Identities/MBR-033925

Gold, golden identity

Frances D Graham

6 source records from 4 feeds.

MBR-033925Verified6 records

Golden record

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

First nameENR: Frances
Middle nameENR: D
Last nameENR: Graham
Date of birthENR: 1971-04-22
GenderENR: F
Member IDENR: UHC-93802-82
SSNENR: •••-••-7886
PhoneENR: 4645193646
EmailTPA: frances.graham@gmail.com
AddressPRV: 1867 Ocean Ave
CityPRV: Nashville
StatePRV: TN
ZIP—: —
GroupENR: GRP-0447
PlanENR: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

CLM ×2ENR ×1PRV ×2TPA ×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-409823	CLM	2026-06-07	Frances Grahamflagged	1971-04-22	—	4645193646	1867 Ocean Ave, Nashville, TN	Scored	1.00	—
ENR-112947	ENR	2026-06-16	Frances Grahamflagged	1971-04-22	UHC-93802-82	4645193646	—	Scored	1.00	—
PRV-22861	PRV	2026-07-05	Frances Grahamflagged	1971-04-22	—	—	1867 Ocean Ave, Nashville, TN	Scored	1.00	—
PRV-22862	PRV	2026-07-05	Frances Grahamflagged	1971-04-22	—	—	1867 Ocean Ave, Nashville, TN	Scored	1.00	—
TPA-54276	TPA	2026-08-29	Frances Grahamflagged	1971-04-22	—	4645193646	1867 Ocean Ave, Nashville, TN	Scored	1.00	—
CLM-409822	CLM	2026-09-03	Frances Grahamflagged	1971-04-22	UHC-93802-82	4645193646	1867 Ocean Ave, Nashville, TN	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-22861PRVCLM-409822CLM1.00Scoredweighted 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

▶PRV-22862PRVCLM-409822CLM1.00Scoredweighted 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-409823CLMENR-112947ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-22861PRVPRV-22862PRV1.00Scoredweighted 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-409823CLMTPA-54276TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-112947ENRCLM-409822CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-112947ENRTPA-54276TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-409823CLMCLM-409822CLM0.94Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54276TPACLM-409822CLM0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	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-409823CLMPRV-22861PRV0.93Scoredweighted 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

▶CLM-409823CLMPRV-22862PRV0.93Scoredweighted 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

▶PRV-22861PRVTPA-54276TPA0.93Scoredweighted 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

▶PRV-22862PRVTPA-54276TPA0.93Scoredweighted 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

