Identities/MBR-029112

Gold, golden identity

Doris Y Thomas

5 source records from 3 feeds.

MBR-029112Verified5 records

Golden record

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

First nameENR: Doris
Middle nameENR: Y
Last nameENR: Thomas
Date of birthENR: 1984-12-15
GenderENR: F
Member IDENR: UHC-73006-67
SSNENR: •••-••-5694
PhoneENR: 5944511673
EmailENR: doris.thomas26@yahoo.com
AddressENR: 1951 Union St
CityENR: San Diego
StateENR: CA
ZIPENR: 92188
GroupENR: GRP-3633
PlanENR: OPTIONS-PPO

Min confidence

0.96

Sources

PRV ×1CLM ×2ENR ×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
PRV-27101	PRV	2026-05-04	Doris Thomasflagged	1984-12-15	UHC-73006-67	5944511673	1951 Union St, San Diego, CA	Scored	1.00	—
CLM-424110	CLM	2026-05-23	Doris Thomasflagged	—	UHC-73006-67	5944511673	—	Rule	0.96	D3 member id + name
CLM-424111	CLM	2026-07-25	Doris Thomasflagged	1984-12-15	—	5944511673	1951 Union St, San Diego, CA	Scored	1.00	—
ENR-131511	ENR	2026-08-29	Doris Thomasflagged	1984-12-15	UHC-73006-67	—	1951 Union St, San Diego, CA	Scored	1.00	—
ENR-131512	ENR	2026-10-17	Doris Thomaasflagged	1984-12-15	UHC-73006-67	5944511673	1951 Union St, San Diego, CA	Scored	0.99	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-27101PRVCLM-424111 CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-424111 CLMENR-131511ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-424111 CLMENR-131512ENR0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-27101PRVENR-131511ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶PRV-27101PRVENR-131512ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-131511ENRENR-131512ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-27101PRVCLM-424110CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-424110CLMENR-131511ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-424110CLMENR-131512ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight
Name	0.98	3
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-424110CLMCLM-424111 CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-424111 → UHC-73006-67 (Doris Thomas)
ACT-006986, Claims processor
Duplicate member record retiredExecuted
Doris Thomas: 2 enrollment records collapsed into UHC-73006-67
ACT-025569, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically6a40db573b
scoring_agent, ENR-131512, identity id MBR-029112, confidence 0.99, method probabilistic, matched record CLM-424111, policy version 1
2026-10-19 19:54:38Record linked automatically330ee0e96c
scoring_agent, ENR-131511, identity id MBR-029112, confidence 1, method probabilistic, matched record CLM-424111, policy version 1
2026-10-19 19:54:38Record linked automaticallybd649e2b03
scoring_agent, CLM-424111, identity id MBR-029112, confidence 1, method probabilistic, matched record PRV-27101, policy version 1
2026-10-19 19:54:38Record linked automaticallyeca57cbf3f
matching_agent, CLM-424110, identity id MBR-029112, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-27101
2026-10-19 19:54:38Record linked automaticallyaf59a4bd26
scoring_agent, PRV-27101, identity id MBR-029112, confidence 1, method probabilistic, matched record CLM-424111, policy version 1
2026-10-19 19:52:09Record linked automatically475eca2cc4
scoring_agent, ENR-131512, identity id MBR-029112, confidence 0.99, method probabilistic, matched record CLM-424111, policy version 1
2026-10-19 19:52:09Record linked automatically4915115039
scoring_agent, ENR-131511, identity id MBR-029112, confidence 1, method probabilistic, matched record CLM-424111, policy version 1
2026-10-19 19:52:09Record linked automatically69ee060333
scoring_agent, CLM-424111, identity id MBR-029112, confidence 1, method probabilistic, matched record PRV-27101, policy version 1
2026-10-19 19:52:09Record linked automatically35521891e8
matching_agent, CLM-424110, identity id MBR-029112, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-27101
2026-10-19 19:52:09Record linked automatically02fa3c7365
scoring_agent, PRV-27101, identity id MBR-029112, confidence 1, method probabilistic, matched record CLM-424111, policy version 1
2026-10-19 19:45:42Record linked automatically9d5aaa7862
scoring_agent, ENR-131512, identity id MBR-029112, confidence 0.99, method probabilistic, matched record CLM-424111, policy version 1
2026-10-19 19:45:42Record linked automatically310f9a3501
scoring_agent, ENR-131511, identity id MBR-029112, confidence 1, method probabilistic, matched record CLM-424111, policy version 1
2026-10-19 19:45:42Record linked automatically5564c29092
scoring_agent, CLM-424111, identity id MBR-029112, confidence 1, method probabilistic, matched record PRV-27101, policy version 1
2026-10-19 19:45:42Record linked automaticallyb77bd1230e
matching_agent, CLM-424110, identity id MBR-029112, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-27101
2026-10-19 19:45:42Record linked automatically4924e52411
scoring_agent, PRV-27101, identity id MBR-029112, confidence 1, method probabilistic, matched record CLM-424111, policy version 1
2026-10-19 19:32:31Record linked automatically0b732af666
scoring_agent, ENR-131512, identity id MBR-029112, confidence 0.99, method probabilistic, matched record CLM-424111, policy version 1
2026-10-19 19:32:31Record linked automaticallyc964f3dbf3
scoring_agent, ENR-131511, identity id MBR-029112, confidence 1, method probabilistic, matched record CLM-424111, policy version 1
2026-10-19 19:32:31Record linked automatically3969f37750
scoring_agent, CLM-424111, identity id MBR-029112, confidence 1, method probabilistic, matched record PRV-27101, policy version 1
2026-10-19 19:32:31Record linked automatically261fc6201d
matching_agent, CLM-424110, identity id MBR-029112, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-27101
2026-10-19 19:32:31Record linked automatically786bce2e2b
scoring_agent, PRV-27101, identity id MBR-029112, confidence 1, method probabilistic, matched record CLM-424111, policy version 1
2026-10-19 19:31:28Record linked automatically656720e1bd
matching_agent, CLM-424111, identity id MBR-038453, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131714
2026-10-19 19:31:28Record linked automatically6589d47789
matching_agent, CLM-424110, identity id MBR-030435, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-131713
2026-10-19 19:31:28Record linked automatically4c93645630
matching_agent, ENR-131511, identity id MBR-029691, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131510
2026-10-19 19:31:28Record linked automatically7446aca1d2
scoring_agent, PRV-27101, identity id MBR-018927, confidence 1, method probabilistic, matched record CLM-424059, policy version 1
2026-10-19 19:31:28Record linked automaticallyc601036760
scoring_agent, ENR-131512, identity id MBR-000697, confidence 1, method probabilistic, matched record PRV-27066, 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-2026-021281	2026-07-09	Riverside Internal Medicine Associates in network	93000, 99215	$455.00	—	Needs review	Needs review
CLM-2026-021280	2026-07-09	Desert Internal Medicine Associates in network	93000, 99215	$455.00	$242.10	Approved	Approved
CLM-2026-034312	2026-04-13	Valley Medical Group in network	99215	$367.00	$187.54	Approved	Approved