Identities/MBR-031286
Gold, golden identity

Denise Hayes

3 source records from 2 feeds.

MBR-031286Verified3 records

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
Hayes
Date of birthENR
2007-04-27
GenderENR
F
Member IDENR
UHC-92115-37
SSNENR
•••-••-3481
PhoneENR
9046035297
EmailENR
denise.hayes@outlook.com
AddressENR
4768 Mountain View Dr
CityENR
San Antonio
StateENR
TX
ZIPENR
78254
GroupENR
GRP-8964
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
CLM ×2ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.99CLMCLM-413716ENRENR-117937CLMCLM-413715IDMBR-031286
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
CLM-413716CLM2026-05-19Denise Hayesflagged2007-04-27UHC-92115-37—4768 Mountain View Dr, San Antonio, TXRule0.99D1 member id + dob exact
ENR-117937ENR2026-07-27Denise Hayesflagged2007-04-27UHC-92115-3790460352974768 Mountain View Dr, San Antonio, TXScored0.99—
CLM-413715CLM2026-09-26Dneise Hayesflagged2007-04-27—9046035297—Scored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-117937ENRCLM-413715CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413716CLMENR-117937ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-413716CLMCLM-413715CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-413715 → UHC-92115-37 (Denise Hayes)
    ACT-009218, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically83ea3e2f0b
    scoring_agent, CLM-413715, identity id MBR-031286, confidence 0.99, method probabilistic, matched record ENR-117937, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb138ce09a9
    scoring_agent, ENR-117937, identity id MBR-031286, confidence 0.99, method probabilistic, matched record CLM-413715, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8d4a639c90
    matching_agent, CLM-413716, identity id MBR-031286, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117937
  • 2026-10-19 19:52:09Record linked automatically962fe41588
    scoring_agent, CLM-413715, identity id MBR-031286, confidence 0.99, method probabilistic, matched record ENR-117937, policy version 1
  • 2026-10-19 19:52:09Record linked automatically64b000c6a3
    scoring_agent, ENR-117937, identity id MBR-031286, confidence 0.99, method probabilistic, matched record CLM-413715, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0558fe6aab
    matching_agent, CLM-413716, identity id MBR-031286, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117937
  • 2026-10-19 19:45:42Record linked automaticallyd08e8b2b47
    scoring_agent, CLM-413715, identity id MBR-031286, confidence 0.99, method probabilistic, matched record ENR-117937, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye1bf008926
    scoring_agent, ENR-117937, identity id MBR-031286, confidence 0.99, method probabilistic, matched record CLM-413715, policy version 1
  • 2026-10-19 19:45:42Record linked automatically36d2207b21
    matching_agent, CLM-413716, identity id MBR-031286, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117937
  • 2026-10-19 19:32:31Record linked automaticallyb6536322bf
    scoring_agent, CLM-413715, identity id MBR-031286, confidence 0.99, method probabilistic, matched record ENR-117937, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf6cac80e3f
    scoring_agent, ENR-117937, identity id MBR-031286, confidence 0.99, method probabilistic, matched record CLM-413715, policy version 1
  • 2026-10-19 19:32:31Record linked automatically94ae915f4a
    matching_agent, CLM-413716, identity id MBR-031286, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117937
  • 2026-10-19 19:31:28Record linked automaticallyc637a87753
    scoring_agent, ENR-117937, identity id MBR-029933, confidence 1, method probabilistic, matched record CLM-413613, policy version 1
  • 2026-10-19 19:31:28Record linked automatically63dd063ea7
    matching_agent, CLM-413716, identity id MBR-024788, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118059

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0299622026-09-19Meadow Reference Lab
out of network
80053, 85025, 83036$177.00$0.00ApprovedApproved
CLM-2026-0016612026-05-11Heritage Primary Care Associates
in network
99203, 90471$230.00$112.60ApprovedApproved