Identities/MBR-041635
Gold, golden identity

Susan Scott

4 source records from 2 feeds.

MBR-041635Verified4 records

Golden record

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

First nameENR
Susan
Middle name—
—
Last nameENR
Scott
Date of birthENR
1971-09-12
GenderENR
M
Member IDENR
UHC-34135-53
SSNENR
•••-••-6628
PhoneCLM
7159685927
EmailENR
susan.scott@hotmail.com
AddressENR
6472 Main St
CityENR
San Diego
StateENR
CA
ZIP—
—
GroupENR
GRP-2374
PlanENR
SELECT-EPO
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.991.000.99CLMCLM-409359ENRENR-112319CLMCLM-409361CLMCLM-409360IDMBR-041635
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-409359CLM2026-08-15Susan Scottflagged1971-09-12—71596859276472 Main St, San Diego, CAScored1.00—
ENR-112319ENR2026-09-02Susan Scottflagged1971-09-12UHC-34135-53—6472 Main St, San Diego, CARule0.99D1 member id + dob exact
CLM-409361CLM2026-09-16Susan Scottflagged1971-09-12UHC-34135-5371596859276472 Main St, San Diego, CAScored1.00—
CLM-409360CLM2026-09-19Ssan Scottflagged1971-09-12——6472 Main St, San Diego, CAScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-409359CLMCLM-409361CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409359CLMCLM-409360CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409361CLMCLM-409360CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-112319ENRCLM-409361CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-409359CLMENR-112319ENR0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-112319ENRCLM-409360CLM0.92Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-409359 → UHC-34135-53 (Susan Scott)
    ACT-001402, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-409360 → UHC-34135-53 (Susan Scott)
    ACT-008457, Claims processor
  • Care coordination outreachProposed
    Susan Scott: 3 claims, no attributed provider
    ACT-019581, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:39Record linked automaticallyb42a71374c
    scoring_agent, CLM-409360, identity id MBR-041635, confidence 0.99, method probabilistic, matched record CLM-409359, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallyea0f8a6162
    scoring_agent, CLM-409361, identity id MBR-041635, confidence 1, method probabilistic, matched record CLM-409359, policy version 1
  • 2026-10-19 19:54:39Record linked automatically171aa55f7e
    matching_agent, ENR-112319, identity id MBR-041635, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409361
  • 2026-10-19 19:54:39Record linked automatically988ff3d3d8
    scoring_agent, CLM-409359, identity id MBR-041635, confidence 1, method probabilistic, matched record CLM-409361, policy version 1
  • 2026-10-19 19:52:09Record linked automatically32b75da084
    scoring_agent, CLM-409360, identity id MBR-041635, confidence 0.99, method probabilistic, matched record CLM-409359, policy version 1
  • 2026-10-19 19:52:09Record linked automatically339fb75697
    scoring_agent, CLM-409361, identity id MBR-041635, confidence 1, method probabilistic, matched record CLM-409359, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyfbe20c9e0c
    matching_agent, ENR-112319, identity id MBR-041635, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409361
  • 2026-10-19 19:52:09Record linked automaticallyad9a667e39
    scoring_agent, CLM-409359, identity id MBR-041635, confidence 1, method probabilistic, matched record CLM-409361, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyceaf47fb69
    scoring_agent, CLM-409360, identity id MBR-041635, confidence 0.99, method probabilistic, matched record CLM-409359, policy version 1
  • 2026-10-19 19:45:42Record linked automatically35cd1335ac
    scoring_agent, CLM-409361, identity id MBR-041635, confidence 1, method probabilistic, matched record CLM-409359, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4df0a7b456
    matching_agent, ENR-112319, identity id MBR-041635, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409361
  • 2026-10-19 19:45:42Record linked automatically5796b6d138
    scoring_agent, CLM-409359, identity id MBR-041635, confidence 1, method probabilistic, matched record CLM-409361, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9870fa230b
    scoring_agent, CLM-409360, identity id MBR-041635, confidence 0.99, method probabilistic, matched record CLM-409359, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb717e71ca9
    scoring_agent, CLM-409361, identity id MBR-041635, confidence 1, method probabilistic, matched record CLM-409359, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya4f148d9fc
    matching_agent, ENR-112319, identity id MBR-041635, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409361
  • 2026-10-19 19:32:31Record linked automatically56db4e98cf
    scoring_agent, CLM-409359, identity id MBR-041635, confidence 1, method probabilistic, matched record CLM-409361, policy version 1
  • 2026-10-19 19:31:28Record linked automatically748e82ec10
    matching_agent, CLM-409359, identity id MBR-030384, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112350
  • 2026-10-19 19:31:28Record linked automaticallyb6fc5af2aa
    scoring_agent, ENR-112319, identity id MBR-028164, confidence 1, method probabilistic, matched record CLM-409336, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0d4d92a14d
    matching_agent, CLM-409361, identity id MBR-018170, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-112355
  • 2026-10-19 19:31:28Record linked automatically1bab3d105a
    scoring_agent, CLM-409360, identity id MBR-013501, confidence 1, method probabilistic, matched record ENR-112352, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0269612026-09-10Valley Heart Institute
in network
99214$297.00$124.14ApprovedApproved
CLM-2026-0116252026-08-25Mesa Medical Group
in network
70553$3,095.00—Needs reviewNeeds review
CLM-2026-0002572026-07-28Valley Community Hospital
out of network
96374$153.00—Needs reviewNeeds review