Identities/MBR-031731

Gold, golden identity

Grace P Burton

6 source records from 3 feeds.

MBR-031731Verified6 records

Golden record

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

First nameENR: Grace
Middle nameENR: P
Last nameENR: Burton
Date of birthENR: 1981-01-26
GenderCLM: F
Member IDENR: UHC-52024-75
SSNENR: •••-••-6011
PhoneENR: 2889449993
EmailENR: grace.burton18@aol.com
AddressENR: 8064 Maple Ave
CityENR: Columbus
StateENR: OH
ZIPENR: 43279
GroupENR: GRP-3835
PlanENR: MEDICARE-ADV-B

Min confidence

0.99

Sources

CLM ×4ENR ×1TPA ×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-400369	CLM	2026-05-21	Grace Burtonflagged	1981-01-26	UHC-52024-75	2889449993	8064 Maple Ave, Columbus, OH	Rule	0.99	D1 member id + dob exact
CLM-400367	CLM	2026-05-22	Grace Burtonflagged	1981-01-26	UHC-52024-75	2889449993	8064 Maple Ave # 552, Columbus, OH	Scored	1.00	—
ENR-100511	ENR	2026-07-21	Grace Burtonflagged	1981-01-26	UHC-52024-75	2889449993	8064 Maple Ave, Columbus, OH	Scored	1.00	—
CLM-400368	CLM	2026-08-28	Grace Burtonflagged	1981-01-26	UHC-52024-75	—	8064 Maple Ave, Columbus, OH	Scored	1.00	—
TPA-50154	TPA	2026-09-08	Grace Burtonflagged	1981-01-26	—	—	8064 Maple Ave, Columbus, OH	Scored	1.00	—
CLM-400370	CLM	2026-10-11	Grace Buronflagged	1981-01-26	—	2889449993	8064 Maple Ave, Columbus, OH	Scored	0.99	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-400367CLMTPA-50154TPA1.00Scoredweighted 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

▶ENR-100511ENRTPA-50154TPA1.00Scoredweighted 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-400368CLMTPA-50154TPA1.00Scoredweighted 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-400367CLMCLM-400370CLM0.99Scoredweighted 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

▶ENR-100511ENRCLM-400370CLM0.99Scoredweighted 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

