Identities/MBR-037423
Gold, golden identity

Heather T Welch

5 source records from 1 feed.

MBR-037423Verified5 recordsOpen steward case

Golden record

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

First nameCLM
Heather
Middle nameCLM
T
Last nameCLM
Welch
Date of birthCLM
1979-04-06
GenderCLM
M
Member IDCLM
UHC-33964-15
SSNCLM
•••-••-4470
PhoneCLM
2082019606
Email—
—
AddressCLM
4656 Pine Dr
CityCLM
Fresno
StateCLM
CA
ZIPCLM
93790
GroupCLM
GRP-0795
PlanCLM
MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×5
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.990.991.001.00CLMCLM-409574CLMCLM-409573CLMCLM-409572CLMCLM-409575CLMCLM-409576IDMBR-037423
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-409574CLM2026-07-06Heather Welchflagged1979-04-06—20820196064656 Pine Dr, Fresno, CAScored1.00—
CLM-409573CLM2026-08-22Heathar Welchflagged1979-04-06UHC-33964-1520820196064656 Pine Dr, Fresno, CAScored0.99—
CLM-409572CLM2026-08-22Heathar Welchflagged1979-04-06UHC-33964-1520820196064656 Pine Dr, Fresno, CAScored0.99—
CLM-409575CLM2026-08-24Heather Welchflagged1979-04-06—20820196064656 Pine Dr, Fresno, CAScored1.00—
CLM-409576CLM2026-08-24Heather Welchflagged1979-04-06—20820196064656 Pine Dr, Fresno, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-409574CLMCLM-409575CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409574CLMCLM-409576CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409574CLMCLM-409572CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409574CLMCLM-409573CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409573CLMCLM-409572CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-409573CLMCLM-409575CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-409572CLMCLM-409575CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-409573CLMCLM-409576CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-409572CLMCLM-409576CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-409575CLMCLM-409576CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-409575 → UHC-33964-15 (Heather Welch)
    ACT-002158, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-409574 → UHC-33964-15 (Heather Welch)
    ACT-002406, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-409576 → UHC-33964-15 (Heather Welch)
    ACT-004763, Claims processor
  • Care coordination outreachProposed
    Heather Welch: 5 claims, no attributed provider
    ACT-019558, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:39Record linked automaticallyab0d122247
    scoring_agent, CLM-409576, identity id MBR-037423, confidence 1, method probabilistic, matched record CLM-409574, policy version 1
  • 2026-10-19 19:54:39Record linked automatically9493fff291
    scoring_agent, CLM-409575, identity id MBR-037423, confidence 1, method probabilistic, matched record CLM-409574, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallyac3a34dca0
    scoring_agent, CLM-409572, identity id MBR-037423, confidence 0.99, method probabilistic, matched record CLM-409574, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallyebbaa63757
    scoring_agent, CLM-409573, identity id MBR-037423, confidence 0.99, method probabilistic, matched record CLM-409574, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallyd7c1f782cd
    scoring_agent, CLM-409574, identity id MBR-037423, confidence 1, method probabilistic, matched record CLM-409575, policy version 1
  • 2026-10-19 19:52:09Record linked automatically01d52a6b6d
    scoring_agent, CLM-409576, identity id MBR-037423, confidence 1, method probabilistic, matched record CLM-409574, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3cbfa1d71d
    scoring_agent, CLM-409575, identity id MBR-037423, confidence 1, method probabilistic, matched record CLM-409574, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0aea9fcd20
    scoring_agent, CLM-409572, identity id MBR-037423, confidence 0.99, method probabilistic, matched record CLM-409574, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7b244a70c8
    scoring_agent, CLM-409573, identity id MBR-037423, confidence 0.99, method probabilistic, matched record CLM-409574, policy version 1
  • 2026-10-19 19:52:09Record linked automatically910f98ea98
    scoring_agent, CLM-409574, identity id MBR-037423, confidence 1, method probabilistic, matched record CLM-409575, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4cdc75ebdf
    scoring_agent, CLM-409576, identity id MBR-037423, confidence 1, method probabilistic, matched record CLM-409574, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc107405cc6
    scoring_agent, CLM-409575, identity id MBR-037423, confidence 1, method probabilistic, matched record CLM-409574, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0da660ffc7
    scoring_agent, CLM-409572, identity id MBR-037423, confidence 0.99, method probabilistic, matched record CLM-409574, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb09abf933e
    scoring_agent, CLM-409573, identity id MBR-037423, confidence 0.99, method probabilistic, matched record CLM-409574, policy version 1
  • 2026-10-19 19:45:42Record linked automatically670d6d8069
    scoring_agent, CLM-409574, identity id MBR-037423, confidence 1, method probabilistic, matched record CLM-409575, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1476ef4d94
    scoring_agent, CLM-409576, identity id MBR-037423, confidence 1, method probabilistic, matched record CLM-409574, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4db4476f0e
    scoring_agent, CLM-409575, identity id MBR-037423, confidence 1, method probabilistic, matched record CLM-409574, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7a6c169c07
    scoring_agent, CLM-409572, identity id MBR-037423, confidence 0.99, method probabilistic, matched record CLM-409574, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1e6abe8fdf
    scoring_agent, CLM-409573, identity id MBR-037423, confidence 0.99, method probabilistic, matched record CLM-409574, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5dbaff57b3
    scoring_agent, CLM-409574, identity id MBR-037423, confidence 1, method probabilistic, matched record CLM-409575, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye7fdfd75c0
    scoring_agent, CLM-409576, identity id MBR-022065, confidence 1, method probabilistic, matched record CLM-409578, policy version 1
  • 2026-10-19 19:31:28Record linked automatically4d220d5ec6
    matching_agent, CLM-409573, identity id MBR-021140, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112636
  • 2026-10-19 19:31:28Record linked automatically72d083e198
    matching_agent, CLM-409575, identity id MBR-009145, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-112641
  • 2026-10-19 19:31:28Record linked automaticallyf8dd34b67a
    scoring_agent, CLM-409572, identity id MBR-002469, confidence 1, method probabilistic, matched record CLM-409571, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0130272026-07-11Harbor Regional Medical Center
in network
71046, 96374$348.00$111.65ApprovedApproved
CLM-2026-0031582026-08-21Canyon GI Associates
in network
99214$215.00$93.30ApprovedApproved
CLM-2026-0329752026-08-14Riverside Regional Medical Center
out of network
99283, 99285$3,044.00$1,053.90ApprovedApproved
CLM-2026-0309572026-08-08Lakeside Physical Therapy
in network
97110, 97140$314.00$174.68ApprovedApproved
CLM-2026-0039952026-06-11Northgate Medical Group
in network
99395, 99203$441.00$253.42ApprovedApproved