Identities/MBR-031791
Gold, golden identity

Theresa F Hoffman

4 source records from 3 feeds.

MBR-031791Verified4 records

Golden record

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

First nameENR
Theresa
Middle nameENR
F
Last nameENR
Hoffman
Date of birthENR
1982-08-08
GenderENR
F
Member IDENR
UHC-15893-12
SSNENR
•••-••-0817
PhoneENR
7088151358
EmailENR
theresa.hoffman48@outlook.com
AddressENR
3909 Desert Sky Blvd
CityENR
Sacramento
StateENR
CA
ZIPENR
95839
GroupENR
GRP-2584
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
ENR ×2TPA ×1CLM ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.001.001.00ENRENR-107027ENRENR-107026TPATPA-52353CLMCLM-405364IDMBR-031791
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-107027ENR2026-05-22Theresa Hoffmanflagged1982-08-08UHC-15893-127088151358—Rule0.99D1 member id + dob exact
ENR-107026ENR2026-08-12Theresa Hoffmanflagged1982-08-08UHC-15893-12—3909 Desert Sky Blvd, Sacramento, CAScored1.00—
TPA-52353TPA2026-08-21Theresa Hoffmanflagged1982-08-08——3909 Desert Sky Blvd, Sacramento, CAScored1.00—
CLM-405364CLM2026-09-18Theresa Hoffmanflagged1982-08-08UHC-15893-12—3909 Desert Sky Blvd, Sacramento, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-52353 TPACLM-405364CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-107026 ENRTPA-52353 TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-107027ENRCLM-405364CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-107026 ENRCLM-405364CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-107027ENRENR-107026 ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Email1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-107027ENRTPA-52353 TPA0.97RuleD2 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
    Theresa Hoffman: 2 plan codes across sources → canonical MEDICARE-ADV-B
    ACT-001173, Eligibility engine
  • Duplicate member record retiredExecuted
    Theresa Hoffman: 2 enrollment records collapsed into UHC-15893-12
    ACT-025817, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallybf21e017db
    scoring_agent, CLM-405364, identity id MBR-031791, confidence 1, method probabilistic, matched record TPA-52353, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye6dd771528
    scoring_agent, TPA-52353, identity id MBR-031791, confidence 1, method probabilistic, matched record ENR-107026, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallydf4d602e40
    scoring_agent, ENR-107026, identity id MBR-031791, confidence 1, method probabilistic, matched record TPA-52353, policy version 1
  • 2026-10-19 19:54:38Record linked automatically55c8d8d2dc
    matching_agent, ENR-107027, identity id MBR-031791, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107026
  • 2026-10-19 19:52:09Record linked automatically3e2b516ef1
    scoring_agent, CLM-405364, identity id MBR-031791, confidence 1, method probabilistic, matched record TPA-52353, policy version 1
  • 2026-10-19 19:52:09Record linked automatically96da4795c9
    scoring_agent, TPA-52353, identity id MBR-031791, confidence 1, method probabilistic, matched record ENR-107026, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya0b222742f
    scoring_agent, ENR-107026, identity id MBR-031791, confidence 1, method probabilistic, matched record TPA-52353, policy version 1
  • 2026-10-19 19:52:09Record linked automatically620a59ba6b
    matching_agent, ENR-107027, identity id MBR-031791, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107026
  • 2026-10-19 19:45:42Record linked automatically93e5c1913a
    scoring_agent, CLM-405364, identity id MBR-031791, confidence 1, method probabilistic, matched record TPA-52353, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4a215ed221
    scoring_agent, TPA-52353, identity id MBR-031791, confidence 1, method probabilistic, matched record ENR-107026, policy version 1
  • 2026-10-19 19:45:42Record linked automatically14e7f34646
    scoring_agent, ENR-107026, identity id MBR-031791, confidence 1, method probabilistic, matched record TPA-52353, policy version 1
  • 2026-10-19 19:45:42Record linked automatically879ae33803
    matching_agent, ENR-107027, identity id MBR-031791, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107026
  • 2026-10-19 19:32:31Record linked automatically8546f3cdbe
    scoring_agent, CLM-405364, identity id MBR-031791, confidence 1, method probabilistic, matched record TPA-52353, policy version 1
  • 2026-10-19 19:32:31Record linked automatically98221f9c33
    scoring_agent, TPA-52353, identity id MBR-031791, confidence 1, method probabilistic, matched record ENR-107026, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc81ce611df
    scoring_agent, ENR-107026, identity id MBR-031791, confidence 1, method probabilistic, matched record TPA-52353, policy version 1
  • 2026-10-19 19:32:31Record linked automatically36b7c0b687
    matching_agent, ENR-107027, identity id MBR-031791, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107026
  • 2026-10-19 19:31:28Record linked automatically9098edb3ca
    matching_agent, CLM-405364, identity id MBR-034787, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107032
  • 2026-10-19 19:31:28Record linked automaticallydb65c6908a
    scoring_agent, TPA-52353, identity id MBR-018346, confidence 1, method probabilistic, matched record CLM-405249, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd66fe665ab
    matching_agent, ENR-107026, identity id MBR-014511, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-405358

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0164132026-08-05Lakeside Medical Group
out of network
99203, 36415, 99214$451.00—DeniedDenied
CLM-2026-0164122026-08-05Lakeside Medical Group
out of network
99203, 36415, 99214$451.00$162.95ApprovedApproved