Identities/MBR-028162

Gold, golden identity

Sharon N Gilbert

5 source records from 3 feeds.

MBR-028162Verified5 records

Golden record

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

First nameENR: Sharon
Middle nameENR: N
Last nameENR: Gilbert
Date of birthENR: 2003-05-14
GenderENR: M
Member IDENR: UHC-92885-35
SSNENR: •••-••-6542
PhoneENR: 6864851713
EmailENR: sharon.gilbert84@hotmail.com
AddressENR: 1467 Meadow Ln
CityENR: Glendale
StateENR: AZ
ZIPENR: 85332
GroupENR: GRP-5610
PlanENR: MEDICARE-ADV-B

Min confidence

1.00

Sources

TPA ×1CLM ×3ENR ×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
TPA-62360	TPA	2026-04-28	Sharon Gilbertflagged	2003-05-14	—	6864851713	1467 Meadow Ln, Glendale, AZ	Scored	1.00	—
CLM-427989	CLM	2026-04-30	Sharon Gilbertflagged	2003-05-14	—	—	1467 Meadow Ln, Glendale, AZ	Scored	1.00	—
CLM-427990	CLM	2026-07-01	Sharon Gilbertflagged	2003-05-14	UHC-92885-35	—	1467 Meadow Ln, Glendale, AZ	Scored	1.00	—
CLM-427988	CLM	2026-07-15	Sharon Gilbertflagged	2003-05-14	—	6864851713	—	Scored	1.00	—
ENR-136681	ENR	2026-10-12	Sharon Gilbertflagged	2003-05-14	UHC-92885-35	6864851713	1467 Meadow Ln, Glendale, AZ	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-62360TPACLM-427988CLM1.00Scoredweighted 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

▶TPA-62360TPACLM-427989CLM1.00Scoredweighted 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

▶TPA-62360TPACLM-427990CLM1.00Scoredweighted 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-427989CLMCLM-427990CLM1.00Scoredweighted 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

▶TPA-62360TPAENR-136681ENR1.00Scoredweighted 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-427989CLMENR-136681ENR1.00Scoredweighted 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-427990CLMENR-136681ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-427988CLMENR-136681ENR0.97RuleD2 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-427989CLMCLM-427988CLM0.83Scoredweighted 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

▶CLM-427990CLMCLM-427988CLM0.83Scoredweighted 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-427988 → UHC-92885-35 (Sharon Gilbert)
ACT-004146, Claims processor
Orphan claim re-pointedExecuted
CLM-427989 → UHC-92885-35 (Sharon Gilbert)
ACT-010005, Claims processor
Care coordination outreachProposed
Sharon Gilbert: 3 claims, no attributed provider
ACT-019400, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically2e8d842250
scoring_agent, ENR-136681, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-22 12:43:54Record linked automatically3400febe88
scoring_agent, CLM-427988, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-22 12:43:54Record linked automaticallyf45d6e6625
scoring_agent, CLM-427990, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-22 12:43:54Record linked automaticallyef056ad8dc
scoring_agent, CLM-427989, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-22 12:43:54Record linked automatically7a16b18572
scoring_agent, TPA-62360, identity id MBR-028162, confidence 1, method probabilistic, matched record CLM-427989, policy version 1
2026-10-19 19:54:38Record linked automatically99010806bb
scoring_agent, ENR-136681, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-19 19:54:38Record linked automaticallyfc952d5aab
scoring_agent, CLM-427988, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-19 19:54:38Record linked automatically1243aeb223
scoring_agent, CLM-427990, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-19 19:54:38Record linked automaticallya9c7cfdfa7
scoring_agent, CLM-427989, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-19 19:54:38Record linked automaticallyd63cec09a9
scoring_agent, TPA-62360, identity id MBR-028162, confidence 1, method probabilistic, matched record CLM-427989, policy version 1
2026-10-19 19:52:09Record linked automatically1725492cad
scoring_agent, ENR-136681, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-19 19:52:09Record linked automatically13ddf1216f
scoring_agent, CLM-427988, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-19 19:52:09Record linked automatically9c077c85d9
scoring_agent, CLM-427990, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-19 19:52:09Record linked automatically808a6adcb9
scoring_agent, CLM-427989, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-19 19:52:09Record linked automatically068a9f56c0
scoring_agent, TPA-62360, identity id MBR-028162, confidence 1, method probabilistic, matched record CLM-427989, policy version 1
2026-10-19 19:45:42Record linked automatically200da3a84c
scoring_agent, ENR-136681, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-19 19:45:42Record linked automatically63f58ceb5e
scoring_agent, CLM-427988, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-19 19:45:42Record linked automatically1b8ce23862
scoring_agent, CLM-427990, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-19 19:45:42Record linked automaticallya9e981c7db
scoring_agent, CLM-427989, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-19 19:45:42Record linked automatically80d899aeec
scoring_agent, TPA-62360, identity id MBR-028162, confidence 1, method probabilistic, matched record CLM-427989, policy version 1
2026-10-19 19:32:31Record linked automatically05b21f440f
scoring_agent, ENR-136681, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-19 19:32:31Record linked automaticallyae7fc3c455
scoring_agent, CLM-427988, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-19 19:32:31Record linked automatically3a5981157f
scoring_agent, CLM-427990, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-19 19:32:31Record linked automatically9f918a0f4b
scoring_agent, CLM-427989, identity id MBR-028162, confidence 1, method probabilistic, matched record TPA-62360, policy version 1
2026-10-19 19:32:31Record linked automatically23776274ca
scoring_agent, TPA-62360, identity id MBR-028162, confidence 1, method probabilistic, matched record CLM-427989, policy version 1
2026-10-19 19:31:28Record linked automatically2f0206e6d8
matching_agent, CLM-427989, identity id MBR-044430, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137012
2026-10-19 19:31:28Record linked automatically270d2a1239
matching_agent, ENR-136681, identity id MBR-018059, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427711
2026-10-19 19:31:28Record linked automatically6fcea9f1d2
scoring_agent, CLM-427988, identity id MBR-003565, confidence 1, method probabilistic, matched record ENR-137009, policy version 1

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-010724	2026-06-03	Mesa Medical Group in network	80053	$78.00	$28.36	Approved	Approved
CLM-2026-013613	2026-06-11	Canyon Diagnostic Imaging in network	76700	$429.00	$0.00	Approved	Approved
CLM-2026-032992	2026-04-02	Mesa Internal Medicine Associates in network	80053, 99214	$285.00	$156.70	Approved	Approved