Identities/MBR-039856
Gold, golden identity

Beverly H Hughes

4 source records from 2 feeds.

MBR-039856Verified4 records

Golden record

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

First nameENR
Beverly
Middle nameENR
H
Last nameENR
Hughes
Date of birthCLM
1988-06-28
GenderENR
F
Member IDENR
UHC-84048-28
SSNENR
•••-••-1537
PhoneENR
7947014104
Email—
—
AddressCLM
3148 Cedar Ln
CityCLM
Plano
StateENR
TX
ZIPCLM
75003
GroupENR
GRP-8923
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.96
Sources
ENR ×1CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.960.970.990.99ENRENR-107540CLMCLM-405734CLMCLM-405735CLMCLM-405733IDMBR-039856
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
ENR-107540ENR2026-07-28Beverly Hughesflagged1987-06-28UHC-84048-2879470141044067 Mountain View Dr, Houston, TXRule0.96D3 member id + name
CLM-405734CLM2026-08-18Beverly Hughesflagged1988-06-28——3148 Cedar Ln, Plano, TXRule0.97D2 ssn4 + dob + last name
CLM-405735CLM2026-09-01Beverly Hughesflagged1988-06-28UHC-84048-28—3148 Cedar Ln, Plano, TXRule0.99D1 member id + dob exact
CLM-405733CLM2026-10-04Beverly Hughesflagged1988-06-28UHC-84048-28—3148 Cedar Ln, Plano, TXRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-405735CLMCLM-405733CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-405734CLMCLM-405733CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-405734CLMCLM-405735CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-107540ENRCLM-405733CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
SSN (last four)1.002.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-107540ENRCLM-405735CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
SSN (last four)1.002.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-107540ENRCLM-405734CLM0.67Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
SSN (last four)1.002.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Beverly Hughes: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
    ACT-001301, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-405734 → UHC-84048-28 (Beverly Hughes)
    ACT-002222, Claims processor
  • Outreach address correctedProposed
    Beverly Hughes: 4067 Mountain View Dr, Houston → 3148 Cedar Ln, Plano
    ACT-013323, Outreach
  • Care coordination outreachProposed
    Beverly Hughes: 3 claims, no attributed provider
    ACT-019576, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:39Record linked automaticallyacadf45405
    matching_agent, CLM-405733, identity id MBR-039856, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405735
  • 2026-10-19 19:54:39Record linked automatically6611f11051
    matching_agent, CLM-405735, identity id MBR-039856, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405733
  • 2026-10-19 19:54:39Record linked automatically84a4a290e8
    matching_agent, CLM-405734, identity id MBR-039856, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-405735
  • 2026-10-19 19:54:39Record linked automatically149e0ba17f
    matching_agent, ENR-107540, identity id MBR-039856, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-405735
  • 2026-10-19 19:52:09Record linked automaticallya0fabe553d
    matching_agent, CLM-405733, identity id MBR-039856, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405735
  • 2026-10-19 19:52:09Record linked automaticallyc497f49206
    matching_agent, CLM-405735, identity id MBR-039856, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405733
  • 2026-10-19 19:52:09Record linked automaticallyd4ec303bba
    matching_agent, CLM-405734, identity id MBR-039856, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-405735
  • 2026-10-19 19:52:09Record linked automatically0a4a6297a5
    matching_agent, ENR-107540, identity id MBR-039856, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-405735
  • 2026-10-19 19:45:42Record linked automaticallya0fabcb94c
    matching_agent, CLM-405733, identity id MBR-039856, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405735
  • 2026-10-19 19:45:42Record linked automatically94ea3fe41b
    matching_agent, CLM-405735, identity id MBR-039856, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405733
  • 2026-10-19 19:45:42Record linked automatically1a58a34426
    matching_agent, CLM-405734, identity id MBR-039856, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-405735
  • 2026-10-19 19:45:42Record linked automaticallyb85a20bcad
    matching_agent, ENR-107540, identity id MBR-039856, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-405735
  • 2026-10-19 19:32:31Record linked automaticallyec4e82fb32
    matching_agent, CLM-405733, identity id MBR-039856, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405735
  • 2026-10-19 19:32:31Record linked automaticallyb3d7fc1516
    matching_agent, CLM-405735, identity id MBR-039856, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405733
  • 2026-10-19 19:32:31Record linked automatically8f1d624d94
    matching_agent, CLM-405734, identity id MBR-039856, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-405735
  • 2026-10-19 19:32:31Record linked automatically9d5346f4fc
    matching_agent, ENR-107540, identity id MBR-039856, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-405735
  • 2026-10-19 19:31:28Record linked automaticallya937fa0c68
    scoring_agent, ENR-107540, identity id MBR-032265, confidence 1, method probabilistic, matched record TPA-52566, policy version 1
  • 2026-10-19 19:31:28Record linked automatically05928c5863
    matching_agent, CLM-405734, identity id MBR-030076, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107498
  • 2026-10-19 19:31:28Record linked automatically34c6d55a1f
    matching_agent, CLM-405733, identity id MBR-029692, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405732
  • 2026-10-19 19:31:28Record linked automatically4d33f5fe06
    matching_agent, CLM-405735, identity id MBR-005321, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107501

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0004932026-09-28Canyon Heart Institute
out of network
93015, 93306$1,601.00$0.00ApprovedApproved
CLM-2026-0162032026-04-11Summit Clinical Laboratories
in network
83036, 80061, 85025$135.00—DeniedDenied
CLM-2026-0033812026-08-02Canyon Medical Group
in network
99214$302.00$167.24ApprovedApproved