▶ENR-112947ENRPRV-22861PRV0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶ENR-112947ENRPRV-22862PRV0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-409823 → UHC-93802-82 (Frances Graham)
ACT-009200, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:39Record linked automaticallyb5e15779cb
scoring_agent, CLM-409822, identity id MBR-033925, confidence 1, method probabilistic, matched record PRV-22861, policy version 1
2026-10-19 19:54:39Record linked automatically18206cf072
scoring_agent, TPA-54276, identity id MBR-033925, confidence 1, method probabilistic, matched record CLM-409823, policy version 1
2026-10-19 19:54:39Record linked automatically0879453906
scoring_agent, PRV-22862, identity id MBR-033925, confidence 1, method probabilistic, matched record PRV-22861, policy version 1
2026-10-19 19:54:39Record linked automatically733d021063
scoring_agent, PRV-22861, identity id MBR-033925, confidence 1, method probabilistic, matched record PRV-22862, policy version 1
2026-10-19 19:54:39Record linked automatically1e43a2bd04
scoring_agent, ENR-112947, identity id MBR-033925, confidence 1, method probabilistic, matched record CLM-409823, policy version 1
2026-10-19 19:54:39Record linked automatically9412f9517c
scoring_agent, CLM-409823, identity id MBR-033925, confidence 1, method probabilistic, matched record ENR-112947, policy version 1
2026-10-19 19:52:09Record linked automatically34496a4a2f
scoring_agent, CLM-409822, identity id MBR-033925, confidence 1, method probabilistic, matched record PRV-22861, policy version 1
2026-10-19 19:52:09Record linked automaticallyc2aa94bddb
scoring_agent, TPA-54276, identity id MBR-033925, confidence 1, method probabilistic, matched record CLM-409823, policy version 1
2026-10-19 19:52:09Record linked automatically80943eb824
scoring_agent, PRV-22862, identity id MBR-033925, confidence 1, method probabilistic, matched record PRV-22861, policy version 1
2026-10-19 19:52:09Record linked automaticallybb28b52331
scoring_agent, PRV-22861, identity id MBR-033925, confidence 1, method probabilistic, matched record PRV-22862, policy version 1
2026-10-19 19:52:09Record linked automatically0456409e7e
scoring_agent, ENR-112947, identity id MBR-033925, confidence 1, method probabilistic, matched record CLM-409823, policy version 1
2026-10-19 19:52:09Record linked automatically90eec69244
scoring_agent, CLM-409823, identity id MBR-033925, confidence 1, method probabilistic, matched record ENR-112947, policy version 1
2026-10-19 19:45:42Record linked automaticallye972f5d50a
scoring_agent, CLM-409822, identity id MBR-033925, confidence 1, method probabilistic, matched record PRV-22861, policy version 1
2026-10-19 19:45:42Record linked automaticallyd9282e91ab
scoring_agent, TPA-54276, identity id MBR-033925, confidence 1, method probabilistic, matched record CLM-409823, policy version 1
2026-10-19 19:45:42Record linked automatically764875dd14
scoring_agent, PRV-22862, identity id MBR-033925, confidence 1, method probabilistic, matched record PRV-22861, policy version 1
2026-10-19 19:45:42Record linked automaticallyc583f95a17
scoring_agent, PRV-22861, identity id MBR-033925, confidence 1, method probabilistic, matched record PRV-22862, policy version 1
2026-10-19 19:45:42Record linked automaticallyad65047a60
scoring_agent, ENR-112947, identity id MBR-033925, confidence 1, method probabilistic, matched record CLM-409823, policy version 1
2026-10-19 19:45:42Record linked automatically70f0a8c023
scoring_agent, CLM-409823, identity id MBR-033925, confidence 1, method probabilistic, matched record ENR-112947, policy version 1
2026-10-19 19:32:31Record linked automatically03ed706954
scoring_agent, CLM-409822, identity id MBR-033925, confidence 1, method probabilistic, matched record PRV-22861, policy version 1
2026-10-19 19:32:31Record linked automatically204445ca0e
scoring_agent, TPA-54276, identity id MBR-033925, confidence 1, method probabilistic, matched record CLM-409823, policy version 1
2026-10-19 19:32:31Record linked automaticallyc3a81cbe21
scoring_agent, PRV-22862, identity id MBR-033925, confidence 1, method probabilistic, matched record PRV-22861, policy version 1
2026-10-19 19:32:31Record linked automaticallycbbee82f1f
scoring_agent, PRV-22861, identity id MBR-033925, confidence 1, method probabilistic, matched record PRV-22862, policy version 1
2026-10-19 19:32:31Record linked automaticallyc5d8115cb2
scoring_agent, ENR-112947, identity id MBR-033925, confidence 1, method probabilistic, matched record CLM-409823, policy version 1
2026-10-19 19:32:31Record linked automatically3c293755ee
scoring_agent, CLM-409823, identity id MBR-033925, confidence 1, method probabilistic, matched record ENR-112947, policy version 1
2026-10-19 19:31:28Record linked automatically35fb482fe4
matching_agent, ENR-112947, identity id MBR-028224, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409823
2026-10-19 19:31:28Record linked automaticallyde9d91a4b2
scoring_agent, CLM-409823, identity id MBR-028224, confidence 1, method probabilistic, matched record PRV-22919, policy version 1
2026-10-19 19:31:28Record linked automatically7508f210b1
scoring_agent, PRV-22862, identity id MBR-020162, confidence 1, method probabilistic, matched record TPA-54288, policy version 1
2026-10-19 19:31:28Record linked automaticallyc067032fa1
scoring_agent, CLM-409822, identity id MBR-014606, confidence 1, method probabilistic, matched record CLM-409821, policy version 1
2026-10-19 19:31:28Record linked automatically1fc4fb90b9
scoring_agent, TPA-54276, identity id MBR-009038, confidence 1, method probabilistic, matched record TPA-54275, policy version 1
2026-10-19 19:31:28Record linked automaticallyfcf02e66e1
scoring_agent, PRV-22861, identity id MBR-002441, confidence 1, method probabilistic, matched record ENR-112722, 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-2026-018669	2026-08-05	Cornerstone Reference Lab out of network	87086, 83036, 80053, 85025	$275.00	$0.00	Approved	Approved
CLM-2026-029858	2026-04-26	Sunrise Imaging Center in network	76700, 71046	$698.00	—	Denied	Denied
CLM-2026-029857	2026-04-26	Sunrise Imaging Center in network	76700, 71046	$698.00	$0.00	Approved	Approved