Identities/MBR-000557

Gold, golden identity

Billy L Little

6 source records from 3 feeds.

MBR-000557Verified6 records

Golden record

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

First nameENR: Billy
Middle nameENR: L
Last nameENR: Little
Date of birthENR: 2002-08-12
GenderENR: F
Member IDENR: UHC-81288-01
SSNENR: •••-••-6169
PhoneENR: 4874098197
EmailENR: billy.little27@gmail.com
AddressENR: 5327 Canyon Rd
CityENR: Columbus
StateENR: OH
ZIPENR: 43296
GroupENR: GRP-6870
PlanENR: MEDICARE-ADV-B

Min confidence

0.97

Sources

TPA ×3CLM ×2ENR ×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
TPA-56518	TPA	2026-01-02	Billy Littleflagged	2002-08-12	—	—	5327 Canyon Rd, Columbus, OH	Scored	1.00	—
CLM-414799	CLM	2026-03-12	Billy Littleflagged	2002-08-12	—	4874098197	5327 Canyon Rd, Columbus, OH	Scored	1.00	—
ENR-119459	ENR	2026-03-16	Billy Littleflagged	2002-08-12	UHC-81288-01	4874098197	5327 Canyon Rd, Columbus, OH	Scored	1.00	—
TPA-56516	TPA	2026-06-01	Billy Littleflagged	2002-08-12	—	—	5327 Canyon Rd, Columbus, OH	Scored	1.00	—
TPA-56517	TPA	2026-07-16	Billy Littleflagged	2002-08-12	—	4874098197	5327 Canyon Rd, Columbus, OH	Scored	1.00	—
CLM-414798	CLM	2026-07-28	Billy Littleflagged	2002-08-12	—	—	—	Rule	0.97	D2 ssn4 + dob + last name

Evidence

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

Score

Method

Rule

Decision

▶TPA-56518TPACLM-414799 CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-414799 CLMENR-119459ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-56518TPATPA-56516TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-414799 CLMTPA-56516TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-119459ENRTPA-56516TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-414799 CLMTPA-56517TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-56516TPATPA-56517TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-56518TPACLM-414798CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-119459ENRCLM-414798CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-56517TPACLM-414798CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-56518TPAENR-119459ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-56518TPATPA-56517TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-119459ENRTPA-56517TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-414799 CLMCLM-414798CLM0.83Scoredweighted 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

