Identities/MBR-000363

Gold, golden identity

Ralph Shaw

5 source records from 3 feeds.

MBR-000363Verified5 records

Golden record

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

First namePRV: Ralph
Middle name—: —
Last namePRV: Shaw
Date of birthPRV: 1955-09-18
GenderPRV: F
Member IDPRV: UHC-87502-98
SSNTPA: •••-••-5626
PhonePRV: 8135007335
EmailPRV: ralph.shaw53@aol.com
AddressPRV: 6408 Central Ave
CityPRV: San Antonio
StatePRV: TX
ZIPPRV: 78238
GroupCLM: GRP-2409
PlanPRV: CHOICE-PLUS-PPO

Min confidence

0.93

Sources

PRV ×2TPA ×2CLM ×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
PRV-20881	PRV	2026-01-02	Ralph Shawflagged	1955-09-18	—	—	6408 Central Ave, San Antonio, TX	Scored	0.93	—
TPA-51336	TPA	2026-04-08	Ralph Shawflagged	1955-09-18	—	8135007335	—	Scored	1.00	—
TPA-51337	TPA	2026-07-22	Ralph Shawflagged	1955-09-18	—	8135007335	—	Scored	1.00	—
CLM-403135	CLM	2026-09-27	Ralph Shawflagged	1955-09-18	UHC-87502-98	8135007335	4908 Broadway, Phoenix, AZ	Scored	1.00	—
PRV-20882	PRV	2026-10-15	Ralph Shawflagged	1955-09-18	UHC-87502-98	8135007335	6408 Central Ave, San Antonio, TX	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-51336TPACLM-403135CLM 1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-51337TPACLM-403135CLM 1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-51336TPAPRV-20882PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-51337TPAPRV-20882PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-51336TPATPA-51337TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-403135CLM PRV-20882PRV0.99RuleD1 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	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-20881PRVPRV-20882PRV0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-20881PRVTPA-51336TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶PRV-20881PRVTPA-51337TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶PRV-20881PRVCLM-403135CLM 0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically985e63e7e3
scoring_agent, PRV-20882, identity id MBR-000363, confidence 1, method probabilistic, matched record TPA-51336, policy version 1
2026-10-19 19:54:38Record linked automaticallya0cf28ddb6
scoring_agent, CLM-403135, identity id MBR-000363, confidence 1, method probabilistic, matched record TPA-51336, policy version 1
2026-10-19 19:54:38Record linked automaticallya6159a9739
scoring_agent, TPA-51337, identity id MBR-000363, confidence 1, method probabilistic, matched record TPA-51336, policy version 1
2026-10-19 19:54:38Record linked automatically7c81343313
scoring_agent, TPA-51336, identity id MBR-000363, confidence 1, method probabilistic, matched record TPA-51337, policy version 1
2026-10-19 19:54:38Record linked automaticallyb862197805
scoring_agent, PRV-20881, identity id MBR-000363, confidence 0.93, method probabilistic, matched record PRV-20882, policy version 1
2026-10-19 19:52:08Record linked automatically4b55f54f9e
scoring_agent, PRV-20882, identity id MBR-000363, confidence 1, method probabilistic, matched record TPA-51336, policy version 1
2026-10-19 19:52:08Record linked automaticallyc5ac5ce1ed
scoring_agent, CLM-403135, identity id MBR-000363, confidence 1, method probabilistic, matched record TPA-51336, policy version 1
2026-10-19 19:52:08Record linked automaticallyfc91457ec2
scoring_agent, TPA-51337, identity id MBR-000363, confidence 1, method probabilistic, matched record TPA-51336, policy version 1
2026-10-19 19:52:08Record linked automatically91e66242fc
scoring_agent, TPA-51336, identity id MBR-000363, confidence 1, method probabilistic, matched record TPA-51337, policy version 1
2026-10-19 19:52:08Record linked automatically3263552949
scoring_agent, PRV-20881, identity id MBR-000363, confidence 0.93, method probabilistic, matched record PRV-20882, policy version 1
2026-10-19 19:45:41Record linked automaticallya32909d864
scoring_agent, PRV-20882, identity id MBR-000363, confidence 1, method probabilistic, matched record TPA-51336, policy version 1
2026-10-19 19:45:41Record linked automatically0966fcd009
scoring_agent, CLM-403135, identity id MBR-000363, confidence 1, method probabilistic, matched record TPA-51336, policy version 1
2026-10-19 19:45:41Record linked automatically308537fc6d
scoring_agent, TPA-51337, identity id MBR-000363, confidence 1, method probabilistic, matched record TPA-51336, policy version 1
2026-10-19 19:45:41Record linked automatically94f3f14792
scoring_agent, TPA-51336, identity id MBR-000363, confidence 1, method probabilistic, matched record TPA-51337, policy version 1
2026-10-19 19:45:41Record linked automatically3a0837af22
scoring_agent, PRV-20881, identity id MBR-000363, confidence 0.93, method probabilistic, matched record PRV-20882, policy version 1
2026-10-19 19:32:31Record linked automaticallyd37708417e
scoring_agent, PRV-20882, identity id MBR-000363, confidence 1, method probabilistic, matched record TPA-51336, policy version 1
2026-10-19 19:32:31Record linked automaticallyd5f2380662
scoring_agent, CLM-403135, identity id MBR-000363, confidence 1, method probabilistic, matched record TPA-51336, policy version 1
2026-10-19 19:32:31Record linked automatically28ad518d2c
scoring_agent, TPA-51337, identity id MBR-000363, confidence 1, method probabilistic, matched record TPA-51336, policy version 1
2026-10-19 19:32:31Record linked automatically30fd355223
scoring_agent, TPA-51336, identity id MBR-000363, confidence 1, method probabilistic, matched record TPA-51337, policy version 1
2026-10-19 19:32:31Record linked automaticallyf531cfe89c
scoring_agent, PRV-20881, identity id MBR-000363, confidence 0.93, method probabilistic, matched record PRV-20882, policy version 1
2026-10-19 19:31:28Record linked automatically00fb5fb5aa
scoring_agent, PRV-20881, identity id MBR-034451, confidence 1, method probabilistic, matched record PRV-20882, policy version 1
2026-10-19 19:31:28Record linked automatically3db8e19210
scoring_agent, PRV-20882, identity id MBR-034451, confidence 1, method probabilistic, matched record PRV-20881, policy version 1
2026-10-19 19:31:28Record linked automaticallyf76a0f1120
scoring_agent, TPA-51337, identity id MBR-033061, confidence 1, method probabilistic, matched record TPA-51338, policy version 1
2026-10-19 19:31:28Record linked automatically3911d48dcf
matching_agent, CLM-403135, identity id MBR-007677, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403134

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-006161	2026-09-17	Lakeside Skin Care Associates in network	11403	$571.00	$279.02	Approved	Approved