Identities/MBR-001216

Gold, golden identity

David Lewis

5 source records from 3 feeds.

MBR-001216Verified5 records

Golden record

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

First namePRV: David
Middle name—: —
Last namePRV: Lewis
Date of birthPRV: 1981-04-09
GenderPRV: M
Member IDPRV: UHC-05353-85
SSNTPA: •••-••-7190
PhonePRV: 4563288585
Email—: —
AddressPRV: 5645 Apache Blvd
CityPRV: Eden Prairie
StatePRV: MN
ZIPPRV: 55366
GroupCLM: GRP-8541
PlanCLM: NAVIGATE-HMO

Min confidence

0.99

Sources

CLM ×2TPA ×2PRV ×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-405816	CLM	2026-01-04	David Lewisflagged	1981-04-09	UHC-05353-85	4563288585	5645 Apache Blvd, Eden Prairie, MN	Rule	0.99	D1 member id + dob exact
TPA-52576	TPA	2026-03-05	David Lewisflagged	1981-04-09	—	—	5645 Apache Blvd, Eden Prairie, MN	Scored	1.00	—
PRV-21702	PRV	2026-04-23	David Lewisflagged	1981-04-09	UHC-05353-85	4563288585	5645 Apache Blvd, Eden Prairie, MN	Scored	1.00	—
CLM-405817	CLM	2026-08-28	David Lewisflagged	1981-04-09	UHC-05353-85	—	5645 Apache Blvd, Eden Prairie, MN	Scored	1.00	—
TPA-52575	TPA	2026-09-12	David Lewisflagged	1981-04-09	—	—	5645 Apache Blvd, Eden Prairie, MN	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-52576TPACLM-405817CLM1.00Scoredweighted 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-52576TPAPRV-21702PRV1.00Scoredweighted 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-52576TPATPA-52575TPA1.00Scoredweighted 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

▶PRV-21702PRVTPA-52575TPA1.00Scoredweighted 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-405817CLMTPA-52575TPA1.00Scoredweighted 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-405816CLMCLM-405817CLM0.99RuleD1 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

▶PRV-21702PRVCLM-405817CLM0.99RuleD1 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-405816CLMPRV-21702PRV0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-405816CLMTPA-52575TPA0.93Scoredweighted 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

▶CLM-405816CLMTPA-52576TPA0.93Scoredweighted 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

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallya352f06624
scoring_agent, TPA-52575, identity id MBR-001216, confidence 1, method probabilistic, matched record TPA-52576, policy version 1
2026-10-19 19:54:38Record linked automatically7290660f51
scoring_agent, CLM-405817, identity id MBR-001216, confidence 1, method probabilistic, matched record TPA-52576, policy version 1
2026-10-19 19:54:38Record linked automaticallyc13e8e7f6a
scoring_agent, PRV-21702, identity id MBR-001216, confidence 1, method probabilistic, matched record TPA-52576, policy version 1
2026-10-19 19:54:38Record linked automaticallyff53c9fba4
scoring_agent, TPA-52576, identity id MBR-001216, confidence 1, method probabilistic, matched record PRV-21702, policy version 1
2026-10-19 19:54:38Record linked automatically9fefff2061
matching_agent, CLM-405816, identity id MBR-001216, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21702
2026-10-19 19:52:08Record linked automaticallyb64ca175ef
scoring_agent, TPA-52575, identity id MBR-001216, confidence 1, method probabilistic, matched record TPA-52576, policy version 1
2026-10-19 19:52:08Record linked automatically89668e408d
scoring_agent, CLM-405817, identity id MBR-001216, confidence 1, method probabilistic, matched record TPA-52576, policy version 1
2026-10-19 19:52:08Record linked automaticallyab9b63bb5d
scoring_agent, PRV-21702, identity id MBR-001216, confidence 1, method probabilistic, matched record TPA-52576, policy version 1
2026-10-19 19:52:08Record linked automaticallya749d10be4
scoring_agent, TPA-52576, identity id MBR-001216, confidence 1, method probabilistic, matched record PRV-21702, policy version 1
2026-10-19 19:52:08Record linked automaticallye306ad4e95
matching_agent, CLM-405816, identity id MBR-001216, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21702
2026-10-19 19:45:41Record linked automatically1db157a357
scoring_agent, TPA-52575, identity id MBR-001216, confidence 1, method probabilistic, matched record TPA-52576, policy version 1
2026-10-19 19:45:41Record linked automatically398a7dbaa3
scoring_agent, CLM-405817, identity id MBR-001216, confidence 1, method probabilistic, matched record TPA-52576, policy version 1
2026-10-19 19:45:41Record linked automatically72bbef9ad7
scoring_agent, PRV-21702, identity id MBR-001216, confidence 1, method probabilistic, matched record TPA-52576, policy version 1
2026-10-19 19:45:41Record linked automaticallyc6f4f01fbb
scoring_agent, TPA-52576, identity id MBR-001216, confidence 1, method probabilistic, matched record PRV-21702, policy version 1
2026-10-19 19:45:41Record linked automatically34a4a6dbaf
matching_agent, CLM-405816, identity id MBR-001216, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21702
2026-10-19 19:32:31Record linked automatically9984ba7d3b
scoring_agent, TPA-52575, identity id MBR-001216, confidence 1, method probabilistic, matched record TPA-52576, policy version 1
2026-10-19 19:32:31Record linked automatically08cd040ae2
scoring_agent, CLM-405817, identity id MBR-001216, confidence 1, method probabilistic, matched record TPA-52576, policy version 1
2026-10-19 19:32:31Record linked automatically8434982ee5
scoring_agent, PRV-21702, identity id MBR-001216, confidence 1, method probabilistic, matched record TPA-52576, policy version 1
2026-10-19 19:32:31Record linked automaticallydd2320720f
scoring_agent, TPA-52576, identity id MBR-001216, confidence 1, method probabilistic, matched record PRV-21702, policy version 1
2026-10-19 19:32:31Record linked automatically2ac3fb5c1c
matching_agent, CLM-405816, identity id MBR-001216, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21702
2026-10-19 19:31:28Record linked automatically623a43aeec
scoring_agent, PRV-21702, identity id MBR-012519, confidence 1, method probabilistic, matched record PRV-21701, policy version 1
2026-10-19 19:31:28Record linked automaticallyb4dd3400fb
scoring_agent, CLM-405817, identity id MBR-010258, confidence 1, method probabilistic, matched record CLM-405818, policy version 1
2026-10-19 19:31:28Record linked automaticallyb5bf4b01a8
scoring_agent, CLM-405816, identity id MBR-010258, confidence 1, method probabilistic, matched record CLM-405818, policy version 1
2026-10-19 19:31:28Record linked automatically70d287875c
scoring_agent, TPA-52576, identity id MBR-002267, confidence 1, method probabilistic, matched record CLM-405775, 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-2026-009115	2026-08-07	Cornerstone Imaging Center in network	74177, 76700, 71046	$2,676.00	$460.32	Approved	Approved
CLM-2026-026025	2025-11-23	Northgate Bone and Joint Center out of network	27447	$30,572.00	—	Denied	Denied