Identities/MBR-000817

Gold, golden identity

Ralph Z Graham

5 source records from 2 feeds.

MBR-000817Verified5 records

Golden record

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

First nameENR: Ralph
Middle nameENR: Z
Last nameENR: Graham
Date of birthENR: 1981-01-27
GenderENR: M
Member IDENR: UHC-10242-73
SSNENR: •••-••-0229
PhoneENR: 4014409012
EmailENR: ralph.graham15@icloud.com
AddressENR: 3792 Palm Dr
CityENR: San Diego
StateENR: CA
ZIPENR: 92127
GroupENR: GRP-8922
PlanENR: OPTIONS-PPO

Min confidence

1.00

Sources

CLM ×3ENR ×2

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-408377	CLM	2026-01-03	Ralph Grahamflagged	1981-01-27	UHC-10242-73	—	3792 Palm Dr, San Diego, CA	Scored	1.00	—
CLM-408379	CLM	2026-01-15	Ralph Grahamflagged	1981-01-27	—	4014409012	3792 Palm Dr Apt 22, San Diego, CA	Scored	1.00	—
ENR-111049	ENR	2026-04-02	Ralph Grahamflagged	1981-01-27	UHC-10242-73	4014409012	3792 Palm Dr, San Diego, CA	Scored	1.00	—
ENR-111050	ENR	2026-05-26	Ralph Grahamflagged	1981-01-27	UHC-10242-73	4014409012	3792 Palm Dr, San Diego, CA	Scored	1.00	—
CLM-408378	CLM	2026-08-13	Ralph Grahamflagged	1981-01-27	—	—	3792 Palm Dr, San Diego, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-408377CLM CLM-408378CLM1.00Scoredweighted 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-408379CLMCLM-408378CLM1.00Scoredweighted 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-111049ENRCLM-408378CLM1.00Scoredweighted 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-111050ENRCLM-408378CLM1.00Scoredweighted 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-408377CLM ENR-111049ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-408377CLM ENR-111050ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-111049ENRENR-111050ENR0.99RuleD1 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-408377CLM CLM-408379CLM0.97RuleD2 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-408379CLMENR-111049ENR0.97RuleD2 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-408379CLMENR-111050ENR0.97RuleD2 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

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Ralph Graham: 2 plan codes across sources → canonical OPTIONS-PPO
ACT-000041, Eligibility engine
Orphan claim re-pointedExecuted
CLM-408379 → UHC-10242-73 (Ralph Graham)
ACT-001524, Claims processor
Orphan claim re-pointedExecuted
CLM-408378 → UHC-10242-73 (Ralph Graham)
ACT-006106, Claims processor
Care coordination outreachProposed
Ralph Graham: 3 claims, no attributed provider
ACT-017830, Next-best-action
Duplicate member record retiredExecuted
Ralph Graham: 2 enrollment records collapsed into UHC-10242-73
ACT-021810, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyf168a12a30
scoring_agent, CLM-408378, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408377, policy version 1
2026-10-19 19:54:38Record linked automatically8b73502203
scoring_agent, ENR-111050, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408378, policy version 1
2026-10-19 19:54:38Record linked automatically9dd6b84272
scoring_agent, ENR-111049, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408378, policy version 1
2026-10-19 19:54:38Record linked automaticallyc78810c256
scoring_agent, CLM-408379, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408378, policy version 1
2026-10-19 19:54:38Record linked automatically4e5bff13bb
scoring_agent, CLM-408377, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408378, policy version 1
2026-10-19 19:52:08Record linked automatically0b72e6f4d6
scoring_agent, CLM-408378, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408377, policy version 1
2026-10-19 19:52:08Record linked automaticallyca0e11f2e1
scoring_agent, ENR-111050, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408378, policy version 1
2026-10-19 19:52:08Record linked automaticallyeb039fee6f
scoring_agent, ENR-111049, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408378, policy version 1
2026-10-19 19:52:08Record linked automatically1714ac33ad
scoring_agent, CLM-408379, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408378, policy version 1
2026-10-19 19:52:08Record linked automatically1947a45754
scoring_agent, CLM-408377, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408378, policy version 1
2026-10-19 19:45:41Record linked automatically37a4317566
scoring_agent, CLM-408378, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408377, policy version 1
2026-10-19 19:45:41Record linked automaticallya9ba8124ea
scoring_agent, ENR-111050, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408378, policy version 1
2026-10-19 19:45:41Record linked automaticallye7c0e73522
scoring_agent, ENR-111049, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408378, policy version 1
2026-10-19 19:45:41Record linked automaticallyefb95ada12
scoring_agent, CLM-408379, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408378, policy version 1
2026-10-19 19:45:41Record linked automatically5456c64dda
scoring_agent, CLM-408377, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408378, policy version 1
2026-10-19 19:32:31Record linked automaticallyf003448b57
scoring_agent, CLM-408378, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408377, policy version 1
2026-10-19 19:32:31Record linked automatically09ac2fe02c
scoring_agent, ENR-111050, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408378, policy version 1
2026-10-19 19:32:31Record linked automaticallyf18b91ba33
scoring_agent, ENR-111049, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408378, policy version 1
2026-10-19 19:32:31Record linked automatically5c83fae2a1
scoring_agent, CLM-408379, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408378, policy version 1
2026-10-19 19:32:31Record linked automatically3831efb142
scoring_agent, CLM-408377, identity id MBR-000817, confidence 1, method probabilistic, matched record CLM-408378, policy version 1
2026-10-19 19:31:28Record linked automatically82ff9123c4
matching_agent, CLM-408378, identity id MBR-033188, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-111029
2026-10-19 19:31:28Record linked automatically799d9ef7ef
scoring_agent, CLM-408379, identity id MBR-026188, confidence 1, method probabilistic, matched record PRV-22464, policy version 1
2026-10-19 19:31:28Record linked automatically5c393617bf
matching_agent, CLM-408377, identity id MBR-019657, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-111028

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-2026-017938	2026-08-10	Canyon Cardiovascular Associates out of network	99214	$278.00	—	Denied	Denied
CLM-2026-000804	2025-12-09	Unity Medical Group in network	99232	$260.00	—	Needs review	Needs review
CLM-2026-024655	2025-11-20	Evergreen Clinical Laboratories in network	83036, 87086	$92.00	$0.00	Approved	Approved