Identities/MBR-000801

Gold, golden identity

Billy Robinson

6 source records from 3 feeds.

MBR-000801Verified6 records

Golden record

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

First nameENR: Billy
Middle name—: —
Last nameENR: Robinson
Date of birthENR: 1984-10-12
GenderENR: F
Member IDENR: UHC-48999-54
SSNCLM: •••-••-9859
PhoneENR: 5625855402
EmailENR: billy.robinson@outlook.com
AddressENR: 8106 Main St
CityENR: Tucson
StateENR: AZ
ZIPENR: 85787
GroupENR: GRP-5474
PlanENR: MEDICARE-ADV-B

Min confidence

0.99

Sources

CLM ×3ENR ×2TPA ×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-403294	CLM	2026-01-03	Billy Robinsonflagged	1984-10-12	UHC-48999-54	—	8106 Main St, Tucson, AZ	Rule	0.99	D1 member id + dob exact
ENR-104279	ENR	2026-01-31	Billy Robinsonflagged	1984-10-12	UHC-48999-54	—	8106 Main St, Tucson, AZ	Scored	1.00	—
CLM-403296	CLM	2026-02-15	Billy Robinsonflagged	1984-10-12	—	—	8106 Main St, Tucson, AZ	Scored	1.00	—
CLM-403295	CLM	2026-02-15	Billy Robinsonflagged	1984-10-12	UHC-48999-54	5625855402	8106 Main St, Tucson, AZ	Scored	1.00	—
TPA-51431	TPA	2026-06-25	Billy Robinsonflagged	1984-10-12	UHC-48999-54	—	8106 Main St, Tucson, AZ	Rule	0.99	D1 member id + dob exact
ENR-104278	ENR	2026-08-21	Billy Robinsonflagged	1984-10-12	UHC-48999-54	5625855402	8106 Main St, Tucson, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-403296CLMCLM-403295CLM1.00Scoredweighted 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

▶ENR-104279ENRCLM-403296CLM1.00Scoredweighted 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-403296CLMENR-104278ENR1.00Scoredweighted 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-403294CLMCLM-403295CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-104279ENRCLM-403295CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403294CLMENR-104278ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-104279ENRENR-104278ENR0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-403295CLMENR-104278ENR0.99RuleD1 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

