Identities/MBR-030221
Gold, golden identity

Douglas G Cook

4 source records from 3 feeds.

MBR-030221Verified4 records

Golden record

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

First nameENR
Douglas
Middle nameENR
G
Last nameENR
Cook
Date of birthENR
1941-12-04
GenderENR
F
Member IDENR
UHC-48330-57
SSNENR
•••-••-9825
PhoneENR
2776792101
EmailENR
douglas.cook91@outlook.com
AddressENR
4968 Sunset Blvd
CityENR
Mesa
StateENR
AZ
ZIPENR
85252
GroupENR
GRP-1394
PlanENR
CORE-HMO
Min confidence
0.97
Sources
ENR ×1CLM ×2TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

0.990.990.970.99ENRENR-114498CLMCLM-411043CLMCLM-411042TPATPA-54825IDMBR-030221
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
ENR-114498ENR2026-05-11Douglas Cookflagged1941-12-04UHC-48330-5727767921014968 Sunset Blvd, Mesa, AZRule0.99D1 member id + dob exact
CLM-411043CLM2026-07-27Douglas Cookflagged1941-12-04UHC-48330-57——Rule0.99D1 member id + dob exact
CLM-411042CLM2026-08-23Douglas Cookflagged1941-12-04—2776792101—Rule0.97D2 ssn4 + dob + last name
TPA-54825TPA2026-08-29Douglas Cookflagged1941-12-04UHC-48330-57——Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-114498 ENRCLM-411043CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Email1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-114498 ENRTPA-54825TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-411043CLMTPA-54825TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-114498 ENRCLM-411042CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-411043CLMCLM-411042CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-411042CLMTPA-54825TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Douglas Cook: 2 plan codes across sources → canonical CORE-HMO
    ACT-001139, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-411042 → UHC-48330-57 (Douglas Cook)
    ACT-008810, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically628f4ed5e2
    matching_agent, TPA-54825, identity id MBR-030221, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114498
  • 2026-10-19 19:54:38Record linked automaticallyaedcb08013
    matching_agent, CLM-411042, identity id MBR-030221, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-114498
  • 2026-10-19 19:54:38Record linked automatically61dad14ba6
    matching_agent, CLM-411043, identity id MBR-030221, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114498
  • 2026-10-19 19:54:38Record linked automatically67ff95ada1
    matching_agent, ENR-114498, identity id MBR-030221, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411043
  • 2026-10-19 19:52:09Record linked automatically7ef05d7657
    matching_agent, TPA-54825, identity id MBR-030221, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114498
  • 2026-10-19 19:52:09Record linked automatically9705b39640
    matching_agent, CLM-411042, identity id MBR-030221, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-114498
  • 2026-10-19 19:52:09Record linked automatically50e9ab5d3f
    matching_agent, CLM-411043, identity id MBR-030221, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114498
  • 2026-10-19 19:52:09Record linked automatically3733026bb8
    matching_agent, ENR-114498, identity id MBR-030221, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411043
  • 2026-10-19 19:45:42Record linked automatically7fca7a0345
    matching_agent, TPA-54825, identity id MBR-030221, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114498
  • 2026-10-19 19:45:42Record linked automaticallyd9d1a90387
    matching_agent, CLM-411042, identity id MBR-030221, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-114498
  • 2026-10-19 19:45:42Record linked automatically4141c335ef
    matching_agent, CLM-411043, identity id MBR-030221, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114498
  • 2026-10-19 19:45:42Record linked automatically993a062426
    matching_agent, ENR-114498, identity id MBR-030221, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411043
  • 2026-10-19 19:32:31Record linked automatically870221851e
    matching_agent, TPA-54825, identity id MBR-030221, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114498
  • 2026-10-19 19:32:31Record linked automatically727622861b
    matching_agent, CLM-411042, identity id MBR-030221, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-114498
  • 2026-10-19 19:32:31Record linked automatically89ebc0366c
    matching_agent, CLM-411043, identity id MBR-030221, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114498
  • 2026-10-19 19:32:31Record linked automatically574a4e7cc9
    matching_agent, ENR-114498, identity id MBR-030221, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411043
  • 2026-10-19 19:31:28Record linked automatically4411086007
    scoring_agent, ENR-114498, identity id MBR-026630, confidence 0.85, method probabilistic, matched record TPA-54845, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallybb834b6b7f
    matching_agent, CLM-411043, identity id MBR-015140, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411042
  • 2026-10-19 19:31:28Record linked automatically2f576f162f
    matching_agent, CLM-411042, identity id MBR-015140, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411043

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0282812026-08-07Unity Medical Group
in network
99213$173.00$82.26ApprovedApproved
CLM-2026-0130582026-06-18Lakeside Medical Group
in network
99214, 80053$391.00—DeniedDenied
CLM-2026-0130572026-06-18Lakeside Medical Group
in network
99214, 80053$391.00$217.42ApprovedApproved