Identities/MBR-000595

Gold, golden identity

Nathan Cunningham

5 source records from 3 feeds.

MBR-000595Verified5 records

Golden record

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

First namePRV: Nathan
Middle name—: —
Last namePRV: Cunningham
Date of birthPRV: 1938-05-08
GenderPRV: F
Member IDPRV: UHC-14810-76
SSNCLM: •••-••-1337
PhoneCLM: 5242251717
EmailPRV: nathan.cunningham@icloud.com
AddressPRV: 8203 Lake View Rd
CityPRV: Atlanta
StatePRV: GA
ZIPPRV: 30399
GroupCLM: GRP-2649
PlanCLM: NAVIGATE-HMO

Min confidence

1.00

Sources

CLM ×3TPA ×1PRV ×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-409493	CLM	2026-01-02	Nathan Cunninghamflagged	1938-05-08	—	—	8203 Lake View Rd, Atlanta, GA	Scored	1.00	—
TPA-54120	TPA	2026-02-15	Nathan Cunninghamflagged	1938-05-08	—	5242251717	8203 Lake View Rd, Atlanta, GA	Scored	1.00	—
PRV-22773	PRV	2026-04-12	Nathan Cunninghamflagged	1938-05-08	UHC-14810-76	—	8203 Lake View Rd, Atlanta, GA	Scored	1.00	—
CLM-409494	CLM	2026-04-30	Nathan Cunninghamflagged	1938-05-08	—	5242251717	—	Scored	1.00	—
CLM-409492	CLM	2026-07-13	Nathan Cunninghamflagged	1938-05-08	—	—	8203 Lake View Rd, Atlanta, GA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-409493CLMCLM-409492CLM1.00Scoredweighted 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-54120TPACLM-409492CLM1.00Scoredweighted 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

▶PRV-22773PRVCLM-409492CLM1.00Scoredweighted 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

▶TPA-54120TPACLM-409494CLM1.00Scoredweighted 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-409493CLMPRV-22773PRV1.00Scoredweighted 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-54120TPAPRV-22773PRV1.00Scoredweighted 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-409493CLMTPA-54120TPA0.97RuleD2 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

▶CLM-409494CLMCLM-409492CLM0.83Scoredweighted 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

