Identities/MBR-028120

Gold, golden identity

Heather S Pierce

5 source records from 2 feeds.

MBR-028120Verified5 records

Golden record

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

First nameCLM: Heather
Middle nameCLM: S
Last nameCLM: Pierce
Date of birthCLM: 1966-05-21
GenderCLM: F
Member IDCLM: UHC-91470-77
SSNCLM: •••-••-5208
PhoneCLM: 5685013498
Email—: —
AddressCLM: 3017 Ocean Ave
CityCLM: Minneapolis
StateCLM: MN
ZIP—: —
GroupCLM: GRP-5152
PlanCLM: CORE-HMO

Min confidence

0.93

Sources

CLM ×4TPA ×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-417754	CLM	2026-04-28	Heather Pierceflagged	1966-05-21	UHC-91470-77	5685013498	3017 Ocean Ave, Minneapolis, MN	Scored	1.00	—
TPA-57838	TPA	2026-04-30	Heather Pierceflagged	1966-05-21	—	—	3017 Ocean Ave, Minneapolis, MN	Scored	1.00	—
CLM-417752	CLM	2026-05-23	Heather Pierceflagged	1966-05-21	—	5685013498	—	Scored	0.98	—
CLM-417751	CLM	2026-05-29	Heather Pierceflagged	1966-05-21	—	—	3017 Ocean Ave, Minneapolis, MN	Scored	0.93	—
CLM-417753	CLM	2026-07-17	Pierce Heatherflagged	1966-05-21	UHC-91470-77	5685013498	3017 Ocean Ave, Minneapolis, MN	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶CLM-417754CLMTPA-57838TPA1.00Scoredweighted 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-417754CLMCLM-417753CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-417752CLMCLM-417753CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-417754CLMCLM-417752CLM0.97RuleD2 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-417754CLMCLM-417751CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-57838TPACLM-417751CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-417752CLMCLM-417751CLM0.83Scoredweighted 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

