Identities/MBR-033044
Gold, golden identity

Amanda O Li

5 source records from 2 feeds.

MBR-033044Verified5 records

Golden record

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

First nameENR
Amanda
Middle nameENR
O
Last nameENR
Li
Date of birthCLM
1968-03-22
GenderENR
F
Member IDENR
UHC-98440-07
SSNENR
•••-••-4476
PhoneENR
4057045202
EmailENR
amanda.li@outlook.com
AddressENR
8177 Ridge Rd
CityENR
Gilbert
StateENR
AZ
ZIPENR
85282
GroupENR
GRP-3121
PlanENR
NAVIGATE-HMO
Min confidence
0.96
Sources
CLM ×4ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.961.001.001.00CLMCLM-431534ENRENR-141418CLMCLM-431535CLMCLM-431536CLMCLM-431537IDMBR-033044
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-431534CLM2026-05-31Amanda Liflagged1968-03-22UHC-98440-07—8177 Ridge Rd, Gilbert, AZScored1.00—
ENR-141418ENR2026-06-22Amanda Liflagged1967-03-22UHC-98440-0740570452028177 Ridge Rd, Gilbert, AZRule0.96D3 member id + name
CLM-431535CLM2026-07-23Amanda Liflagged1968-03-22——8177 Ridge Rd, Gilbert, AZScored1.00—
CLM-431536CLM2026-08-19Amanda Liflagged1968-03-22——8177 Ridge Rd, Gilbert, AZScored1.00—
CLM-431537CLM2026-08-19Amanda Liflagged1968-03-22——8177 Ridge Rd, Gilbert, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-431534CLMCLM-431535CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-431534CLMCLM-431536CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-431535CLMCLM-431536CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-431534CLMCLM-431537CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-431535CLMCLM-431537CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-431536CLMCLM-431537CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-431534CLMENR-141418ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-141418ENRCLM-431535CLM0.81Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-141418ENRCLM-431536CLM0.81Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-141418ENRCLM-431537CLM0.81Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-431535 → UHC-98440-07 (Amanda Li)
    ACT-001579, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-431536 → UHC-98440-07 (Amanda Li)
    ACT-003838, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-431537 → UHC-98440-07 (Amanda Li)
    ACT-009473, Claims processor
  • Care coordination outreachProposed
    Amanda Li: 4 claims, no attributed provider
    ACT-019492, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyeb3ac0d4e6
    scoring_agent, CLM-431537, identity id MBR-033044, confidence 1, method probabilistic, matched record CLM-431534, policy version 1
  • 2026-10-19 19:54:38Record linked automatically831e7509fe
    scoring_agent, CLM-431536, identity id MBR-033044, confidence 1, method probabilistic, matched record CLM-431534, policy version 1
  • 2026-10-19 19:54:38Record linked automatically63ee2da3c2
    scoring_agent, CLM-431535, identity id MBR-033044, confidence 1, method probabilistic, matched record CLM-431534, policy version 1
  • 2026-10-19 19:54:38Record linked automatically89786352e9
    matching_agent, ENR-141418, identity id MBR-033044, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-431534
  • 2026-10-19 19:54:38Record linked automaticallya00b905068
    scoring_agent, CLM-431534, identity id MBR-033044, confidence 1, method probabilistic, matched record CLM-431535, policy version 1
  • 2026-10-19 19:52:09Record linked automatically45a60d4f76
    scoring_agent, CLM-431537, identity id MBR-033044, confidence 1, method probabilistic, matched record CLM-431534, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallycc98823f09
    scoring_agent, CLM-431536, identity id MBR-033044, confidence 1, method probabilistic, matched record CLM-431534, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2e80714ff2
    scoring_agent, CLM-431535, identity id MBR-033044, confidence 1, method probabilistic, matched record CLM-431534, policy version 1
  • 2026-10-19 19:52:09Record linked automatically382ce1e082
    matching_agent, ENR-141418, identity id MBR-033044, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-431534
  • 2026-10-19 19:52:09Record linked automatically9331078847
    scoring_agent, CLM-431534, identity id MBR-033044, confidence 1, method probabilistic, matched record CLM-431535, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5c20f8faf3
    scoring_agent, CLM-431537, identity id MBR-033044, confidence 1, method probabilistic, matched record CLM-431534, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb9d00f95a3
    scoring_agent, CLM-431536, identity id MBR-033044, confidence 1, method probabilistic, matched record CLM-431534, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf192a65bb9
    scoring_agent, CLM-431535, identity id MBR-033044, confidence 1, method probabilistic, matched record CLM-431534, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya24867e63c
    matching_agent, ENR-141418, identity id MBR-033044, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-431534
  • 2026-10-19 19:45:42Record linked automaticallycc390d40de
    scoring_agent, CLM-431534, identity id MBR-033044, confidence 1, method probabilistic, matched record CLM-431535, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6629be4321
    scoring_agent, CLM-431537, identity id MBR-033044, confidence 1, method probabilistic, matched record CLM-431534, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye483f39a1b
    scoring_agent, CLM-431536, identity id MBR-033044, confidence 1, method probabilistic, matched record CLM-431534, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8aec947322
    scoring_agent, CLM-431535, identity id MBR-033044, confidence 1, method probabilistic, matched record CLM-431534, policy version 1
  • 2026-10-19 19:32:31Record linked automatically96801ad0a8
    matching_agent, ENR-141418, identity id MBR-033044, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-431534
  • 2026-10-19 19:32:31Record linked automaticallyb308e13b7c
    scoring_agent, CLM-431534, identity id MBR-033044, confidence 1, method probabilistic, matched record CLM-431535, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf4cf9e2364
    matching_agent, CLM-431535, identity id MBR-018694, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431536
  • 2026-10-19 19:31:28Record linked automatically0688f9803c
    matching_agent, CLM-431536, identity id MBR-018694, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431535
  • 2026-10-19 19:31:28Record linked automatically9fa879fe16
    matching_agent, CLM-431534, identity id MBR-006258, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141618
  • 2026-10-19 19:31:28Record linked automatically7cfa43c2c0
    matching_agent, CLM-431537, identity id MBR-004298, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141620

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0310432026-08-02Canyon Skin Care Associates
in network
99213, 17110$449.00$218.38ApprovedApproved
CLM-2026-0095852026-07-23Pinecrest Internal Medicine Associates
in network
99214, 99215, 93000$774.00—Needs reviewNeeds review
CLM-2026-0010222026-06-17Northgate Orthopedic Specialists
in network
99213$201.00—DeniedDenied
CLM-2026-0010212026-06-17Northgate Orthopedic Specialists
in network
99213$201.00$64.62ApprovedApproved
CLM-2026-0311522026-05-03Desert Diabetes Center
in network
83036, 99214$323.00$151.28ApprovedApproved