Identities/MBR-001340

Gold, golden identity

Ralph L Phillips

6 source records from 3 feeds.

MBR-001340Verified6 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: L
Last nameENR: Phillips
Date of birthENR: 1983-08-09
GenderENR: F
Member IDENR: UHC-05137-74
SSNENR: •••-••-1883
PhoneCLM: 4636004576
EmailENR: ralph.phillips46@hotmail.com
AddressENR: 6178 Park Pl
CityENR: Austin
StateENR: TX
ZIPENR: 78712
GroupENR: GRP-6296
PlanENR: MEDICARE-ADV-A

Min confidence

0.99

Sources

TPA ×2CLM ×3ENR ×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
TPA-63448	TPA	2026-01-05	Ralph Phillipsflagged	1983-08-09	—	4636004576	6178 Park Pl Apt 29, Austin, TX	Scored	1.00	—
CLM-430455	CLM	2026-01-16	Ralph Phillipsflagged	1983-08-09	—	4636004576	6178 Park Pl, Austin, TX	Scored	1.00	—
CLM-430453	CLM	2026-03-14	Ralph Phillipsflagged	1983-08-09	—	—	6178 Park Pl, Austin, TX	Scored	1.00	—
CLM-430454	CLM	2026-06-09	Ralph Phillipsflagged	1983-08-09	UHC-05137-74	—	6178 Park Pl, Austin, TX	Rule	0.99	D1 member id + dob exact
TPA-63449	TPA	2026-06-13	Ralph Phillipsflagged	1983-08-09	—	—	6178 Park Pl, Austin, TX	Scored	1.00	—
ENR-139981	ENR	2026-08-04	Ralph Phillipsflagged	1983-08-09	UHC-05137-74	—	6178 Park Pl, Austin, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-63448 TPACLM-430453CLM1.00Scoredweighted 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-430455CLMCLM-430453CLM1.00Scoredweighted 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-63448 TPACLM-430455CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-430455CLMENR-139981ENR1.00Scoredweighted 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-430453CLMENR-139981ENR1.00Scoredweighted 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-63449TPAENR-139981ENR1.00Scoredweighted 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-63448 TPATPA-63449TPA1.00Scoredweighted 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-430455CLMTPA-63449TPA1.00Scoredweighted 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-430453CLMTPA-63449TPA1.00Scoredweighted 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-430454CLMENR-139981ENR0.99RuleD1 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

▶TPA-63448 TPAENR-139981ENR0.97RuleD2 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

