Identities/MBR-027275

Gold, golden identity

Rebecca Payne

5 source records from 2 feeds.

MBR-027275Verified5 records

Golden record

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

First nameENR: Rebecca
Middle name—: —
Last nameENR: Payne
Date of birthENR: 1939-03-10
GenderENR: F
Member IDENR: UHC-73170-37
SSNENR: •••-••-4417
PhoneENR: 6297749005
EmailENR: rebecca.payne@outlook.com
AddressENR: 1740 Union St
CityENR: Nashville
StateENR: TN
ZIPENR: 37257
GroupENR: GRP-5753
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

CLM ×4ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-431553	CLM	2026-04-23	Rebecca Payneflagged	1939-03-10	—	—	1740 Union St, Nashville, TN	Scored	1.00	—
ENR-141429	ENR	2026-05-10	Rebecca Payneflagged	1939-03-10	UHC-73170-37	6297749005	1740 Union St, Nashville, TN	Scored	1.00	—
CLM-431552	CLM	2026-05-15	Rebecca Payneflagged	1939-03-10	—	—	1740 Union St, Nashville, TN	Scored	1.00	—
CLM-431550	CLM	2026-05-27	Rebecca Payneflagged	1939-03-10	—	6297749005	—	Scored	1.00	—
CLM-431551	CLM	2026-08-27	Rebecca Payneflagged	1939-03-10	UHC-73170-37	6297749005	1740 Union St, Nashville, TN	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-431553CLMCLM-431551CLM1.00Scoredweighted 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-431552CLMCLM-431551CLM1.00Scoredweighted 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-431550CLMCLM-431551CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-431553CLMCLM-431552CLM1.00Scoredweighted 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-431553CLMENR-141429ENR1.00Scoredweighted 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-141429ENRCLM-431551CLM0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-141429ENRCLM-431550CLM0.97RuleD2 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
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431552CLMCLM-431550CLM0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-141429ENRCLM-431552CLM0.97RuleD2 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-431553CLMCLM-431550CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-431550 → UHC-73170-37 (Rebecca Payne)
ACT-004521, Claims processor
Orphan claim re-pointedExecuted
CLM-431553 → UHC-73170-37 (Rebecca Payne)
ACT-004782, Claims processor
Orphan claim re-pointedExecuted
CLM-431552 → UHC-73170-37 (Rebecca Payne)
ACT-006078, Claims processor
Care coordination outreachProposed
Rebecca Payne: 4 claims, no attributed provider
ACT-019367, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically4a4a4367a4
scoring_agent, CLM-431551, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431553, policy version 1
2026-10-22 12:43:54Record linked automatically2fff6ad326
scoring_agent, CLM-431550, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431551, policy version 1
2026-10-22 12:43:54Record linked automaticallydb013826c6
scoring_agent, CLM-431552, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431553, policy version 1
2026-10-22 12:43:54Record linked automatically7e2c764e75
scoring_agent, ENR-141429, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431553, policy version 1
2026-10-22 12:43:54Record linked automatically826e115438
scoring_agent, CLM-431553, identity id MBR-027275, confidence 1, method probabilistic, matched record ENR-141429, policy version 1
2026-10-19 19:54:38Record linked automatically15527b76f8
scoring_agent, CLM-431551, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431553, policy version 1
2026-10-19 19:54:38Record linked automaticallycc25bbf8ba
scoring_agent, CLM-431550, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431551, policy version 1
2026-10-19 19:54:38Record linked automatically55845f919a
scoring_agent, CLM-431552, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431553, policy version 1
2026-10-19 19:54:38Record linked automatically931b38acde
scoring_agent, ENR-141429, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431553, policy version 1
2026-10-19 19:54:38Record linked automatically19161f54db
scoring_agent, CLM-431553, identity id MBR-027275, confidence 1, method probabilistic, matched record ENR-141429, policy version 1
2026-10-19 19:52:09Record linked automatically8aa1d1d03a
scoring_agent, CLM-431551, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431553, policy version 1
2026-10-19 19:52:09Record linked automatically0e9f48036e
scoring_agent, CLM-431550, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431551, policy version 1
2026-10-19 19:52:09Record linked automaticallya5132420a8
scoring_agent, CLM-431552, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431553, policy version 1
2026-10-19 19:52:09Record linked automatically758e7c41fd
scoring_agent, ENR-141429, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431553, policy version 1
2026-10-19 19:52:09Record linked automaticallyfa3c35490a
scoring_agent, CLM-431553, identity id MBR-027275, confidence 1, method probabilistic, matched record ENR-141429, policy version 1
2026-10-19 19:45:42Record linked automatically11d310c6cd
scoring_agent, CLM-431551, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431553, policy version 1
2026-10-19 19:45:42Record linked automatically3c07743e80
scoring_agent, CLM-431550, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431551, policy version 1
2026-10-19 19:45:42Record linked automatically790f629899
scoring_agent, CLM-431552, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431553, policy version 1
2026-10-19 19:45:42Record linked automatically1b84847669
scoring_agent, ENR-141429, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431553, policy version 1
2026-10-19 19:45:42Record linked automatically54f7ecd097
scoring_agent, CLM-431553, identity id MBR-027275, confidence 1, method probabilistic, matched record ENR-141429, policy version 1
2026-10-19 19:32:31Record linked automaticallyd1f0d66a32
scoring_agent, CLM-431551, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431553, policy version 1
2026-10-19 19:32:31Record linked automaticallyff301e09c7
scoring_agent, CLM-431550, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431551, policy version 1
2026-10-19 19:32:31Record linked automaticallya99ca71d02
scoring_agent, CLM-431552, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431553, policy version 1
2026-10-19 19:32:31Record linked automaticallyc67219b0a2
scoring_agent, ENR-141429, identity id MBR-027275, confidence 1, method probabilistic, matched record CLM-431553, policy version 1
2026-10-19 19:32:31Record linked automatically0f7d6a602e
scoring_agent, CLM-431553, identity id MBR-027275, confidence 1, method probabilistic, matched record ENR-141429, policy version 1
2026-10-19 19:31:28Record linked automatically7724704d7e
scoring_agent, CLM-431552, identity id MBR-010113, confidence 0.93, method probabilistic, matched record CLM-431553, policy version 1
2026-10-19 19:31:28Record linked automaticallycf6bf28000
scoring_agent, CLM-431553, identity id MBR-010113, confidence 1, method probabilistic, matched record CLM-431551, policy version 1
2026-10-19 19:31:28Record linked automatically356cefd015
scoring_agent, CLM-431551, identity id MBR-010113, confidence 1, method probabilistic, matched record CLM-431553, policy version 1
2026-10-19 19:31:28Record linked automatically0f40393a10
matching_agent, CLM-431550, identity id MBR-003353, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-141634

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-2026-014680	2026-07-20	Desert Medical Group in network	99395, 99203	$560.00	$317.20	Approved	Approved
CLM-2026-012093	2026-04-29	Sunrise GI Associates in network	88305	$340.00	$0.00	Approved	Approved
CLM-2026-017837	2026-04-16	Evergreen Primary Care Associates in network	99395, 99213, 99203	$657.00	$377.34	Approved	Approved
CLM-2026-013096	2026-03-29	Meadow Primary Care Associates in network	99203, 99214, 99213	$707.00	$408.34	Approved	Approved