Identities/MBR-001266

Gold, golden identity

Terry N Arnold

5 source records from 3 feeds.

MBR-001266Verified5 records

Golden record

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

First namePRV: Terry
Middle nameCLM: N
Last namePRV: Arnold
Date of birthPRV: 1952-02-27
GenderPRV: F
Member IDCLM: UHC-57242-43
SSNPRV: •••-••-5838
PhoneCLM: 6422538283
EmailPRV: terry.arnold84@hotmail.com
AddressPRV: 5298 Elm St
CityPRV: Sacramento
StatePRV: CA
ZIPPRV: 95877
GroupCLM: GRP-0210
PlanCLM: NAVIGATE-HMO

Min confidence

0.97

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-411456	CLM	2026-01-04	Terry Arnoldflagged	1952-02-27	UHC-57242-43	6422538283	—	Rule	0.99	D1 member id + dob exact
CLM-411457	CLM	2026-02-13	Terry Arnoldflagged	1952-02-27	UHC-57242-43	—	5298 Elm St, Sacramento, CA	Scored	1.00	—
CLM-411458	CLM	2026-04-28	Terry Arnoldflagged	1952-02-27	UHC-57242-43	—	5298 Elm St, Sacramento, CA	Scored	1.00	—
TPA-55047	TPA	2026-06-13	Terry Arnoldflagged	1952-02-27	—	—	5298 Elm St, Sacramento, CA	Rule	0.97	D2 ssn4 + dob + last name
PRV-23298	PRV	2026-09-20	Terry Arnoldflagged	1952-02-27	—	—	5298 Elm St, Sacramento, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-411457CLMPRV-23298PRV1.00Scoredweighted 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-411458CLMPRV-23298PRV1.00Scoredweighted 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-411456CLMCLM-411457CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-411456CLMCLM-411458CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-411457CLMCLM-411458CLM0.99RuleD1 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-55047TPAPRV-23298PRV0.97RuleD2 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-411457CLMTPA-55047TPA0.93Scoredweighted 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-411458CLMTPA-55047TPA0.93Scoredweighted 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-411456CLMPRV-23298PRV0.83Scoredweighted 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-411456CLMTPA-55047TPA0.83Scoredweighted 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

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 automatically29d8dbf41c
scoring_agent, PRV-23298, identity id MBR-001266, confidence 1, method probabilistic, matched record CLM-411457, policy version 1
2026-10-19 19:54:38Record linked automaticallyedc6dab685
matching_agent, TPA-55047, identity id MBR-001266, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-23298
2026-10-19 19:54:38Record linked automaticallya03b4c2e47
scoring_agent, CLM-411458, identity id MBR-001266, confidence 1, method probabilistic, matched record PRV-23298, policy version 1
2026-10-19 19:54:38Record linked automatically3b076f6ebb
scoring_agent, CLM-411457, identity id MBR-001266, confidence 1, method probabilistic, matched record PRV-23298, policy version 1
2026-10-19 19:54:38Record linked automaticallyc905dab2d3
matching_agent, CLM-411456, identity id MBR-001266, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411457
2026-10-19 19:52:08Record linked automatically9407dc0c9b
scoring_agent, PRV-23298, identity id MBR-001266, confidence 1, method probabilistic, matched record CLM-411457, policy version 1
2026-10-19 19:52:08Record linked automatically16777af9f8
matching_agent, TPA-55047, identity id MBR-001266, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-23298
2026-10-19 19:52:08Record linked automatically4973c43ba8
scoring_agent, CLM-411458, identity id MBR-001266, confidence 1, method probabilistic, matched record PRV-23298, policy version 1
2026-10-19 19:52:08Record linked automatically8f33f86a5a
scoring_agent, CLM-411457, identity id MBR-001266, confidence 1, method probabilistic, matched record PRV-23298, policy version 1
2026-10-19 19:52:08Record linked automatically3e99d2820c
matching_agent, CLM-411456, identity id MBR-001266, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411457
2026-10-19 19:45:41Record linked automatically827c756fc6
scoring_agent, PRV-23298, identity id MBR-001266, confidence 1, method probabilistic, matched record CLM-411457, policy version 1
2026-10-19 19:45:41Record linked automatically59da86c1bc
matching_agent, TPA-55047, identity id MBR-001266, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-23298
2026-10-19 19:45:41Record linked automaticallybcabae9065
scoring_agent, CLM-411458, identity id MBR-001266, confidence 1, method probabilistic, matched record PRV-23298, policy version 1
2026-10-19 19:45:41Record linked automaticallyd8ba3e95c5
scoring_agent, CLM-411457, identity id MBR-001266, confidence 1, method probabilistic, matched record PRV-23298, policy version 1
2026-10-19 19:45:41Record linked automatically4bfcf3d03c
matching_agent, CLM-411456, identity id MBR-001266, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411457
2026-10-19 19:32:31Record linked automatically69a69a128d
scoring_agent, PRV-23298, identity id MBR-001266, confidence 1, method probabilistic, matched record CLM-411457, policy version 1
2026-10-19 19:32:31Record linked automatically9f56ff9525
matching_agent, TPA-55047, identity id MBR-001266, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-23298
2026-10-19 19:32:31Record linked automatically29040ba113
scoring_agent, CLM-411458, identity id MBR-001266, confidence 1, method probabilistic, matched record PRV-23298, policy version 1
2026-10-19 19:32:31Record linked automatically8867beba12
scoring_agent, CLM-411457, identity id MBR-001266, confidence 1, method probabilistic, matched record PRV-23298, policy version 1
2026-10-19 19:32:31Record linked automaticallyb20d7c4551
matching_agent, CLM-411456, identity id MBR-001266, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411457
2026-10-19 19:31:28Record linked automaticallya8f22279ef
scoring_agent, PRV-23298, identity id MBR-034129, confidence 1, method probabilistic, matched record CLM-411072, policy version 1
2026-10-19 19:31:28Record linked automatically28d226583f
scoring_agent, CLM-411456, identity id MBR-010821, confidence 1, method probabilistic, matched record CLM-411455, policy version 1
2026-10-19 19:31:28Record linked automatically857b6c8311
scoring_agent, CLM-411458, identity id MBR-003380, confidence 1, method probabilistic, matched record PRV-23408, policy version 1
2026-10-19 19:31:28Record linked automatically0bf6ee52ab
scoring_agent, CLM-411457, identity id MBR-003380, confidence 1, method probabilistic, matched record PRV-23408, 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-2026-024654	2026-04-13	Harbor Cardiovascular Associates in network	93224	$363.00	$175.06	Approved	Approved
CLM-2026-022675	2026-01-21	Lakeside Reference Lab in network	83036, 80053	$112.00	$0.00	Approved	Approved
CLM-2026-015839	2025-12-13	Cornerstone Bone and Joint Center in network	73721	$1,562.00	—	Denied	Denied