▶TPA-51431TPAENR-104278ENR0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403294CLMENR-104279ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403294CLMTPA-51431TPA0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-104279ENRTPA-51431TPA0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403295CLMTPA-51431TPA0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403294CLMCLM-403296CLM0.97RuleD2 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-403296CLMTPA-51431TPA0.93Scoredweighted 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-403296 → UHC-48999-54 (Billy Robinson)
ACT-003408, Claims processor
Care coordination outreachProposed
Billy Robinson: 3 claims, no attributed provider
ACT-017827, Next-best-action
Duplicate member record retiredExecuted
Billy Robinson: 2 enrollment records collapsed into UHC-48999-54
ACT-021805, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically41a8f8d3ea
scoring_agent, ENR-104278, identity id MBR-000801, confidence 1, method probabilistic, matched record CLM-403296, policy version 1
2026-10-19 19:54:38Record linked automatically5b3b464db1
matching_agent, TPA-51431, identity id MBR-000801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403294
2026-10-19 19:54:38Record linked automatically3b92325d9e
scoring_agent, CLM-403295, identity id MBR-000801, confidence 1, method probabilistic, matched record CLM-403296, policy version 1
2026-10-19 19:54:38Record linked automaticallyb28f400a56
scoring_agent, CLM-403296, identity id MBR-000801, confidence 1, method probabilistic, matched record ENR-104279, policy version 1
2026-10-19 19:54:38Record linked automaticallydc4c2d9bc8
scoring_agent, ENR-104279, identity id MBR-000801, confidence 1, method probabilistic, matched record CLM-403296, policy version 1
2026-10-19 19:54:38Record linked automaticallyb94812ded5
matching_agent, CLM-403294, identity id MBR-000801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104279
2026-10-19 19:52:08Record linked automatically0fedbf810a
scoring_agent, ENR-104278, identity id MBR-000801, confidence 1, method probabilistic, matched record CLM-403296, policy version 1
2026-10-19 19:52:08Record linked automaticallyb2218aa6a4
matching_agent, TPA-51431, identity id MBR-000801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403294
2026-10-19 19:52:08Record linked automatically46af9b2689
scoring_agent, CLM-403295, identity id MBR-000801, confidence 1, method probabilistic, matched record CLM-403296, policy version 1
2026-10-19 19:52:08Record linked automaticallyf163b189b8
scoring_agent, CLM-403296, identity id MBR-000801, confidence 1, method probabilistic, matched record ENR-104279, policy version 1
2026-10-19 19:52:08Record linked automatically20ae237064
scoring_agent, ENR-104279, identity id MBR-000801, confidence 1, method probabilistic, matched record CLM-403296, policy version 1
2026-10-19 19:52:08Record linked automatically2d3d33bfac
matching_agent, CLM-403294, identity id MBR-000801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104279
2026-10-19 19:45:41Record linked automatically108ffd53fd
scoring_agent, ENR-104278, identity id MBR-000801, confidence 1, method probabilistic, matched record CLM-403296, policy version 1
2026-10-19 19:45:41Record linked automatically6da68c26fd
matching_agent, TPA-51431, identity id MBR-000801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403294
2026-10-19 19:45:41Record linked automaticallycf43a0c8b3
scoring_agent, CLM-403295, identity id MBR-000801, confidence 1, method probabilistic, matched record CLM-403296, policy version 1
2026-10-19 19:45:41Record linked automatically9f7e3d9b90
scoring_agent, CLM-403296, identity id MBR-000801, confidence 1, method probabilistic, matched record ENR-104279, policy version 1
2026-10-19 19:45:41Record linked automatically7ba67fd16c
scoring_agent, ENR-104279, identity id MBR-000801, confidence 1, method probabilistic, matched record CLM-403296, policy version 1
2026-10-19 19:45:41Record linked automatically7d15df8098
matching_agent, CLM-403294, identity id MBR-000801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104279
2026-10-19 19:32:31Record linked automaticallyfde4a84117
scoring_agent, ENR-104278, identity id MBR-000801, confidence 1, method probabilistic, matched record CLM-403296, policy version 1
2026-10-19 19:32:31Record linked automatically9fcbc76cf3
matching_agent, TPA-51431, identity id MBR-000801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403294
2026-10-19 19:32:31Record linked automatically84dc9379cb
scoring_agent, CLM-403295, identity id MBR-000801, confidence 1, method probabilistic, matched record CLM-403296, policy version 1
2026-10-19 19:32:31Record linked automatically7dcd2ec0a3
scoring_agent, CLM-403296, identity id MBR-000801, confidence 1, method probabilistic, matched record ENR-104279, policy version 1
2026-10-19 19:32:31Record linked automatically224d85393c
scoring_agent, ENR-104279, identity id MBR-000801, confidence 1, method probabilistic, matched record CLM-403296, policy version 1
2026-10-19 19:32:31Record linked automatically69f95ae1f1
matching_agent, CLM-403294, identity id MBR-000801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104279
2026-10-19 19:31:28Record linked automatically42acb129e1
scoring_agent, ENR-104279, identity id MBR-033227, confidence 1, method probabilistic, matched record CLM-403265, policy version 1
2026-10-19 19:31:28Record linked automaticallyeb0418af9d
scoring_agent, CLM-403295, identity id MBR-032055, confidence 1, method probabilistic, matched record PRV-21003, policy version 1
2026-10-19 19:31:28Record linked automatically4669a2dc03
scoring_agent, CLM-403296, identity id MBR-025005, confidence 0.94, method probabilistic, matched record CLM-403297, policy version 1
2026-10-19 19:31:28Record linked automaticallyf06b2b8996
scoring_agent, TPA-51431, identity id MBR-007912, confidence 1, method probabilistic, matched record TPA-51430, policy version 1
2026-10-19 19:31:28Record linked automatically4df23c46bf
matching_agent, ENR-104278, identity id MBR-004296, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403264

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-2026-016527	2026-02-06	Mesa Physical Therapy in network	97110, 97140	$409.00	$228.58	Approved	Approved
CLM-2026-007817	2026-01-23	Lakeside Medical Group out of network	99203	$205.00	$67.25	Approved	Approved
CLM-2026-003644	2025-11-22	Meadow Cardiovascular Associates in network	93224	$276.00	$131.12	Approved	Approved