▶CLM-409493CLMCLM-409494CLM0.83Scoredweighted 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-22773PRVCLM-409494CLM0.83Scoredweighted 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-409493 → UHC-14810-76 (Nathan Cunningham)
ACT-001608, Claims processor
Orphan claim re-pointedExecuted
CLM-409494 → UHC-14810-76 (Nathan Cunningham)
ACT-004778, Claims processor
Orphan claim re-pointedExecuted
CLM-409492 → UHC-14810-76 (Nathan Cunningham)
ACT-007992, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyb82b8a462b
scoring_agent, CLM-409492, identity id MBR-000595, confidence 1, method probabilistic, matched record CLM-409493, policy version 1
2026-10-19 19:54:38Record linked automaticallyf426b83a42
scoring_agent, CLM-409494, identity id MBR-000595, confidence 1, method probabilistic, matched record TPA-54120, policy version 1
2026-10-19 19:54:38Record linked automaticallyedb05a3c04
scoring_agent, PRV-22773, identity id MBR-000595, confidence 1, method probabilistic, matched record CLM-409493, policy version 1
2026-10-19 19:54:38Record linked automatically076b7922b0
scoring_agent, TPA-54120, identity id MBR-000595, confidence 1, method probabilistic, matched record PRV-22773, policy version 1
2026-10-19 19:54:38Record linked automatically17d104b400
scoring_agent, CLM-409493, identity id MBR-000595, confidence 1, method probabilistic, matched record PRV-22773, policy version 1
2026-10-19 19:52:08Record linked automatically8d2c01a5e1
scoring_agent, CLM-409492, identity id MBR-000595, confidence 1, method probabilistic, matched record CLM-409493, policy version 1
2026-10-19 19:52:08Record linked automaticallya2a1d4917e
scoring_agent, CLM-409494, identity id MBR-000595, confidence 1, method probabilistic, matched record TPA-54120, policy version 1
2026-10-19 19:52:08Record linked automatically6232e05833
scoring_agent, PRV-22773, identity id MBR-000595, confidence 1, method probabilistic, matched record CLM-409493, policy version 1
2026-10-19 19:52:08Record linked automatically759a331911
scoring_agent, TPA-54120, identity id MBR-000595, confidence 1, method probabilistic, matched record PRV-22773, policy version 1
2026-10-19 19:52:08Record linked automaticallya1c6ece125
scoring_agent, CLM-409493, identity id MBR-000595, confidence 1, method probabilistic, matched record PRV-22773, policy version 1
2026-10-19 19:45:41Record linked automaticallye9a9d695d2
scoring_agent, CLM-409492, identity id MBR-000595, confidence 1, method probabilistic, matched record CLM-409493, policy version 1
2026-10-19 19:45:41Record linked automatically9473f9677e
scoring_agent, CLM-409494, identity id MBR-000595, confidence 1, method probabilistic, matched record TPA-54120, policy version 1
2026-10-19 19:45:41Record linked automaticallya5a636f123
scoring_agent, PRV-22773, identity id MBR-000595, confidence 1, method probabilistic, matched record CLM-409493, policy version 1
2026-10-19 19:45:41Record linked automaticallyc3ba20af91
scoring_agent, TPA-54120, identity id MBR-000595, confidence 1, method probabilistic, matched record PRV-22773, policy version 1
2026-10-19 19:45:41Record linked automaticallyc584f44122
scoring_agent, CLM-409493, identity id MBR-000595, confidence 1, method probabilistic, matched record PRV-22773, policy version 1
2026-10-19 19:32:31Record linked automaticallyffee4c4ebf
scoring_agent, CLM-409492, identity id MBR-000595, confidence 1, method probabilistic, matched record CLM-409493, policy version 1
2026-10-19 19:32:31Record linked automaticallya08de6d1e3
scoring_agent, CLM-409494, identity id MBR-000595, confidence 1, method probabilistic, matched record TPA-54120, policy version 1
2026-10-19 19:32:31Record linked automatically89b180f4df
scoring_agent, PRV-22773, identity id MBR-000595, confidence 1, method probabilistic, matched record CLM-409493, policy version 1
2026-10-19 19:32:31Record linked automatically4930d40267
scoring_agent, TPA-54120, identity id MBR-000595, confidence 1, method probabilistic, matched record PRV-22773, policy version 1
2026-10-19 19:32:31Record linked automatically194d4b61bc
scoring_agent, CLM-409493, identity id MBR-000595, confidence 1, method probabilistic, matched record PRV-22773, policy version 1
2026-10-19 19:31:28Record linked automatically328f2c7355
matching_agent, CLM-409494, identity id MBR-020294, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112519
2026-10-19 19:31:28Record linked automatically34b38c6cfb
scoring_agent, CLM-409492, identity id MBR-009106, confidence 0.98, method probabilistic, matched record PRV-22823, policy version 1
2026-10-19 19:31:28Record linked automaticallyedbc288be8
scoring_agent, CLM-409493, identity id MBR-009106, confidence 1, method probabilistic, matched record PRV-22822, policy version 1
2026-10-19 19:31:28Record linked automaticallyb110dd2ded
scoring_agent, PRV-22773, identity id MBR-006203, confidence 1, method probabilistic, matched record TPA-54160, 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-2026-025210	2026-07-07	Mesa Physical Therapy in network	97110, 97161	$523.00	$284.26	Approved	Approved
CLM-2026-013082	2026-03-21	Heritage Community Hospital in network	99283, 96374	$1,105.00	$257.75	Approved	Approved
CLM-2026-001129	2025-11-30	Pinecrest Medical Group in network	90471, 99213	$258.00	$132.68	Approved	Approved