Identities/MBR-001167

Gold, golden identity

Roy Tucker

6 source records from 2 feeds.

MBR-001167Verified6 records

Golden record

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

First nameCLM: Roy
Middle name—: —
Last nameCLM: Tucker
Date of birthCLM: 1946-01-17
GenderCLM: F
Member IDCLM: UHC-34706-33
SSNCLM: •••-••-7450
Phone—: —
Email—: —
AddressCLM: 7341 Oak St Apt 15
CityCLM: Atlanta
StateCLM: GA
ZIPCLM: 30300
GroupCLM: GRP-7589
PlanCLM: OPTIONS-PPO

Min confidence

1.00

Sources

TPA ×3CLM ×3

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-51247	TPA	2026-01-04	Roy Tuckerflagged	1946-01-17	—	—	7341 Oak St, Atlanta, GA	Scored	1.00	—
CLM-402918	CLM	2026-08-04	Roy Tuckerflagged	1946-01-17	—	—	7341 Oak St, Atlanta, GA	Scored	1.00	—
TPA-51246	TPA	2026-08-23	Roy Tuckerflagged	1946-01-17	UHC-34706-33	—	7341 Oak St, Atlanta, GA	Scored	1.00	—
TPA-51245	TPA	2026-08-23	Roy Tuckerflagged	1946-01-17	UHC-34706-33	—	7341 Oak St, Atlanta, GA	Scored	1.00	—
CLM-402916	CLM	2026-08-26	Roy Tuckerflagged	1946-01-17	UHC-34706-33	—	7341 Oak St, Atlanta, GA	Scored	1.00	—
CLM-402917	CLM	2026-09-01	Roy Tuckerflagged	1946-01-17	UHC-34706-33	—	7341 Oak St Apt 15, Atlanta, GA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-51247TPACLM-402916CLM1.00Scoredweighted 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-402918CLMCLM-402916CLM1.00Scoredweighted 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-51247TPACLM-402917 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-402918CLMCLM-402917 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

▶TPA-51247TPACLM-402918CLM1.00Scoredweighted 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-51247TPATPA-51245TPA1.00Scoredweighted 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-402918CLMTPA-51245TPA1.00Scoredweighted 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-51247TPATPA-51246TPA1.00Scoredweighted 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-402918CLMTPA-51246TPA1.00Scoredweighted 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-51246TPACLM-402916CLM0.99RuleD1 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

▶TPA-51245TPACLM-402916CLM0.99RuleD1 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

▶TPA-51246TPACLM-402917 CLM0.99RuleD1 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

▶TPA-51245TPACLM-402917 CLM0.99RuleD1 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-402916CLMCLM-402917 CLM0.99RuleD1 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

▶TPA-51246TPATPA-51245TPA0.99RuleD1 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-402918 → UHC-34706-33 (Roy Tucker)
ACT-007499, Claims processor
Care coordination outreachProposed
Roy Tucker: 3 claims, no attributed provider
ACT-017863, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically5b27375881
scoring_agent, CLM-402917, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:54:38Record linked automatically4a0bd51ee1
scoring_agent, CLM-402916, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:54:38Record linked automatically70c76b7b41
scoring_agent, TPA-51245, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:54:38Record linked automatically9ee75bcaa6
scoring_agent, TPA-51246, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:54:38Record linked automatically35cc9321cb
scoring_agent, CLM-402918, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:54:38Record linked automatically519a9af98c
scoring_agent, TPA-51247, identity id MBR-001167, confidence 1, method probabilistic, matched record CLM-402918, policy version 1
2026-10-19 19:52:08Record linked automaticallyf273b91816
scoring_agent, CLM-402917, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:52:08Record linked automaticallya4c14d39db
scoring_agent, CLM-402916, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:52:08Record linked automaticallye1ddfe048e
scoring_agent, TPA-51245, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:52:08Record linked automaticallyd26c15a90a
scoring_agent, TPA-51246, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:52:08Record linked automaticallyf96d36ec01
scoring_agent, CLM-402918, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:52:08Record linked automatically04d5e25dca
scoring_agent, TPA-51247, identity id MBR-001167, confidence 1, method probabilistic, matched record CLM-402918, policy version 1
2026-10-19 19:45:41Record linked automaticallya0ef42cd99
scoring_agent, CLM-402917, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:45:41Record linked automaticallyd2f2cd4aee
scoring_agent, CLM-402916, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:45:41Record linked automatically8152a2bbce
scoring_agent, TPA-51245, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:45:41Record linked automatically2704ad0bb8
scoring_agent, TPA-51246, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:45:41Record linked automatically3af0fd5104
scoring_agent, CLM-402918, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:45:41Record linked automaticallyef39d7ca33
scoring_agent, TPA-51247, identity id MBR-001167, confidence 1, method probabilistic, matched record CLM-402918, policy version 1
2026-10-19 19:32:31Record linked automaticallyc272a33b18
scoring_agent, CLM-402917, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:32:31Record linked automatically5a255cba33
scoring_agent, CLM-402916, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:32:31Record linked automaticallye1f530e7fc
scoring_agent, TPA-51245, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:32:31Record linked automaticallyb2f9893bf0
scoring_agent, TPA-51246, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:32:31Record linked automaticallye2e9a08577
scoring_agent, CLM-402918, identity id MBR-001167, confidence 1, method probabilistic, matched record TPA-51247, policy version 1
2026-10-19 19:32:31Record linked automaticallyc5ecdc3bad
scoring_agent, TPA-51247, identity id MBR-001167, confidence 1, method probabilistic, matched record CLM-402918, policy version 1
2026-10-19 19:31:28Record linked automaticallycb3005498e
scoring_agent, CLM-402917, identity id MBR-024354, confidence 1, method probabilistic, matched record ENR-103833, policy version 1
2026-10-19 19:31:28Record linked automatically38db281192
scoring_agent, CLM-402918, identity id MBR-024019, confidence 1, method probabilistic, matched record ENR-103834, policy version 1
2026-10-19 19:31:28Record linked automaticallyeb8f12cd04
scoring_agent, CLM-402916, identity id MBR-015675, confidence 1, method probabilistic, matched record TPA-51340, policy version 1
2026-10-19 19:31:28Record linked automatically770cca4d80
scoring_agent, TPA-51245, identity id MBR-009216, confidence 1, method probabilistic, matched record CLM-402713, policy version 1
2026-10-19 19:31:28Record linked automatically483f2d3597
matching_agent, TPA-51246, identity id MBR-006442, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103551

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-2026-008827	2026-07-19	Sunrise Dermatology Clinic out of network	11102	$284.00	$87.80	Approved	Approved
CLM-2026-015032	2026-07-31	Northgate Cardiovascular Associates in network	93015	$614.00	$123.10	Approved	Approved
CLM-2026-023326	2026-07-20	Heritage Orthopedic Specialists in network	20610, 99213	$517.00	$280.54	Approved	Approved