▶TPA-63448 TPACLM-430454CLM0.93Scoredweighted 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-430455CLMCLM-430454CLM0.93Scoredweighted 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-430453CLMCLM-430454CLM0.93Scoredweighted 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-430454CLMTPA-63449TPA0.93Scoredweighted 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-430455 → UHC-05137-74 (Ralph Phillips)
ACT-003989, Claims processor
Orphan claim re-pointedExecuted
CLM-430453 → UHC-05137-74 (Ralph Phillips)
ACT-006590, Claims processor
Care coordination outreachProposed
Ralph Phillips: 3 claims, no attributed provider
ACT-017875, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyd459e630ee
scoring_agent, ENR-139981, identity id MBR-001340, confidence 1, method probabilistic, matched record CLM-430455, policy version 1
2026-10-19 19:54:38Record linked automaticallyd3dc8d247d
scoring_agent, TPA-63449, identity id MBR-001340, confidence 1, method probabilistic, matched record TPA-63448, policy version 1
2026-10-19 19:54:38Record linked automatically9de1bd550a
matching_agent, CLM-430454, identity id MBR-001340, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139981
2026-10-19 19:54:38Record linked automatically2ba680c2f0
scoring_agent, CLM-430453, identity id MBR-001340, confidence 1, method probabilistic, matched record TPA-63448, policy version 1
2026-10-19 19:54:38Record linked automatically8f1953aeac
scoring_agent, CLM-430455, identity id MBR-001340, confidence 1, method probabilistic, matched record TPA-63448, policy version 1
2026-10-19 19:54:38Record linked automaticallyee83cfa466
scoring_agent, TPA-63448, identity id MBR-001340, confidence 1, method probabilistic, matched record CLM-430455, policy version 1
2026-10-19 19:52:08Record linked automaticallyf563bae100
scoring_agent, ENR-139981, identity id MBR-001340, confidence 1, method probabilistic, matched record CLM-430455, policy version 1
2026-10-19 19:52:08Record linked automatically5592b0d870
scoring_agent, TPA-63449, identity id MBR-001340, confidence 1, method probabilistic, matched record TPA-63448, policy version 1
2026-10-19 19:52:08Record linked automatically8595dd379f
matching_agent, CLM-430454, identity id MBR-001340, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139981
2026-10-19 19:52:08Record linked automatically743edad5ba
scoring_agent, CLM-430453, identity id MBR-001340, confidence 1, method probabilistic, matched record TPA-63448, policy version 1
2026-10-19 19:52:08Record linked automatically82576fb6ca
scoring_agent, CLM-430455, identity id MBR-001340, confidence 1, method probabilistic, matched record TPA-63448, policy version 1
2026-10-19 19:52:08Record linked automaticallyc23165b820
scoring_agent, TPA-63448, identity id MBR-001340, confidence 1, method probabilistic, matched record CLM-430455, policy version 1
2026-10-19 19:45:41Record linked automaticallye6e088fd35
scoring_agent, ENR-139981, identity id MBR-001340, confidence 1, method probabilistic, matched record CLM-430455, policy version 1
2026-10-19 19:45:41Record linked automatically32f0bb5da3
scoring_agent, TPA-63449, identity id MBR-001340, confidence 1, method probabilistic, matched record TPA-63448, policy version 1
2026-10-19 19:45:41Record linked automaticallye0b04bc9cd
matching_agent, CLM-430454, identity id MBR-001340, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139981
2026-10-19 19:45:41Record linked automaticallyc7e85bd3da
scoring_agent, CLM-430453, identity id MBR-001340, confidence 1, method probabilistic, matched record TPA-63448, policy version 1
2026-10-19 19:45:41Record linked automatically556bc1057b
scoring_agent, CLM-430455, identity id MBR-001340, confidence 1, method probabilistic, matched record TPA-63448, policy version 1
2026-10-19 19:45:41Record linked automatically8ca3d8aa1b
scoring_agent, TPA-63448, identity id MBR-001340, confidence 1, method probabilistic, matched record CLM-430455, policy version 1
2026-10-19 19:32:31Record linked automaticallyd910cb7412
scoring_agent, ENR-139981, identity id MBR-001340, confidence 1, method probabilistic, matched record CLM-430455, policy version 1
2026-10-19 19:32:31Record linked automaticallya258536b6e
scoring_agent, TPA-63449, identity id MBR-001340, confidence 1, method probabilistic, matched record TPA-63448, policy version 1
2026-10-19 19:32:31Record linked automatically4f509bc18c
matching_agent, CLM-430454, identity id MBR-001340, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139981
2026-10-19 19:32:31Record linked automatically821a04f318
scoring_agent, CLM-430453, identity id MBR-001340, confidence 1, method probabilistic, matched record TPA-63448, policy version 1
2026-10-19 19:32:31Record linked automatically175455ab1c
scoring_agent, CLM-430455, identity id MBR-001340, confidence 1, method probabilistic, matched record TPA-63448, policy version 1
2026-10-19 19:32:31Record linked automatically16b6f94937
scoring_agent, TPA-63448, identity id MBR-001340, confidence 1, method probabilistic, matched record CLM-430455, policy version 1
2026-10-19 19:31:28Record linked automaticallydfa49868df
scoring_agent, TPA-63448, identity id MBR-040834, confidence 1, method probabilistic, matched record ENR-140441, policy version 1
2026-10-19 19:31:28Record linked automatically68a59849d4
scoring_agent, CLM-430453, identity id MBR-006417, confidence 1, method probabilistic, matched record PRV-28908, policy version 1
2026-10-19 19:31:28Record linked automatically96350b6f08
scoring_agent, TPA-63449, identity id MBR-003158, confidence 1, method probabilistic, matched record ENR-140448, policy version 1
2026-10-19 19:31:28Record linked automatically6fd6b75af5
matching_agent, CLM-430455, identity id MBR-000056, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430454
2026-10-19 19:31:28Record linked automaticallyf1b3f8c7be
matching_agent, CLM-430454, identity id MBR-000056, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430458

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-2026-027823	2026-05-12	Desert Medical Group in network	93000	$90.00	$35.80	Approved	Approved
CLM-2026-019778	2026-03-06	Sunrise Behavioral Health in network	90834	$154.00	$45.48	Approved	Approved
CLM-2026-010188	2025-12-25	Sunrise Physical Therapy in network	97110, 97014	$413.00	$236.06	Approved	Approved