Identities/MBR-028280

Gold, golden identity

Amy Fernandez

5 source records from 3 feeds.

MBR-028280Verified5 records

Golden record

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

First nameENR: Amy
Middle name—: —
Last nameENR: Fernandez
Date of birthENR: 1948-03-16
GenderENR: F
Member IDENR: UHC-54769-51
SSNENR: •••-••-9665
PhoneENR: 2897204760
EmailENR: amy.fernandez@proton.me
AddressENR: 3078 Lake View Rd
CityENR: Los Angeles
StateENR: CA
ZIPENR: 90029
GroupENR: GRP-4976
PlanENR: MEDICARE-ADV-B

Min confidence

0.99

Sources

PRV ×1CLM ×3ENR ×1

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-28123	PRV	2026-04-29	Amy Fernandezflagged	1948-03-16	UHC-54769-51	2897204760	3078 Lake View Rd, Los Angeles, CA	Scored	1.00	—
CLM-427692	CLM	2026-08-05	Amy Fernandezflagged	1948-03-16	UHC-54769-51	—	—	Rule	0.99	D1 member id + dob exact
CLM-427694	CLM	2026-09-03	Amy Fernandezflagged	1948-03-16	UHC-54769-51	—	—	Rule	0.99	D1 member id + dob exact
CLM-427693	CLM	2026-09-19	Amy Fernandezflagged	1948-03-16	—	2897204760	3078 Lake View Rd # 495, Los Angeles, CA	Scored	1.00	—
ENR-136311	ENR	2026-10-05	Amy Fernandezflagged	1948-03-16	UHC-54769-51	2897204760	3078 Lake View Rd, Los Angeles, CA	Rule	0.99	D1 member id + dob exact

Evidence

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

A

B

Score

Method

Rule

Decision

▶PRV-28123PRVCLM-427693CLM1.00Scoredweighted 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

▶PRV-28123PRVCLM-427692CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-28123PRVCLM-427694CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-427692CLMCLM-427694CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-28123PRVENR-136311ENR0.99RuleD1 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

▶CLM-427692CLMENR-136311ENR0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-427694CLMENR-136311ENR0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-427693CLMENR-136311ENR0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-427692CLMCLM-427693CLM0.83Scoredweighted 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-427694CLMCLM-427693CLM0.83Scoredweighted 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

Eligibility conflict resolvedProposed
Amy Fernandez: 2 plan codes across sources → canonical MEDICARE-ADV-B
ACT-001099, Eligibility engine
Orphan claim re-pointedExecuted
CLM-427693 → UHC-54769-51 (Amy Fernandez)
ACT-009055, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallye5c6248457
matching_agent, ENR-136311, identity id MBR-028280, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28123
2026-10-19 19:54:38Record linked automatically53e72222b7
scoring_agent, CLM-427693, identity id MBR-028280, confidence 1, method probabilistic, matched record PRV-28123, policy version 1
2026-10-19 19:54:38Record linked automatically4c3dd55625
matching_agent, CLM-427694, identity id MBR-028280, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28123
2026-10-19 19:54:38Record linked automatically7e8162499a
matching_agent, CLM-427692, identity id MBR-028280, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28123
2026-10-19 19:54:38Record linked automatically60b3cdc912
scoring_agent, PRV-28123, identity id MBR-028280, confidence 1, method probabilistic, matched record CLM-427693, policy version 1
2026-10-19 19:52:09Record linked automatically64eac06062
matching_agent, ENR-136311, identity id MBR-028280, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28123
2026-10-19 19:52:09Record linked automaticallyabe197ffab
scoring_agent, CLM-427693, identity id MBR-028280, confidence 1, method probabilistic, matched record PRV-28123, policy version 1
2026-10-19 19:52:09Record linked automaticallybab740a9b3
matching_agent, CLM-427694, identity id MBR-028280, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28123
2026-10-19 19:52:09Record linked automatically4c05342fef
matching_agent, CLM-427692, identity id MBR-028280, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28123
2026-10-19 19:52:09Record linked automatically44b7691883
scoring_agent, PRV-28123, identity id MBR-028280, confidence 1, method probabilistic, matched record CLM-427693, policy version 1
2026-10-19 19:45:42Record linked automaticallya4860bb07e
matching_agent, ENR-136311, identity id MBR-028280, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28123
2026-10-19 19:45:42Record linked automaticallyf55b14eb4b
scoring_agent, CLM-427693, identity id MBR-028280, confidence 1, method probabilistic, matched record PRV-28123, policy version 1
2026-10-19 19:45:42Record linked automatically5eba04627f
matching_agent, CLM-427694, identity id MBR-028280, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28123
2026-10-19 19:45:42Record linked automaticallyb150307fd4
matching_agent, CLM-427692, identity id MBR-028280, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28123
2026-10-19 19:45:42Record linked automaticallya6b2e992bc
scoring_agent, PRV-28123, identity id MBR-028280, confidence 1, method probabilistic, matched record CLM-427693, policy version 1
2026-10-19 19:32:31Record linked automatically57c4263ca0
matching_agent, ENR-136311, identity id MBR-028280, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28123
2026-10-19 19:32:31Record linked automaticallyf9fe5bd92d
scoring_agent, CLM-427693, identity id MBR-028280, confidence 1, method probabilistic, matched record PRV-28123, policy version 1
2026-10-19 19:32:31Record linked automaticallye020d9f6a3
matching_agent, CLM-427694, identity id MBR-028280, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28123
2026-10-19 19:32:31Record linked automatically54c66d1f44
matching_agent, CLM-427692, identity id MBR-028280, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28123
2026-10-19 19:32:31Record linked automatically0ac7594c0b
scoring_agent, PRV-28123, identity id MBR-028280, confidence 1, method probabilistic, matched record CLM-427693, policy version 1
2026-10-19 19:31:28Record linked automaticallye1990b2250
matching_agent, CLM-427693, identity id MBR-041091, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-136658
2026-10-19 19:31:28Record linked automatically20728651d3
matching_agent, CLM-427692, identity id MBR-041091, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-136658
2026-10-19 19:31:28Record linked automatically693fa4e5d6
matching_agent, PRV-28123, identity id MBR-020128, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136640
2026-10-19 19:31:28Record linked automaticallyc5fa065f56
scoring_agent, ENR-136311, identity id MBR-015338, confidence 1, method probabilistic, matched record TPA-62062, policy version 1
2026-10-19 19:31:28Record linked automaticallyfa7203c81b
scoring_agent, CLM-427694, identity id MBR-012264, confidence 1, method probabilistic, matched record PRV-28128, 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-2026-029279	2026-08-28	Heritage Primary Care Associates in network	90471	$37.00	$0.00	Approved	Approved
CLM-2026-009350	2026-07-25	Desert Imaging Center in network	77067, 71046, 70553	$2,618.00	—	Denied	Denied
CLM-2026-024100	2026-06-25	Sunrise Medical Group in network	99395	$251.00	$125.62	Approved	Approved