Identities/MBR-033953

Gold, golden identity

Janice L Hamilton

5 source records from 3 feeds.

MBR-033953Verified5 records

Golden record

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

First nameENR: Janice
Middle nameENR: L
Last nameENR: Hamilton
Date of birthENR: 1977-02-23
GenderENR: F
Member IDENR: UHC-98453-76
SSNENR: •••-••-4429
PhoneENR: 3966720156
EmailPRV: janice.hamilton39@hotmail.com
AddressENR: 6541 Cedar Ln
CityENR: Las Vegas
StateENR: NV
ZIPENR: 89137
GroupENR: GRP-1984
PlanENR: OPTIONS-PPO

Min confidence

1.00

Sources

PRV ×1CLM ×2ENR ×2

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
PRV-28233	PRV	2026-06-07	Janice Hamiltonflagged	1977-02-23	—	3966720156	6541 Cedar Ln, Las Vegas, NV	Scored	1.00	—
CLM-428071	CLM	2026-07-10	Janice Hamiltonflagged	1977-02-23	—	3966720156	6541 Cedar Ln, Las Vegas, NV	Scored	1.00	—
CLM-428072	CLM	2026-07-10	Janice Hamiltonflagged	1977-02-23	—	3966720156	6541 Cedar Ln, Las Vegas, NV	Scored	1.00	—
ENR-136805	ENR	2026-07-13	Janice Hamiltonflagged	1977-02-23	UHC-98453-76	3966720156	6541 Cedar Ln, Las Vegas, NV	Scored	1.00	—
ENR-136804	ENR	2026-09-17	Janice Hamiltonflagged	1977-02-23	UHC-98453-76	3966720156	6541 Cedar Ln, Las Vegas, NV	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶PRV-28233PRVCLM-428071CLM1.00Scoredweighted 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

▶PRV-28233PRVCLM-428072CLM1.00Scoredweighted 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

▶CLM-428071CLMCLM-428072CLM1.00Scoredweighted 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

▶PRV-28233PRVENR-136804ENR1.00Scoredweighted 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

▶CLM-428071CLMENR-136804ENR1.00Scoredweighted 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

▶CLM-428072CLMENR-136804ENR1.00Scoredweighted 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

▶PRV-28233PRVENR-136805ENR1.00Scoredweighted 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

▶CLM-428071CLMENR-136805ENR1.00Scoredweighted 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

▶CLM-428072CLMENR-136805ENR1.00Scoredweighted 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-136805ENRENR-136804ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-428071 → UHC-98453-76 (Janice Hamilton)
ACT-003770, Claims processor
Orphan claim re-pointedExecuted
CLM-428072 → UHC-98453-76 (Janice Hamilton)
ACT-009275, Claims processor
Duplicate member record retiredExecuted
Janice Hamilton: 2 enrollment records collapsed into UHC-98453-76
ACT-025998, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:55Record linked automatically94e1362e06
scoring_agent, ENR-136804, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-22 12:43:55Record linked automatically35320dbad0
scoring_agent, ENR-136805, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-22 12:43:55Record linked automatically266c364829
scoring_agent, CLM-428072, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-22 12:43:55Record linked automatically037cbe7a7a
scoring_agent, CLM-428071, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-22 12:43:55Record linked automatically4139b3ffff
scoring_agent, PRV-28233, identity id MBR-033953, confidence 1, method probabilistic, matched record CLM-428071, policy version 1
2026-10-19 19:54:39Record linked automaticallycc17ab5197
scoring_agent, ENR-136804, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-19 19:54:39Record linked automatically894fa95851
scoring_agent, ENR-136805, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-19 19:54:39Record linked automaticallye06fc4c708
scoring_agent, CLM-428072, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-19 19:54:39Record linked automatically67d6ec9d94
scoring_agent, CLM-428071, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-19 19:54:39Record linked automatically9878beb75b
scoring_agent, PRV-28233, identity id MBR-033953, confidence 1, method probabilistic, matched record CLM-428071, policy version 1
2026-10-19 19:52:09Record linked automaticallybba8a49852
scoring_agent, ENR-136804, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-19 19:52:09Record linked automatically7944c4be76
scoring_agent, ENR-136805, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-19 19:52:09Record linked automatically9fbd0c8877
scoring_agent, CLM-428072, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-19 19:52:09Record linked automatically2b93c47383
scoring_agent, CLM-428071, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-19 19:52:09Record linked automaticallyf6579d3b9b
scoring_agent, PRV-28233, identity id MBR-033953, confidence 1, method probabilistic, matched record CLM-428071, policy version 1
2026-10-19 19:45:42Record linked automaticallyd0039f7812
scoring_agent, ENR-136804, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-19 19:45:42Record linked automaticallybe3f24e7b6
scoring_agent, ENR-136805, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-19 19:45:42Record linked automatically4b6d17bbcd
scoring_agent, CLM-428072, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-19 19:45:42Record linked automatically29f916996e
scoring_agent, CLM-428071, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-19 19:45:42Record linked automaticallyc45adbdfdb
scoring_agent, PRV-28233, identity id MBR-033953, confidence 1, method probabilistic, matched record CLM-428071, policy version 1
2026-10-19 19:32:31Record linked automatically0f67acc2a1
scoring_agent, ENR-136804, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-19 19:32:31Record linked automatically84a476b568
scoring_agent, ENR-136805, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-19 19:32:31Record linked automaticallyf850ba08e4
scoring_agent, CLM-428072, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-19 19:32:31Record linked automaticallyb56bf6a5a0
scoring_agent, CLM-428071, identity id MBR-033953, confidence 1, method probabilistic, matched record PRV-28233, policy version 1
2026-10-19 19:32:31Record linked automatically8af4ecf790
scoring_agent, PRV-28233, identity id MBR-033953, confidence 1, method probabilistic, matched record CLM-428071, policy version 1
2026-10-19 19:31:28Record linked automatically061d66d2ff
matching_agent, PRV-28233, identity id MBR-039559, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137108
2026-10-19 19:31:28Record linked automatically56ee3c60c5
matching_agent, CLM-428072, identity id MBR-015553, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-428073
2026-10-19 19:31:28Record linked automatically99dbcd8334
matching_agent, CLM-428071, identity id MBR-008713, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137113

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-030237	2026-06-12	Sunrise Family Practice in network	36415	$15.00	$0.00	Approved	Approved
CLM-2026-009272	2026-06-25	Lakeside Physical Therapy in network	97110	$372.00	$200.64	Approved	Approved