▶TPA-56516TPACLM-414798CLM0.83Scoredweighted 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-414799 → UHC-81288-01 (Billy Little)
ACT-004181, Claims processor
Orphan claim re-pointedExecuted
CLM-414798 → UHC-81288-01 (Billy Little)
ACT-007498, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically7fd983ab80
matching_agent, CLM-414798, identity id MBR-000557, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-56518
2026-10-19 19:54:38Record linked automatically3c599126f8
scoring_agent, TPA-56517, identity id MBR-000557, confidence 1, method probabilistic, matched record CLM-414799, policy version 1
2026-10-19 19:54:38Record linked automaticallyba49826845
scoring_agent, TPA-56516, identity id MBR-000557, confidence 1, method probabilistic, matched record TPA-56518, policy version 1
2026-10-19 19:54:38Record linked automaticallyd80eb9db71
scoring_agent, ENR-119459, identity id MBR-000557, confidence 1, method probabilistic, matched record CLM-414799, policy version 1
2026-10-19 19:54:38Record linked automatically8d4112fc32
scoring_agent, CLM-414799, identity id MBR-000557, confidence 1, method probabilistic, matched record TPA-56518, policy version 1
2026-10-19 19:54:38Record linked automatically9b5bd51aa6
scoring_agent, TPA-56518, identity id MBR-000557, confidence 1, method probabilistic, matched record CLM-414799, policy version 1
2026-10-19 19:52:08Record linked automatically7b100b2af6
matching_agent, CLM-414798, identity id MBR-000557, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-56518
2026-10-19 19:52:08Record linked automatically288b038040
scoring_agent, TPA-56517, identity id MBR-000557, confidence 1, method probabilistic, matched record CLM-414799, policy version 1
2026-10-19 19:52:08Record linked automaticallyefe4c804d0
scoring_agent, TPA-56516, identity id MBR-000557, confidence 1, method probabilistic, matched record TPA-56518, policy version 1
2026-10-19 19:52:08Record linked automatically71c1710f95
scoring_agent, ENR-119459, identity id MBR-000557, confidence 1, method probabilistic, matched record CLM-414799, policy version 1
2026-10-19 19:52:08Record linked automatically1f6e8019d8
scoring_agent, CLM-414799, identity id MBR-000557, confidence 1, method probabilistic, matched record TPA-56518, policy version 1
2026-10-19 19:52:08Record linked automatically2bd5ab407c
scoring_agent, TPA-56518, identity id MBR-000557, confidence 1, method probabilistic, matched record CLM-414799, policy version 1
2026-10-19 19:45:41Record linked automatically7595ef2dd7
matching_agent, CLM-414798, identity id MBR-000557, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-56518
2026-10-19 19:45:41Record linked automaticallyba6a022ff6
scoring_agent, TPA-56517, identity id MBR-000557, confidence 1, method probabilistic, matched record CLM-414799, policy version 1
2026-10-19 19:45:41Record linked automatically90e588dd18
scoring_agent, TPA-56516, identity id MBR-000557, confidence 1, method probabilistic, matched record TPA-56518, policy version 1
2026-10-19 19:45:41Record linked automatically06e0c4d175
scoring_agent, ENR-119459, identity id MBR-000557, confidence 1, method probabilistic, matched record CLM-414799, policy version 1
2026-10-19 19:45:41Record linked automaticallyb42ffd3371
scoring_agent, CLM-414799, identity id MBR-000557, confidence 1, method probabilistic, matched record TPA-56518, policy version 1
2026-10-19 19:45:41Record linked automatically7604407d24
scoring_agent, TPA-56518, identity id MBR-000557, confidence 1, method probabilistic, matched record CLM-414799, policy version 1
2026-10-19 19:32:31Record linked automatically7b7ee2c42b
matching_agent, CLM-414798, identity id MBR-000557, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-56518
2026-10-19 19:32:31Record linked automaticallyaf44ff3fc0
scoring_agent, TPA-56517, identity id MBR-000557, confidence 1, method probabilistic, matched record CLM-414799, policy version 1
2026-10-19 19:32:31Record linked automaticallyd29717b488
scoring_agent, TPA-56516, identity id MBR-000557, confidence 1, method probabilistic, matched record TPA-56518, policy version 1
2026-10-19 19:32:31Record linked automaticallyb0138798c5
scoring_agent, ENR-119459, identity id MBR-000557, confidence 1, method probabilistic, matched record CLM-414799, policy version 1
2026-10-19 19:32:31Record linked automatically6ca77f022a
scoring_agent, CLM-414799, identity id MBR-000557, confidence 1, method probabilistic, matched record TPA-56518, policy version 1
2026-10-19 19:32:31Record linked automaticallydef49956c3
scoring_agent, TPA-56518, identity id MBR-000557, confidence 1, method probabilistic, matched record CLM-414799, policy version 1
2026-10-19 19:31:28Record linked automatically17e426343a
matching_agent, TPA-56516, identity id MBR-028118, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-415002
2026-10-19 19:31:28Record linked automatically7a536c8c7d
matching_agent, CLM-414798, identity id MBR-019139, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-414797
2026-10-19 19:31:28Record linked automatically96f2f01848
scoring_agent, TPA-56518, identity id MBR-010220, confidence 1, method probabilistic, matched record CLM-415007, policy version 1
2026-10-19 19:31:28Record linked automatically63873859dd
scoring_agent, TPA-56517, identity id MBR-009690, confidence 1, method probabilistic, matched record CLM-415003, policy version 1
2026-10-19 19:31:28Record linked automaticallyb4b2a707e8
matching_agent, ENR-119459, identity id MBR-007031, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56456

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-2026-023325	2026-07-16	Heritage Medical Group out of network	90471, 99395	$314.00	$130.05	Approved	Approved
CLM-2026-010862	2026-03-04	Pinecrest Physical Therapy in network	97110, 97014	$237.00	$121.94	Approved	Approved