Identities/MBR-031867
Gold, golden identity

Lori A Fowler

5 source records from 3 feeds.

MBR-031867Verified5 records

Golden record

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

First nameENR
Lori
Middle nameENR
A
Last nameENR
Fowler
Date of birthENR
1972-10-21
GenderENR
M
Member IDENR
UHC-41558-85
SSNENR
•••-••-9873
PhoneENR
3782491059
EmailENR
lori.fowler@gmail.com
AddressCLM
194 Church St Apt 5
CityENR
Tampa
StateENR
FL
ZIPENR
33640
GroupENR
GRP-9971
PlanENR
OPTIONS-PPO
Min confidence
0.94
Sources
CLM ×3TPA ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.960.940.991.001.00CLMCLM-405496TPATPA-52424ENRENR-107242CLMCLM-405494CLMCLM-405495IDMBR-031867
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-405496CLM2026-05-22Lori Fowlerflagged1927-10-21UHC-41558-853782491059—Rule0.96D3 member id + name
TPA-52424TPA2026-07-09Lori Fowlerflagged1972-10-21——194 Church St, Tampa, FLScored0.94—
ENR-107242ENR2026-07-18Lori Fowlerflagged1972-10-21UHC-41558-853782491059194 Church St, Tampa, FLRule0.99D1 member id + dob exact
CLM-405494CLM2026-08-29Lori Fowlerflagged1972-10-21——194 Church St, Tampa, FLScored1.00—
CLM-405495CLM2026-09-18Lori Fowlerflagged1972-10-21UHC-41558-853782491059194 Church St Apt 5, Tampa, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-405494CLMCLM-405495CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-107242ENRCLM-405495CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-107242ENRCLM-405494CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-405496CLMCLM-405495CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-405496CLMENR-107242ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-52424TPAENR-107242ENR0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Email1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-52424TPACLM-405494CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-52424TPACLM-405495CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-405496CLMCLM-405494CLM0.80Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Identifiers agreeing: 0Conflicts: noneGuard: none
▶CLM-405496CLMTPA-52424TPA0.80Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-405494 → UHC-41558-85 (Lori Fowler)
    ACT-007552, Claims processor
  • Outreach address correctedProposed
    Lori Fowler: 194 Church St, Tampa → 194 Church St Apt 5, Tampa
    ACT-013020, Outreach
  • Care coordination outreachProposed
    Lori Fowler: 3 claims, no attributed provider
    ACT-019475, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyae556fbf5f
    scoring_agent, CLM-405495, identity id MBR-031867, confidence 1, method probabilistic, matched record CLM-405494, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6281dc8a31
    scoring_agent, CLM-405494, identity id MBR-031867, confidence 1, method probabilistic, matched record CLM-405495, policy version 1
  • 2026-10-19 19:54:38Record linked automatically92264cd141
    matching_agent, ENR-107242, identity id MBR-031867, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405495
  • 2026-10-19 19:54:38Record linked automatically56d1dadd2a
    scoring_agent, TPA-52424, identity id MBR-031867, confidence 0.94, method probabilistic, matched record ENR-107242, policy version 1
  • 2026-10-19 19:54:38Record linked automatically63f033d278
    matching_agent, CLM-405496, identity id MBR-031867, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-107242
  • 2026-10-19 19:52:09Record linked automaticallyb4d816e888
    scoring_agent, CLM-405495, identity id MBR-031867, confidence 1, method probabilistic, matched record CLM-405494, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4aff04f3d4
    scoring_agent, CLM-405494, identity id MBR-031867, confidence 1, method probabilistic, matched record CLM-405495, policy version 1
  • 2026-10-19 19:52:09Record linked automatically55731f6ac2
    matching_agent, ENR-107242, identity id MBR-031867, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405495
  • 2026-10-19 19:52:09Record linked automatically403e24b811
    scoring_agent, TPA-52424, identity id MBR-031867, confidence 0.94, method probabilistic, matched record ENR-107242, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallycd9eb90346
    matching_agent, CLM-405496, identity id MBR-031867, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-107242
  • 2026-10-19 19:45:42Record linked automatically6a20df55db
    scoring_agent, CLM-405495, identity id MBR-031867, confidence 1, method probabilistic, matched record CLM-405494, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9208ef201b
    scoring_agent, CLM-405494, identity id MBR-031867, confidence 1, method probabilistic, matched record CLM-405495, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyfb2d13051b
    matching_agent, ENR-107242, identity id MBR-031867, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405495
  • 2026-10-19 19:45:42Record linked automatically5a8dd72368
    scoring_agent, TPA-52424, identity id MBR-031867, confidence 0.94, method probabilistic, matched record ENR-107242, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc41b155ff6
    matching_agent, CLM-405496, identity id MBR-031867, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-107242
  • 2026-10-19 19:32:31Record linked automaticallyc71e3dbdd6
    scoring_agent, CLM-405495, identity id MBR-031867, confidence 1, method probabilistic, matched record CLM-405494, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya83f91fe29
    scoring_agent, CLM-405494, identity id MBR-031867, confidence 1, method probabilistic, matched record CLM-405495, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9c1344eae8
    matching_agent, ENR-107242, identity id MBR-031867, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405495
  • 2026-10-19 19:32:31Record linked automaticallyd2676e6d5f
    scoring_agent, TPA-52424, identity id MBR-031867, confidence 0.94, method probabilistic, matched record ENR-107242, policy version 1
  • 2026-10-19 19:32:31Record linked automatically89e9f67e1f
    matching_agent, CLM-405496, identity id MBR-031867, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-107242
  • 2026-10-19 19:31:28Record linked automatically04fcab63fa
    matching_agent, ENR-107242, identity id MBR-012943, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-52478
  • 2026-10-19 19:31:28Record linked automatically9cdce5a4a7
    matching_agent, CLM-405494, identity id MBR-010442, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107170
  • 2026-10-19 19:31:28Record linked automatically3a3a6d51ca
    matching_agent, CLM-405496, identity id MBR-009563, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-52457
  • 2026-10-19 19:31:28Record linked automaticallye178905bf9
    matching_agent, CLM-405495, identity id MBR-009563, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-52457
  • 2026-10-19 19:31:28Record linked automatically952a8e9922
    matching_agent, TPA-52424, identity id MBR-008442, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-405426

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0247032026-08-04Lakeside Physical Therapy
in network
97110, 97140$241.00$124.42ApprovedApproved
CLM-2026-0235222026-08-19Pinecrest Bone and Joint Center
in network
27447$43,974.00—Needs reviewNeeds review
CLM-2026-0080532026-05-09Canyon Medical Group
in network
93000, 99215, 99214$722.00—DeniedDenied
CLM-2026-0080522026-05-09Canyon Medical Group
in network
93000, 99215, 99214$722.00$422.64ApprovedApproved