560, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426913
2026-10-19 19:45:42Record linked automatically0feaeb9b9f
scoring_agent, CLM-426913, identity id MBR-026560, confidence 1, method probabilistic, matched record PRV-27909, policy version 1
2026-10-19 19:45:42Record linked automaticallya148aa0237
scoring_agent, PRV-27909, identity id MBR-026560, confidence 1, method probabilistic, matched record CLM-426913, policy version 1
2026-10-19 19:32:31Record linked automatically6090c21e24
scoring_agent, CLM-426915, identity id MBR-026560, confidence 1, method probabilistic, matched record CLM-426913, policy version 1
2026-10-19 19:32:31Record linked automaticallyb904cf5e63
matching_agent, CLM-426911, identity id MBR-026560, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-27909
2026-10-19 19:32:31Record linked automatically6615ba0201
scoring_agent, CLM-426914, identity id MBR-026560, confidence 1, method probabilistic, matched record PRV-27909, policy version 1
2026-10-19 19:32:31Record linked automaticallye3c497a1fe
matching_agent, CLM-426912, identity id MBR-026560, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426913
2026-10-19 19:32:31Record linked automaticallybdda7a1dbd
scoring_agent, CLM-426913, identity id MBR-026560, confidence 1, method probabilistic, matched record PRV-27909, policy version 1
2026-10-19 19:32:31Record linked automaticallyc9f362c342
scoring_agent, PRV-27909, identity id MBR-026560, confidence 1, method probabilistic, matched record CLM-426913, policy version 1
2026-10-19 19:31:28Record linked automaticallyc27790669a
scoring_agent, CLM-426915, identity id MBR-031584, confidence 1, method probabilistic, matched record PRV-27909, policy version 1
2026-10-19 19:31:28Record linked automaticallybf2e521d54
scoring_agent, CLM-426914, identity id MBR-031584, confidence 1, method probabilistic, matched record PRV-27909, policy version 1
2026-10-19 19:31:28Record linked automatically617953d3eb
scoring_agent, PRV-27909, identity id MBR-031584, confidence 1, method probabilistic, matched record CLM-426914, policy version 1
2026-10-19 19:31:28Record linked automatically1b0ade89af
matching_agent, CLM-426913, identity id MBR-014288, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135563
2026-10-19 19:31:28Record linked automatically7d22b15c71
scoring_agent, CLM-426911, identity id MBR-003813, confidence 1, method probabilistic, matched record ENR-135561, policy version 1
2026-10-19 19:31:28Record linked automaticallyc4a7d0ae26
scoring_agent, CLM-426912, identity id MBR-003813, confidence 1, method probabilistic, matched record CLM-426911, 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-2026-007291	2026-07-29	Desert Primary Care Associates in network	99213	$147.00	$51.14	Approved	Approved
CLM-2026-016150	2026-07-30	Sunrise Diabetes Center in network	99215	$328.00	$128.36	Approved	Approved
CLM-2026-027281	2026-05-05	Mesa GI Associates in network	43239	$2,005.00	$0.00	Approved	Approved
CLM-2026-002766	2026-03-16	Mesa Family Practice in network	99213	$187.00	$75.94	Approved	Approved
CLM-2026-006952	2026-04-22	Valley Primary Care Associates in network	99213	$196.00	$81.52	Approved	Approved