Lauren L Johnston

3 source records from 2 feeds.

MBR-027505Verified3 recordsOpen steward case

Golden record

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

First nameCLM: Lauren
Middle nameENR: L
Last nameENR: Johnston
Date of birthENR: 1983-11-27
GenderENR: M
Member IDENR: UHC-59566-95
SSNENR: •••-••-3332
PhoneENR: 6783463128
EmailENR: lauren.johnston42@yahoo.com
AddressCLM: 7541 Mountain View Dr
CityENR: San Antonio
StateENR: TX
ZIPENR: 78201
GroupENR: GRP-3803
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

ENR ×1CLM ×2

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
ENR-131226	ENR	2026-04-24	Laurn Johnstonflagged	1983-11-27	UHC-59566-95	6783463128	7541 Mountain View Dr Apt 20, San Antonio, TX	Scored	1.00	—
CLM-423872	CLM	2026-07-03	Lauren Johnstonflagged	1983-11-27	—	6783463128	—	Scored	1.00	—
CLM-423871	CLM	2026-09-23	Lauren Johnstonflagged	1983-11-27	—	6783463128	7541 Mountain View Dr, San Antonio, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-423872CLMCLM-423871CLM1.00Scoredweighted 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

▶ENR-131226ENRCLM-423871CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-131226ENRCLM-423872CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Lauren Johnston: 2 plan codes across sources → canonical NAVIGATE-HMO
ACT-001080, Eligibility engine
Orphan claim re-pointedExecuted
CLM-423872 → UHC-59566-95 (Lauren Johnston)
ACT-003412, Claims processor
Orphan claim re-pointedExecuted
CLM-423871 → UHC-59566-95 (Lauren Johnston)
ACT-007470, Claims processor
Outreach address correctedProposed
Lauren Johnston: 7541 Mountain View Dr Apt 20, San Antonio → 7541 Mountain View Dr, San Antonio
ACT-012772, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically7964a6f376
scoring_agent, CLM-423871, identity id MBR-027505, confidence 1, method probabilistic, matched record CLM-423872, policy version 1
2026-10-19 19:54:38Record linked automatically88bcb6ba3f
scoring_agent, CLM-423872, identity id MBR-027505, confidence 1, method probabilistic, matched record CLM-423871, policy version 1
2026-10-19 19:54:38Record linked automaticallybdb9db03d4
scoring_agent, ENR-131226, identity id MBR-027505, confidence 1.00, method probabilistic, matched record CLM-423871, policy version 1
2026-10-19 19:52:09Record linked automatically4f4bb86570
scoring_agent, CLM-423871, identity id MBR-027505, confidence 1, method probabilistic, matched record CLM-423872, policy version 1
2026-10-19 19:52:09Record linked automaticallyff242a7d33
scoring_agent, CLM-423872, identity id MBR-027505, confidence 1, method probabilistic, matched record CLM-423871, policy version 1
2026-10-19 19:52:09Record linked automatically4c18b2d380
scoring_agent, ENR-131226, identity id MBR-027505, confidence 1.00, method probabilistic, matched record CLM-423871, policy version 1
2026-10-19 19:45:42Record linked automatically544423e8e2
scoring_agent, CLM-423871, identity id MBR-027505, confidence 1, method probabilistic, matched record CLM-423872, policy version 1
2026-10-19 19:45:42Record linked automatically74e5cbeedf
scoring_agent, CLM-423872, identity id MBR-027505, confidence 1, method probabilistic, matched record CLM-423871, policy version 1
2026-10-19 19:45:42Record linked automatically55c985999c
scoring_agent, ENR-131226, identity id MBR-027505, confidence 1.00, method probabilistic, matched record CLM-423871, policy version 1
2026-10-19 19:32:31Record linked automaticallyf2b0661c63
scoring_agent, CLM-423871, identity id MBR-027505, confidence 1, method probabilistic, matched record CLM-423872, policy version 1
2026-10-19 19:32:31Record linked automaticallyb6109a68bd
scoring_agent, CLM-423872, identity id MBR-027505, confidence 1, method probabilistic, matched record CLM-423871, policy version 1
2026-10-19 19:32:31Record linked automaticallyd4d13e7827
scoring_agent, ENR-131226, identity id MBR-027505, confidence 1.00, method probabilistic, matched record CLM-423871, policy version 1
2026-10-19 19:31:28Record linked automatically4a880810dc
scoring_agent, CLM-423872, identity id MBR-028627, confidence 0.98, method probabilistic, matched record ENR-131410, policy version 1
2026-10-19 19:31:28Record linked automatically7d83ecf0de
scoring_agent, CLM-423871, identity id MBR-028170, confidence 1, method probabilistic, matched record PRV-27041, policy version 1
2026-10-19 19:31:28Record linked automatically9ecd84405c
matching_agent, ENR-131226, identity id MBR-018285, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423734

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-2026-023213	2026-09-14	Evergreen Internal Medicine Associates in network	99232	$204.00	—	Denied	Denied
CLM-2026-007827	2026-05-27	Sunrise Medical Group in network	80053	$77.00	—	Denied	Denied