Identities/MBR-001461

Gold, golden identity

Ryan M Duncan

6 source records from 3 feeds.

MBR-001461Verified6 records

Golden record

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

First nameENR: Ryan
Middle nameENR: M
Last nameENR: Duncan
Date of birthENR: 2002-11-20
GenderENR: M
Member IDENR: UHC-30657-74
SSNCLM: •••-••-6302
PhoneENR: 5002363668
EmailENR: ryan.duncan@yahoo.com
AddressENR: 8674 Willow Ct
CityENR: Plano
StateENR: TX
ZIPPRV: 75024
GroupENR: GRP-3170
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.99

Sources

ENR ×1CLM ×3PRV ×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
ENR-109348	ENR	2026-01-05	Ryan Duncanflagged	2002-11-20	UHC-30657-74	5002363668	8674 Willow Ct, Plano, TX	Rule	0.99	D1 member id + dob exact
CLM-407162	CLM	2026-01-30	Ryan Duncanflagged	2002-11-20	—	5002363668	8674 Willow Ct, Plano, TX	Scored	1.00	—
CLM-407163	CLM	2026-03-13	Ryan Duncanflagged	2002-11-20	UHC-30657-74	—	8674 Willow Ct, Plano, TX	Scored	1.00	—
CLM-407161	CLM	2026-05-08	Ryan Duncanflagged	2002-11-20	UHC-30657-74	5002363668	8674 Willow Ct, Plano, TX	Scored	1.00	—
PRV-22114	PRV	2026-07-03	Ryan Duncanflagged	2002-11-20	—	5002363668	8674 Willow Ct, Plano, TX	Scored	1.00	—
PRV-22115	PRV	2026-10-17	Ryan Duncanflagged	2002-11-20	—	5002363668	8674 Willow Ct, Plano, TX	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-407162CLMCLM-407161CLM1.00Scoredweighted 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-407162CLMCLM-407163CLM1.00Scoredweighted 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-407162CLMPRV-22114PRV1.00Scoredweighted 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-407163CLMPRV-22114PRV1.00Scoredweighted 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-407161CLMPRV-22114PRV1.00Scoredweighted 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-407162CLMPRV-22115PRV1.00Scoredweighted 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-407163CLMPRV-22115PRV1.00Scoredweighted 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-407161CLMPRV-22115PRV1.00Scoredweighted 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

▶PRV-22114PRVPRV-22115PRV1.00Scoredweighted 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

▶ENR-109348ENRCLM-407161CLM0.99RuleD1 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-407163CLMCLM-407161CLM0.99RuleD1 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

▶ENR-109348ENRCLM-407163CLM0.99RuleD1 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

▶ENR-109348ENRPRV-22114PRV0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-109348ENRCLM-407162CLM0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-109348ENRPRV-22115PRV0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Ryan Duncan: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
ACT-000076, Eligibility engine
Orphan claim re-pointedExecuted
CLM-407162 → UHC-30657-74 (Ryan Duncan)
ACT-003926, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyafe81a92f8
scoring_agent, PRV-22115, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407162, policy version 1
2026-10-19 19:54:38Record linked automatically618707917d
scoring_agent, PRV-22114, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407162, policy version 1
2026-10-19 19:54:38Record linked automatically70f83b9578
scoring_agent, CLM-407161, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407162, policy version 1
2026-10-19 19:54:38Record linked automatically0114af616f
scoring_agent, CLM-407163, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407162, policy version 1
2026-10-19 19:54:38Record linked automaticallyd65d3d7878
scoring_agent, CLM-407162, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407163, policy version 1
2026-10-19 19:54:38Record linked automatically1de10bc0e5
matching_agent, ENR-109348, identity id MBR-001461, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407163
2026-10-19 19:52:08Record linked automatically80d3f1daee
scoring_agent, PRV-22115, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407162, policy version 1
2026-10-19 19:52:08Record linked automatically0f5985f586
scoring_agent, PRV-22114, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407162, policy version 1
2026-10-19 19:52:08Record linked automatically424b3a85b9
scoring_agent, CLM-407161, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407162, policy version 1
2026-10-19 19:52:08Record linked automatically2319faefae
scoring_agent, CLM-407163, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407162, policy version 1
2026-10-19 19:52:08Record linked automatically489be7b70c
scoring_agent, CLM-407162, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407163, policy version 1
2026-10-19 19:52:08Record linked automatically3896aa8a17
matching_agent, ENR-109348, identity id MBR-001461, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407163
2026-10-19 19:45:41Record linked automatically51ffad2687
scoring_agent, PRV-22115, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407162, policy version 1
2026-10-19 19:45:41Record linked automaticallyd8be870f9a
scoring_agent, PRV-22114, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407162, policy version 1
2026-10-19 19:45:41Record linked automatically8bb5ac5ce2
scoring_agent, CLM-407161, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407162, policy version 1
2026-10-19 19:45:41Record linked automaticallyc18775a122
scoring_agent, CLM-407163, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407162, policy version 1
2026-10-19 19:45:41Record linked automatically33207154a1
scoring_agent, CLM-407162, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407163, policy version 1
2026-10-19 19:45:41Record linked automatically65ce6dcc19
matching_agent, ENR-109348, identity id MBR-001461, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407163
2026-10-19 19:32:31Record linked automaticallyeb6bab9d64
scoring_agent, PRV-22115, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407162, policy version 1
2026-10-19 19:32:31Record linked automatically36b359de6f
scoring_agent, PRV-22114, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407162, policy version 1
2026-10-19 19:32:31Record linked automatically2ce000f351
scoring_agent, CLM-407161, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407162, policy version 1
2026-10-19 19:32:31Record linked automatically3151ee8c04
scoring_agent, CLM-407163, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407162, policy version 1
2026-10-19 19:32:31Record linked automatically9d03e302e3
scoring_agent, CLM-407162, identity id MBR-001461, confidence 1, method probabilistic, matched record CLM-407163, policy version 1
2026-10-19 19:32:31Record linked automaticallye6b408df46
matching_agent, ENR-109348, identity id MBR-001461, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407163
2026-10-19 19:31:28Record linked automatically2f5c41d4f7
scoring_agent, CLM-407162, identity id MBR-035969, confidence 1, method probabilistic, matched record ENR-109358, policy version 1
2026-10-19 19:31:28Record linked automatically6719f28723
scoring_agent, CLM-407163, identity id MBR-027692, confidence 0.93, method probabilistic, matched record PRV-22113, policy version 1
2026-10-19 19:31:28Record linked automaticallyab437b13f0
matching_agent, CLM-407161, identity id MBR-024569, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-109357
2026-10-19 19:31:28Record linked automatically14dea21e23
scoring_agent, PRV-22114, identity id MBR-008726, confidence 0.94, method probabilistic, matched record ENR-109372, policy version 1
2026-10-19 19:31:28Record linked automatically5c6e71119d
scoring_agent, PRV-22115, identity id MBR-004038, confidence 1, method probabilistic, matched record CLM-407173, policy version 1

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-2026-027256	2026-04-16	Heritage Physical Therapy in network	97110	$140.00	—	Denied	Denied
CLM-2026-007169	2026-03-02	Evergreen Diagnostic Imaging in network	70553	$3,447.00	—	Denied	Denied
CLM-2026-007168	2026-03-02	Evergreen Diagnostic Imaging in network	70553	$3,447.00	$663.68	Approved	Approved
CLM-2026-009928	2025-09-05	Heritage Community Hospital in network	99285, 99283, 99284	$4,570.00	—	Denied	Denied