Identities/MBR-036271
Gold, golden identity

Douglas Harris

5 source records from 3 feeds.

MBR-036271Verified5 records

Golden record

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

First nameENR
Douglas
Middle name—
—
Last nameENR
Harris
Date of birthENR
1941-12-09
GenderENR
M
Member IDENR
UHC-15357-52
SSNENR
•••-••-2372
PhoneENR
9069937845
EmailENR
douglas.harris@icloud.com
AddressENR
5994 Church St
CityENR
Fresno
StateENR
CA
ZIPENR
93781
GroupENR
GRP-9796
PlanENR
CORE-HMO
Min confidence
0.97
Sources
CLM ×3ENR ×1TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.970.990.990.990.99CLMCLM-409255CLMCLM-409253ENRENR-112186TPATPA-54019CLMCLM-409254IDMBR-036271
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-409255CLM2026-06-25Douglas Harrisflagged1941-12-09—9069937845—Rule0.97D2 ssn4 + dob + last name
CLM-409253CLM2026-07-01Douglas Harrisflagged1941-12-09UHC-15357-52——Rule0.99D1 member id + dob exact
ENR-112186ENR2026-07-03Douglas Harrisflagged1941-12-09UHC-15357-5290699378455994 Church St, Fresno, CARule0.99D1 member id + dob exact
TPA-54019TPA2026-08-16Douglas Harrisflagged1941-12-09—90699378455994 Church St, Fresno, CAScored0.99—
CLM-409254CLM2026-10-15Douglas Harisflagged1941-12-09UHC-15357-52—5994 Church St, Fresno, CAScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-54019 TPACLM-409254CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409253CLMCLM-409254CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-112186ENRCLM-409254CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409253CLMENR-112186ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409255CLMENR-112186ENR0.97RuleD2 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
▶CLM-409255CLMTPA-54019 TPA0.97RuleD2 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
▶ENR-112186ENRTPA-54019 TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-409255CLMCLM-409253CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-409255CLMCLM-409254CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-409253CLMTPA-54019 TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-409255 → UHC-15357-52 (Douglas Harris)
    ACT-007099, Claims processor
  • Care coordination outreachProposed
    Douglas Harris: 3 claims, no attributed provider
    ACT-019541, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:39Record linked automatically4ea6513b01
    scoring_agent, CLM-409254, identity id MBR-036271, confidence 0.99, method probabilistic, matched record TPA-54019, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallyac231c1f71
    scoring_agent, TPA-54019, identity id MBR-036271, confidence 0.99, method probabilistic, matched record CLM-409254, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallya6c39a4060
    matching_agent, ENR-112186, identity id MBR-036271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409253
  • 2026-10-19 19:54:39Record linked automatically743100fbb7
    matching_agent, CLM-409253, identity id MBR-036271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112186
  • 2026-10-19 19:54:39Record linked automatically5df6dba07a
    matching_agent, CLM-409255, identity id MBR-036271, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-112186
  • 2026-10-19 19:52:09Record linked automatically16c548d920
    scoring_agent, CLM-409254, identity id MBR-036271, confidence 0.99, method probabilistic, matched record TPA-54019, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyef800d9f0d
    scoring_agent, TPA-54019, identity id MBR-036271, confidence 0.99, method probabilistic, matched record CLM-409254, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6754dafeda
    matching_agent, ENR-112186, identity id MBR-036271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409253
  • 2026-10-19 19:52:09Record linked automatically6a014f23c4
    matching_agent, CLM-409253, identity id MBR-036271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112186
  • 2026-10-19 19:52:09Record linked automaticallyf7d407e80c
    matching_agent, CLM-409255, identity id MBR-036271, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-112186
  • 2026-10-19 19:45:42Record linked automaticallycab08c692f
    scoring_agent, CLM-409254, identity id MBR-036271, confidence 0.99, method probabilistic, matched record TPA-54019, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye2490af93b
    scoring_agent, TPA-54019, identity id MBR-036271, confidence 0.99, method probabilistic, matched record CLM-409254, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9bf80b1a73
    matching_agent, ENR-112186, identity id MBR-036271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409253
  • 2026-10-19 19:45:42Record linked automatically98052abfdd
    matching_agent, CLM-409253, identity id MBR-036271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112186
  • 2026-10-19 19:45:42Record linked automatically8116dae14a
    matching_agent, CLM-409255, identity id MBR-036271, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-112186
  • 2026-10-19 19:32:31Record linked automatically62f3dd8e99
    scoring_agent, CLM-409254, identity id MBR-036271, confidence 0.99, method probabilistic, matched record TPA-54019, policy version 1
  • 2026-10-19 19:32:31Record linked automatically20c46dd8db
    scoring_agent, TPA-54019, identity id MBR-036271, confidence 0.99, method probabilistic, matched record CLM-409254, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5aaf8e3bf9
    matching_agent, ENR-112186, identity id MBR-036271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409253
  • 2026-10-19 19:32:31Record linked automatically92fba67300
    matching_agent, CLM-409253, identity id MBR-036271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112186
  • 2026-10-19 19:32:31Record linked automaticallyf5933afb71
    matching_agent, CLM-409255, identity id MBR-036271, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-112186
  • 2026-10-19 19:31:28Record linked automatically2070b32206
    matching_agent, CLM-409253, identity id MBR-043166, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-112192
  • 2026-10-19 19:31:28Record linked automaticallyd0aa8dca72
    scoring_agent, CLM-409254, identity id MBR-035011, confidence 0.99, method probabilistic, matched record ENR-112193, policy version 1
  • 2026-10-19 19:31:28Record linked automatically32fd83f3ad
    matching_agent, ENR-112186, identity id MBR-020036, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409246
  • 2026-10-19 19:31:28Record linked automaticallyb9dd6e4d2c
    matching_agent, CLM-409255, identity id MBR-002491, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112195

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0047192026-10-07Riverside Bone and Joint Center
out of network
27447$39,961.00—DeniedDenied
CLM-2026-0142142026-06-12Valley Medical Group
in network
99395$300.00$146.00ApprovedApproved
CLM-2026-0217242026-06-13Unity Bone and Joint Center
in network
99213$194.00$70.28ApprovedApproved