▶TPA-57838TPACLM-417752CLM0.83Scoredweighted 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-417752 → UHC-91470-77 (Heather Pierce)
ACT-005761, Claims processor
Orphan claim re-pointedExecuted
CLM-417751 → UHC-91470-77 (Heather Pierce)
ACT-006625, Claims processor
Care coordination outreachProposed
Heather Pierce: 4 claims, no attributed provider
ACT-019398, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallye4c5e8ee9b
matching_agent, CLM-417753, identity id MBR-028120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417754
2026-10-22 12:43:54Record linked automatically72d9a138a4
scoring_agent, CLM-417751, identity id MBR-028120, confidence 0.93, method probabilistic, matched record CLM-417754, policy version 1
2026-10-22 12:43:54Record linked automaticallya1652ecf87
scoring_agent, CLM-417752, identity id MBR-028120, confidence 0.98, method probabilistic, matched record CLM-417753, policy version 1
2026-10-22 12:43:54Record linked automatically8cf8f58d47
scoring_agent, TPA-57838, identity id MBR-028120, confidence 1, method probabilistic, matched record CLM-417754, policy version 1
2026-10-22 12:43:54Record linked automaticallybc1f98e599
scoring_agent, CLM-417754, identity id MBR-028120, confidence 1, method probabilistic, matched record TPA-57838, policy version 1
2026-10-19 19:54:38Record linked automatically67fa3dc99b
matching_agent, CLM-417753, identity id MBR-028120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417754
2026-10-19 19:54:38Record linked automatically6bf6df07e4
scoring_agent, CLM-417751, identity id MBR-028120, confidence 0.93, method probabilistic, matched record CLM-417754, policy version 1
2026-10-19 19:54:38Record linked automaticallybce16eedb4
scoring_agent, CLM-417752, identity id MBR-028120, confidence 0.98, method probabilistic, matched record CLM-417753, policy version 1
2026-10-19 19:54:38Record linked automatically080cea2d55
scoring_agent, TPA-57838, identity id MBR-028120, confidence 1, method probabilistic, matched record CLM-417754, policy version 1
2026-10-19 19:54:38Record linked automaticallyf8d83e5ca4
scoring_agent, CLM-417754, identity id MBR-028120, confidence 1, method probabilistic, matched record TPA-57838, policy version 1
2026-10-19 19:52:09Record linked automatically19cb0c882f
matching_agent, CLM-417753, identity id MBR-028120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417754
2026-10-19 19:52:09Record linked automatically1b5d0497bf
scoring_agent, CLM-417751, identity id MBR-028120, confidence 0.93, method probabilistic, matched record CLM-417754, policy version 1
2026-10-19 19:52:09Record linked automatically8f28425bd7
scoring_agent, CLM-417752, identity id MBR-028120, confidence 0.98, method probabilistic, matched record CLM-417753, policy version 1
2026-10-19 19:52:09Record linked automatically62cbfd23cf
scoring_agent, TPA-57838, identity id MBR-028120, confidence 1, method probabilistic, matched record CLM-417754, policy version 1
2026-10-19 19:52:09Record linked automaticallyc616758c11
scoring_agent, CLM-417754, identity id MBR-028120, confidence 1, method probabilistic, matched record TPA-57838, policy version 1
2026-10-19 19:45:42Record linked automatically2599198e56
matching_agent, CLM-417753, identity id MBR-028120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417754
2026-10-19 19:45:42Record linked automatically85d068aff4
scoring_agent, CLM-417751, identity id MBR-028120, confidence 0.93, method probabilistic, matched record CLM-417754, policy version 1
2026-10-19 19:45:42Record linked automaticallyd8c1217b50
scoring_agent, CLM-417752, identity id MBR-028120, confidence 0.98, method probabilistic, matched record CLM-417753, policy version 1
2026-10-19 19:45:42Record linked automaticallyb5b52f1a8e
scoring_agent, TPA-57838, identity id MBR-028120, confidence 1, method probabilistic, matched record CLM-417754, policy version 1
2026-10-19 19:45:42Record linked automatically6c82e5c0c9
scoring_agent, CLM-417754, identity id MBR-028120, confidence 1, method probabilistic, matched record TPA-57838, policy version 1
2026-10-19 19:32:31Record linked automatically4a7649c1b8
matching_agent, CLM-417753, identity id MBR-028120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417754
2026-10-19 19:32:31Record linked automaticallyb25e6a15e2
scoring_agent, CLM-417751, identity id MBR-028120, confidence 0.93, method probabilistic, matched record CLM-417754, policy version 1
2026-10-19 19:32:31Record linked automatically43c8daaac7
scoring_agent, CLM-417752, identity id MBR-028120, confidence 0.98, method probabilistic, matched record CLM-417753, policy version 1
2026-10-19 19:32:31Record linked automaticallyf551721fe3
scoring_agent, TPA-57838, identity id MBR-028120, confidence 1, method probabilistic, matched record CLM-417754, policy version 1
2026-10-19 19:32:31Record linked automaticallye9465f7597
scoring_agent, CLM-417754, identity id MBR-028120, confidence 1, method probabilistic, matched record TPA-57838, policy version 1
2026-10-19 19:31:28Record linked automaticallydb34cf56ee
matching_agent, CLM-417751, identity id MBR-023471, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123214
2026-10-19 19:31:28Record linked automatically82a3e38934
matching_agent, CLM-417754, identity id MBR-022637, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123217
2026-10-19 19:31:28Record linked automatically33cf0105a2
matching_agent, CLM-417752, identity id MBR-014411, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-123215
2026-10-19 19:31:28Record linked automatically73f5ef09d9
matching_agent, CLM-417753, identity id MBR-014411, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123215
2026-10-19 19:31:28Record linked automatically37a54cb79d
scoring_agent, TPA-57838, identity id MBR-008578, confidence 1, method probabilistic, matched record PRV-25242, 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-2026-016582	2026-06-24	Lakeside Physical Therapy in network	97110, 97140	$332.00	$175.84	Approved	Approved
CLM-2026-019901	2026-05-14	Lakeside Physical Therapy in network	97110	$336.00	$178.32	Approved	Approved
CLM-2026-016670	2026-04-24	Pinecrest Physical Therapy in network	97110	$198.00	$92.76	Approved	Approved
CLM-2026-031326	2026-03-26	Lakeside Medical Group in network	99214	$290.00	$149.80	Approved	Approved