▶CLM-400369CLMCLM-400367CLM0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-400369CLMCLM-400368CLM0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-400367CLMCLM-400368CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-100511ENRCLM-400368CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-400369CLMENR-100511ENR0.99RuleD1 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
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-400367CLMENR-100511ENR0.99RuleD1 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-400369CLMCLM-400370CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400369CLMTPA-50154TPA0.93Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-400370 → UHC-52024-75 (Grace Burton)
ACT-005945, Claims processor
Care coordination outreachProposed
Grace Burton: 4 claims, no attributed provider
ACT-019473, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically4c5dfc1eef
scoring_agent, CLM-400370, identity id MBR-031731, confidence 0.99, method probabilistic, matched record CLM-400367, policy version 1
2026-10-19 19:54:38Record linked automatically35908e513c
scoring_agent, TPA-50154, identity id MBR-031731, confidence 1, method probabilistic, matched record CLM-400367, policy version 1
2026-10-19 19:54:38Record linked automatically3fcf370399
scoring_agent, CLM-400368, identity id MBR-031731, confidence 1, method probabilistic, matched record TPA-50154, policy version 1
2026-10-19 19:54:38Record linked automatically6c3968b88b
scoring_agent, ENR-100511, identity id MBR-031731, confidence 1, method probabilistic, matched record TPA-50154, policy version 1
2026-10-19 19:54:38Record linked automatically0441373d80
scoring_agent, CLM-400367, identity id MBR-031731, confidence 1, method probabilistic, matched record TPA-50154, policy version 1
2026-10-19 19:54:38Record linked automatically9adec99a1b
matching_agent, CLM-400369, identity id MBR-031731, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400367
2026-10-19 19:52:09Record linked automatically9abb5f4e34
scoring_agent, CLM-400370, identity id MBR-031731, confidence 0.99, method probabilistic, matched record CLM-400367, policy version 1
2026-10-19 19:52:09Record linked automatically93607106f3
scoring_agent, TPA-50154, identity id MBR-031731, confidence 1, method probabilistic, matched record CLM-400367, policy version 1
2026-10-19 19:52:09Record linked automatically6aae12bf38
scoring_agent, CLM-400368, identity id MBR-031731, confidence 1, method probabilistic, matched record TPA-50154, policy version 1
2026-10-19 19:52:09Record linked automaticallyec21609454
scoring_agent, ENR-100511, identity id MBR-031731, confidence 1, method probabilistic, matched record TPA-50154, policy version 1
2026-10-19 19:52:09Record linked automatically4c40e8fab3
scoring_agent, CLM-400367, identity id MBR-031731, confidence 1, method probabilistic, matched record TPA-50154, policy version 1
2026-10-19 19:52:09Record linked automaticallyceaf0e2960
matching_agent, CLM-400369, identity id MBR-031731, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400367
2026-10-19 19:45:42Record linked automaticallyd87de1adde
scoring_agent, CLM-400370, identity id MBR-031731, confidence 0.99, method probabilistic, matched record CLM-400367, policy version 1
2026-10-19 19:45:42Record linked automaticallyd8857dbc9b
scoring_agent, TPA-50154, identity id MBR-031731, confidence 1, method probabilistic, matched record CLM-400367, policy version 1
2026-10-19 19:45:42Record linked automatically6c605799c4
scoring_agent, CLM-400368, identity id MBR-031731, confidence 1, method probabilistic, matched record TPA-50154, policy version 1
2026-10-19 19:45:42Record linked automatically60e2d3c04c
scoring_agent, ENR-100511, identity id MBR-031731, confidence 1, method probabilistic, matched record TPA-50154, policy version 1
2026-10-19 19:45:42Record linked automaticallyeb6d57bf8c
scoring_agent, CLM-400367, identity id MBR-031731, confidence 1, method probabilistic, matched record TPA-50154, policy version 1
2026-10-19 19:45:42Record linked automaticallyf0a76c5c22
matching_agent, CLM-400369, identity id MBR-031731, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400367
2026-10-19 19:32:31Record linked automatically0a4765010b
scoring_agent, CLM-400370, identity id MBR-031731, confidence 0.99, method probabilistic, matched record CLM-400367, policy version 1
2026-10-19 19:32:31Record linked automatically8e0d7a57e7
scoring_agent, TPA-50154, identity id MBR-031731, confidence 1, method probabilistic, matched record CLM-400367, policy version 1
2026-10-19 19:32:31Record linked automatically1fcc07b8d5
scoring_agent, CLM-400368, identity id MBR-031731, confidence 1, method probabilistic, matched record TPA-50154, policy version 1
2026-10-19 19:32:31Record linked automatically348782bca9
scoring_agent, ENR-100511, identity id MBR-031731, confidence 1, method probabilistic, matched record TPA-50154, policy version 1
2026-10-19 19:32:31Record linked automaticallycba0109280
scoring_agent, CLM-400367, identity id MBR-031731, confidence 1, method probabilistic, matched record TPA-50154, policy version 1
2026-10-19 19:32:31Record linked automaticallyd5333b7a68
matching_agent, CLM-400369, identity id MBR-031731, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400367
2026-10-19 19:31:28Record linked automaticallydf9473b053
matching_agent, CLM-400369, identity id MBR-032870, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100545
2026-10-19 19:31:28Record linked automaticallyfe64f9b98a
scoring_agent, CLM-400370, identity id MBR-032870, confidence 0.99, method probabilistic, matched record CLM-400369, policy version 1
2026-10-19 19:31:28Record linked automatically345a346b74
scoring_agent, ENR-100511, identity id MBR-022804, confidence 1.00, method probabilistic, matched record TPA-50150, policy version 1
2026-10-19 19:31:28Record linked automatically72b38da4e2
scoring_agent, TPA-50154, identity id MBR-009907, confidence 1, method probabilistic, matched record TPA-50153, policy version 1
2026-10-19 19:31:28Record linked automatically0795214644
scoring_agent, CLM-400367, identity id MBR-003367, confidence 1, method probabilistic, matched record CLM-400368, policy version 1
2026-10-19 19:31:28Record linked automatically717f366115
scoring_agent, CLM-400368, identity id MBR-003367, confidence 1, method probabilistic, matched record CLM-400367, 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-2026-017325	2026-09-30	Canyon Medical Group in network	80053, 99214	$387.00	—	Denied	Denied
CLM-2026-019128	2026-02-11	Unity Community Hospital in network	99285	$2,544.00	—	Denied	Denied
CLM-2026-031623	2026-05-09	Sunrise Dermatology Clinic in network	11403	$625.00	$312.50	Approved	Approved
CLM-2026-032117	2026-04-16	Harbor Cardiovascular Associates in network	99214	$221.00	$62.02	Approved	Approved