Identities/MBR-029228

Gold, golden identity

Denise Stephens

5 source records from 2 feeds.

MBR-029228Verified5 recordsOpen steward case

Golden record

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

First nameENR: Denise
Middle name—: —
Last nameENR: Stephens
Date of birthENR: 1995-08-16
GenderENR: M
Member IDENR: UHC-99350-16
SSNENR: •••-••-7937
PhoneENR: 9146849485
EmailENR: denise.stephens98@yahoo.com
AddressENR: 2140 Baseline Rd
CityENR: Tucson
StateENR: AZ
ZIPENR: 85752
GroupENR: GRP-6908
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

CLM ×4ENR ×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
CLM-409854	CLM	2026-05-05	Denise Stephensflagged	1995-08-16	UHC-99350-16	9146849485	2140 Baseline Rd, Tucson, AZ	Scored	1.00	—
CLM-409855	CLM	2026-06-15	Denise Stephensflagged	1995-08-16	UHC-99350-16	9146849485	—	Scored	1.00	—
ENR-112988	ENR	2026-07-02	Denise Stephensflagged	1995-08-16	UHC-99350-16	9146849485	2140 Baseline Rd, Tucson, AZ	Scored	1.00	—
CLM-409851	CLM	2026-07-10	Denise Stephensflagged	1995-08-16	—	9146849485	2140 Baseline Rd, Tucson, AZ	Scored	1.00	—
CLM-409852	CLM	2026-07-23	Denise Stephensflagged	1995-08-16	UHC-99350-16	9146849485	2140 Baseline Rd, Tucson, 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

▶CLM-409854CLMCLM-409851CLM1.00Scoredweighted 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-409855CLMCLM-409851CLM1.00Scoredweighted 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-112988ENR CLM-409851CLM1.00Scoredweighted 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-409851CLMCLM-409852CLM1.00Scoredweighted 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-409854CLMCLM-409852CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-409855CLMCLM-409852CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-112988ENR CLM-409852CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-409854CLMCLM-409855CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-409854CLMENR-112988ENR 0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-409855CLMENR-112988ENR 0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Denise Stephens: 2 plan codes across sources → canonical NAVIGATE-HMO
ACT-001124, Eligibility engine
Orphan claim re-pointedExecuted
CLM-409851 → UHC-99350-16 (Denise Stephens)
ACT-004862, Claims processor
Care coordination outreachProposed
Denise Stephens: 4 claims, no attributed provider
ACT-019427, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyfe356b4d2f
scoring_agent, CLM-409852, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409851, policy version 1
2026-10-19 19:54:38Record linked automaticallyffc236cef2
scoring_agent, CLM-409851, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409854, policy version 1
2026-10-19 19:54:38Record linked automatically94f3230ee2
scoring_agent, ENR-112988, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409851, policy version 1
2026-10-19 19:54:38Record linked automaticallyef66fd945d
scoring_agent, CLM-409855, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409851, policy version 1
2026-10-19 19:54:38Record linked automaticallyd440f93f3e
scoring_agent, CLM-409854, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409851, policy version 1
2026-10-19 19:52:09Record linked automaticallydc5fdb20a6
scoring_agent, CLM-409852, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409851, policy version 1
2026-10-19 19:52:09Record linked automatically35ee930174
scoring_agent, CLM-409851, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409854, policy version 1
2026-10-19 19:52:09Record linked automaticallyd9721c3615
scoring_agent, ENR-112988, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409851, policy version 1
2026-10-19 19:52:09Record linked automatically3ebb34d229
scoring_agent, CLM-409855, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409851, policy version 1
2026-10-19 19:52:09Record linked automaticallyd289fc6df9
scoring_agent, CLM-409854, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409851, policy version 1
2026-10-19 19:45:42Record linked automatically9a6bbcc2de
scoring_agent, CLM-409852, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409851, policy version 1
2026-10-19 19:45:42Record linked automatically62f4cca7f2
scoring_agent, CLM-409851, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409854, policy version 1
2026-10-19 19:45:42Record linked automatically688f6a72eb
scoring_agent, ENR-112988, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409851, policy version 1
2026-10-19 19:45:42Record linked automatically094400429c
scoring_agent, CLM-409855, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409851, policy version 1
2026-10-19 19:45:42Record linked automatically4789c58285
scoring_agent, CLM-409854, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409851, policy version 1
2026-10-19 19:32:31Record linked automaticallyf117401511
scoring_agent, CLM-409852, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409851, policy version 1
2026-10-19 19:32:31Record linked automatically65fd881997
scoring_agent, CLM-409851, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409854, policy version 1
2026-10-19 19:32:31Record linked automaticallydc0225c8de
scoring_agent, ENR-112988, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409851, policy version 1
2026-10-19 19:32:31Record linked automatically3c97a87268
scoring_agent, CLM-409855, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409851, policy version 1
2026-10-19 19:32:31Record linked automaticallya2d1beb11b
scoring_agent, CLM-409854, identity id MBR-029228, confidence 1, method probabilistic, matched record CLM-409851, policy version 1
2026-10-19 19:31:28Record linked automaticallyd6f444b2c7
scoring_agent, CLM-409851, identity id MBR-024405, confidence 1, method probabilistic, matched record TPA-54384, policy version 1
2026-10-19 19:31:28Record linked automaticallyb17b60b7c7
scoring_agent, CLM-409852, identity id MBR-024405, confidence 1.00, method probabilistic, matched record CLM-409851, policy version 1
2026-10-19 19:31:28Record linked automatically87706cdc6c
matching_agent, CLM-409855, identity id MBR-023253, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112987
2026-10-19 19:31:28Record linked automatically8f0f35b349
scoring_agent, CLM-409854, identity id MBR-018515, confidence 1, method probabilistic, matched record ENR-112984, policy version 1
2026-10-19 19:31:28Record linked automatically0c89023e68
matching_agent, ENR-112988, identity id MBR-016968, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112989

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-2026-030386	2026-06-25	Heritage Family Practice in network	90471	$33.00	$0.00	Approved	Approved
CLM-2026-013387	2026-05-29	Canyon Regional Medical Center in network	71046, 99284	$1,450.00	$698.50	Approved	Approved
CLM-2026-007512	2026-05-17	Unity Bone and Joint Center in network	20610	$309.00	$131.58	Approved	Approved
CLM-2026-003906	2026-03-25	Heritage Primary Care Associates in network	70553	$3,289.00	—	Needs review	Needs review