Identities/MBR-000241

Gold, golden identity

Raymond Walsh

5 source records from 2 feeds.

MBR-000241Verified5 recordsOpen steward case

Golden record

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

First nameENR: Raymond
Middle name—: —
Last nameENR: Walsh
Date of birthENR: 1951-11-03
GenderCLM: M
Member IDENR: UHC-09175-90
SSNENR: •••-••-7458
PhoneENR: 6463199468
EmailENR: raymond.walsh91@outlook.com
AddressENR: 764 Baseline Rd
CityENR: Seattle
StateENR: WA
ZIPENR: 98198
GroupENR: GRP-7045
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.99

Sources

CLM ×4ENR ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

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
CLM-400012	CLM	2026-01-01	Raymond Walshflagged	1951-11-03	UHC-09175-90	6463199468	764 Baseline Rd, Seattle, WA	Rule	0.99	D1 member id + dob exact
CLM-400011	CLM	2026-01-01	Raymond Walshflagged	1951-11-03	UHC-09175-90	6463199468	764 Baseline Rd, Seattle, WA	Rule	0.99	D1 member id + dob exact
ENR-100022	ENR	2026-02-25	Raymond Walshflagged	1951-11-03	UHC-09175-90	6463199468	764 Baseline Rd, Seattle, WA	Rule	0.99	D1 member id + dob exact
CLM-400010	CLM	2026-07-29	Ray Walshflagged	1951-11-03	UHC-09175-90	—	764 Baseline Rd, Seattle, WA	Rule	0.99	D1 member id + dob exact
CLM-400013	CLM	2026-08-12	Raymond Walshflagged	1951-11-03	UHC-09175-90	6463199468	764 Baseline Rd, Seattle, WA	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶CLM-400012CLMCLM-400010CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400011CLMCLM-400010CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-100022ENRCLM-400010CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-400012CLMCLM-400011CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-400012CLMCLM-400013CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-400011CLMCLM-400013CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-100022ENRCLM-400013CLM0.99RuleD1 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

▶CLM-400010CLMCLM-400013CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400012CLMENR-100022ENR0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-400011CLMENR-100022ENR0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Care coordination outreachProposed
Raymond Walsh: 4 claims, no attributed provider
ACT-017787, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically405757f611
matching_agent, CLM-400013, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400012
2026-10-19 19:54:38Record linked automaticallyeddd5cc89d
matching_agent, CLM-400010, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400012
2026-10-19 19:54:38Record linked automaticallybcd0dcf58e
matching_agent, ENR-100022, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400012
2026-10-19 19:54:38Record linked automaticallybb6c3f170f
matching_agent, CLM-400011, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400012
2026-10-19 19:54:38Record linked automaticallye707c2e681
matching_agent, CLM-400012, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400011
2026-10-19 19:52:08Record linked automaticallycdbe091fcd
matching_agent, CLM-400013, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400012
2026-10-19 19:52:08Record linked automatically134e7a6f05
matching_agent, CLM-400010, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400012
2026-10-19 19:52:08Record linked automatically4184443143
matching_agent, ENR-100022, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400012
2026-10-19 19:52:08Record linked automaticallybbda516d86
matching_agent, CLM-400011, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400012
2026-10-19 19:52:08Record linked automatically9e507800dc
matching_agent, CLM-400012, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400011
2026-10-19 19:45:41Record linked automaticallye064e61d68
matching_agent, CLM-400013, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400012
2026-10-19 19:45:41Record linked automatically5e9d511372
matching_agent, CLM-400010, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400012
2026-10-19 19:45:41Record linked automaticallyf9bd2c7f13
matching_agent, ENR-100022, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400012
2026-10-19 19:45:41Record linked automatically81b47569f8
matching_agent, CLM-400011, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400012
2026-10-19 19:45:41Record linked automatically6d9ad00481
matching_agent, CLM-400012, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400011
2026-10-19 19:32:31Record linked automaticallye44031976c
matching_agent, CLM-400013, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400012
2026-10-19 19:32:31Record linked automaticallybcc7619845
matching_agent, CLM-400010, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400012
2026-10-19 19:32:31Record linked automatically994c438658
matching_agent, ENR-100022, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400012
2026-10-19 19:32:31Record linked automatically8027efc238
matching_agent, CLM-400011, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400012
2026-10-19 19:32:31Record linked automatically2574423943
matching_agent, CLM-400012, identity id MBR-000241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400011
2026-10-19 19:31:28Record linked automatically99f2bcc82f
matching_agent, ENR-100022, identity id MBR-034864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400023
2026-10-19 19:31:28Record linked automatically12d524c042
scoring_agent, CLM-400012, identity id MBR-024214, confidence 1, method probabilistic, matched record ENR-100013, policy version 1
2026-10-19 19:31:28Record linked automatically38cb82ce4e
matching_agent, CLM-400010, identity id MBR-021112, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-50005
2026-10-19 19:31:28Record linked automatically5c3c0aa0f1
matching_agent, CLM-400011, identity id MBR-010729, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-100012
2026-10-19 19:31:28Record linked automatically6633c62548
scoring_agent, CLM-400013, identity id MBR-007988, confidence 1, method probabilistic, matched record CLM-400014, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-026673	2026-07-23	Pinecrest Cardiovascular Associates in network	99214	$283.00	$100.46	Approved	Approved
CLM-2026-022863	2026-06-21	Northgate Clinical Laboratories in network	83036, 80061	$135.00	$0.00	Approved	Approved
CLM-2026-029724	2025-12-29	Canyon Internal Medicine Associates in network	70553	$2,372.00	—	Needs review	Needs review
CLM-2026-011576	2025-12-04	Mesa Reference Lab in network	85025, 80053	$136.00	—	Needs review	Needs review