Identities/MBR-033009
Gold, golden identity

Teresa C McCoy

4 source records from 2 feeds.

MBR-033009Verified4 records

Golden record

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

First namePRV
Teresa
Middle namePRV
C
Last namePRV
McCoy
Date of birthPRV
1976-08-20
GenderPRV
F
Member IDPRV
UHC-16722-55
SSNCLM
•••-••-8940
PhonePRV
2045096146
EmailPRV
teresa.mccoy@hotmail.com
AddressPRV
5413 Market St
CityPRV
Los Angeles
StatePRV
CA
ZIPPRV
90000
GroupCLM
GRP-0527
PlanCLM
CHOICE-PLUS-PPO
Min confidence
1.00
Sources
CLM ×3PRV ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.001.001.00CLMCLM-402580CLMCLM-402579PRVPRV-20752CLMCLM-402581IDMBR-033009
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-402580CLM2026-05-31Teresa McCoyflagged1976-08-20—20450961465413 Market St, Los Angeles, CAScored1.00—
CLM-402579CLM2026-06-02Teresa McCoyflagged1976-08-20—2045096146—Scored1.00—
PRV-20752PRV2026-07-13Teresa McCoyflagged1976-08-20UHC-16722-5520450961465413 Market St, Los Angeles, CAScored1.00—
CLM-402581CLM2026-07-14Teresa McCoyflagged1976-08-20UHC-16722-5520450961465413 Market St, Los Angeles, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-402580CLMCLM-402579CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402580CLMCLM-402581CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402580CLMPRV-20752 PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402579CLMPRV-20752 PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-20752 PRVCLM-402581CLM 0.99RuleD1 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
▶CLM-402579CLMCLM-402581CLM 0.97RuleD2 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

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-402579 → UHC-16722-55 (Teresa McCoy)
    ACT-005991, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-402580 → UHC-16722-55 (Teresa McCoy)
    ACT-008996, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:55Record linked automatically854568b2f3
    scoring_agent, CLM-402581, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402580, policy version 1
  • 2026-10-22 12:43:55Record linked automatically2b91bd74d6
    scoring_agent, PRV-20752, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402580, policy version 1
  • 2026-10-22 12:43:55Record linked automaticallyd6fdd60fbb
    scoring_agent, CLM-402579, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402580, policy version 1
  • 2026-10-22 12:43:55Record linked automaticallya1dd8962ef
    scoring_agent, CLM-402580, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402579, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8299517ac4
    scoring_agent, CLM-402581, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402580, policy version 1
  • 2026-10-19 19:54:38Record linked automatically13645b3e49
    scoring_agent, PRV-20752, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402580, policy version 1
  • 2026-10-19 19:54:38Record linked automatically699a9125f9
    scoring_agent, CLM-402579, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402580, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc3ebfb26b1
    scoring_agent, CLM-402580, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402579, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyba15725d66
    scoring_agent, CLM-402581, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402580, policy version 1
  • 2026-10-19 19:52:09Record linked automatically260e236b69
    scoring_agent, PRV-20752, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402580, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyfb3ffacb45
    scoring_agent, CLM-402579, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402580, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc70d4d8995
    scoring_agent, CLM-402580, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402579, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4aab4c0c36
    scoring_agent, CLM-402581, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402580, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2c26302eaa
    scoring_agent, PRV-20752, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402580, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3f17442092
    scoring_agent, CLM-402579, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402580, policy version 1
  • 2026-10-19 19:45:42Record linked automatically944dd1c333
    scoring_agent, CLM-402580, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402579, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2add2fb43e
    scoring_agent, CLM-402581, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402580, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9e03561f92
    scoring_agent, PRV-20752, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402580, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9caee10a1c
    scoring_agent, CLM-402579, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402580, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallydc021e144f
    scoring_agent, CLM-402580, identity id MBR-033009, confidence 1, method probabilistic, matched record CLM-402579, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8f63bb3544
    scoring_agent, PRV-20752, identity id MBR-017208, confidence 1, method probabilistic, matched record TPA-51109, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9f4bfc50f4
    matching_agent, CLM-402581, identity id MBR-016880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402580
  • 2026-10-19 19:31:28Record linked automatically9de06fb8ea
    scoring_agent, CLM-402580, identity id MBR-016880, confidence 1, method probabilistic, matched record PRV-20795, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0315152026-06-13Riverside Imaging Center
in network
71046$144.00—Needs reviewNeeds review
CLM-2026-0315142026-06-13Heritage Imaging Center
in network
71046$144.00$0.00ApprovedApproved
CLM-2026-0175142026-05-20Summit Regional Medical Center
in network
99283, 99285$3,831.00$1,857.05ApprovedApproved
CLM-2026-0290422026-05-18Meadow Medical Group
in network
90471, 99203$245.00$128.96ApprovedApproved