Identities/MBR-029235

Gold, golden identity

Janice K Burton

5 source records from 3 feeds.

MBR-029235Verified5 records

Golden record

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

First namePRV: Janice
Middle nameCLM: K
Last namePRV: Burton
Date of birthPRV: 1955-04-03
GenderPRV: F
Member IDPRV: UHC-20074-87
SSNPRV: •••-••-8240
PhoneCLM: 2265109137
Email—: —
AddressPRV: 5988 Baseline Rd
CityPRV: Seattle
StatePRV: WA
ZIPPRV: 98179
GroupCLM: GRP-6856
PlanCLM: CHOICE-PLUS-PPO

Min confidence

0.96

Sources

CLM ×3TPA ×1PRV ×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-408678	CLM	2026-05-05	Janice Burtonflagged	1955-04-03	UHC-20074-87	—	—	Rule	0.99	D1 member id + dob exact
CLM-408679	CLM	2026-07-07	Janice Burtonflagged	1956-04-03	UHC-20074-87	2265109137	5988 Baseline Rd, Seattle, WA	Rule	0.96	D3 member id + name
CLM-408677	CLM	2026-08-15	Janice Burtonflagged	1955-04-03	—	—	5988 Baseline Rd, Seattle, WA	Scored	1.00	—
TPA-53802	TPA	2026-10-05	Janice Burtonflagged	1955-04-03	—	—	5988 Baseline Rd, Seattle, WA	Scored	1.00	—
PRV-22568	PRV	2026-10-17	Janice Burtonflagged	1955-04-03	UHC-20074-87	—	5988 Baseline Rd, Seattle, WA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-53802TPAPRV-22568PRV1.00Scoredweighted 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-408677CLMTPA-53802TPA1.00Scoredweighted 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-408678CLMPRV-22568PRV0.99RuleD1 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-408677CLMPRV-22568PRV0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408678CLMCLM-408679CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-408679CLMPRV-22568PRV0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-408678CLMCLM-408677CLM0.83Scoredweighted 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-408678CLMTPA-53802TPA0.83Scoredweighted 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-408679CLMCLM-408677CLM0.80Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408679CLMTPA-53802TPA0.74Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-408677 → UHC-20074-87 (Janice Burton)
ACT-008194, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically68dbf627af
scoring_agent, PRV-22568, identity id MBR-029235, confidence 1, method probabilistic, matched record TPA-53802, policy version 1
2026-10-19 19:54:38Record linked automatically1d59557e3b
scoring_agent, TPA-53802, identity id MBR-029235, confidence 1, method probabilistic, matched record CLM-408677, policy version 1
2026-10-19 19:54:38Record linked automatically39154f0890
scoring_agent, CLM-408677, identity id MBR-029235, confidence 1, method probabilistic, matched record TPA-53802, policy version 1
2026-10-19 19:54:38Record linked automaticallyc960e55f68
matching_agent, CLM-408679, identity id MBR-029235, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-408678
2026-10-19 19:54:38Record linked automaticallyc30c08f7b1
matching_agent, CLM-408678, identity id MBR-029235, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22568
2026-10-19 19:52:09Record linked automatically1cafca6436
scoring_agent, PRV-22568, identity id MBR-029235, confidence 1, method probabilistic, matched record TPA-53802, policy version 1
2026-10-19 19:52:09Record linked automatically555f5ea9bc
scoring_agent, TPA-53802, identity id MBR-029235, confidence 1, method probabilistic, matched record CLM-408677, policy version 1
2026-10-19 19:52:09Record linked automatically0fbb8a1a7e
scoring_agent, CLM-408677, identity id MBR-029235, confidence 1, method probabilistic, matched record TPA-53802, policy version 1
2026-10-19 19:52:09Record linked automaticallyd71fdc47f4
matching_agent, CLM-408679, identity id MBR-029235, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-408678
2026-10-19 19:52:09Record linked automaticallyf09ab199ba
matching_agent, CLM-408678, identity id MBR-029235, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22568
2026-10-19 19:45:42Record linked automaticallyc09c6b7bf0
scoring_agent, PRV-22568, identity id MBR-029235, confidence 1, method probabilistic, matched record TPA-53802, policy version 1
2026-10-19 19:45:42Record linked automatically2d21af100e
scoring_agent, TPA-53802, identity id MBR-029235, confidence 1, method probabilistic, matched record CLM-408677, policy version 1
2026-10-19 19:45:42Record linked automatically2f4261a245
scoring_agent, CLM-408677, identity id MBR-029235, confidence 1, method probabilistic, matched record TPA-53802, policy version 1
2026-10-19 19:45:42Record linked automatically0e2352da2a
matching_agent, CLM-408679, identity id MBR-029235, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-408678
2026-10-19 19:45:42Record linked automatically16a47182fb
matching_agent, CLM-408678, identity id MBR-029235, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22568
2026-10-19 19:32:31Record linked automatically58497f6b24
scoring_agent, PRV-22568, identity id MBR-029235, confidence 1, method probabilistic, matched record TPA-53802, policy version 1
2026-10-19 19:32:31Record linked automatically6548ff892b
scoring_agent, TPA-53802, identity id MBR-029235, confidence 1, method probabilistic, matched record CLM-408677, policy version 1
2026-10-19 19:32:31Record linked automatically5ee05d19b0
scoring_agent, CLM-408677, identity id MBR-029235, confidence 1, method probabilistic, matched record TPA-53802, policy version 1
2026-10-19 19:32:31Record linked automatically3178e72d4a
matching_agent, CLM-408679, identity id MBR-029235, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-408678
2026-10-19 19:32:31Record linked automaticallya67c0e86b5
matching_agent, CLM-408678, identity id MBR-029235, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22568
2026-10-19 19:31:28Record linked automatically51f50feb9c
scoring_agent, PRV-22568, identity id MBR-027238, confidence 1, method probabilistic, matched record ENR-111444, policy version 1
2026-10-19 19:31:28Record linked automatically6a547819ac
scoring_agent, TPA-53802, identity id MBR-011575, confidence 1, method probabilistic, matched record TPA-53803, policy version 1
2026-10-19 19:31:28Record linked automatically8a56e941d7
matching_agent, CLM-408678, identity id MBR-008309, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408679
2026-10-19 19:31:28Record linked automaticallye44b43959e
matching_agent, CLM-408677, identity id MBR-008309, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408679
2026-10-19 19:31:28Record linked automatically3b48905872
matching_agent, CLM-408679, identity id MBR-008309, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408677

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-2026-026003	2026-07-19	Evergreen GI Associates in network	99214	$249.00	—	Denied	Denied
CLM-2026-026002	2026-07-19	Evergreen GI Associates in network	99214	$249.00	$104.38	Approved	Approved
CLM-2026-008110	2026-06-12	Unity Primary Care Associates out of network	36415, 99214	$312.00	—	Needs review	Needs review
CLM-2026-010942	2026-04-21	Canyon Diagnostic Imaging in network	77067, 74177, 71046	$1,863.00	$549.48	Approved	Approved