Gold, golden identity
Ralph Knight
7 source records from 3 feeds.
MBR-001575Verified7 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Ralph
- Middle name—
- —
- Last nameENR
- Knight
- Date of birthENR
- 1949-10-18
- GenderENR
- F
- Member IDENR
- UHC-81725-26
- SSNENR
- •••-••-7879
- PhoneENR
- 5938532084
- EmailTPA
- ralph.knight20@gmail.com
- AddressCLM
- 5725 Pine Dr
- CityCLM
- San Diego
- StateCLM
- CA
- ZIPCLM
- 92142
- GroupENR
- GRP-8600
- PlanENR
- CHOICE-PLUS-PPO
Min confidence
0.97
Sources
CLM ×5TPA ×1ENR ×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-415585 | CLM | 2026-01-05 | Ralph Knightflagged | 1949-10-18 | UHC-81725-26 | — | 9517 Maple Ave, Denver, CO | Scored | 1.00 | — |
| TPA-56831 | TPA | 2026-03-19 | Ralph Knightflagged | 1949-10-18 | — | — | 9517 Maple Ave, Denver, CO | Scored | 1.00 | — |
| CLM-415586 | CLM | 2026-03-22 | Ralph Knightflagged | 1949-10-18 | UHC-81725-26 | — | 5725 Pine Dr, San Diego, CA | Rule | 0.99 | D1 member id + dob exact |
| CLM-415587 | CLM | 2026-06-04 | Ralph Knightflagged | 1949-10-18 | — | — | — | Rule | 0.97 | D2 ssn4 + dob + last name |
| ENR-120541 | ENR | 2026-07-28 | Ralph Knightflagged | 1949-10-18 | UHC-81725-26 | 5938532084 | 9517 Maple Ave # 957, Denver, CO | Scored | 1.00 | — |
| CLM-415584 | CLM | 2026-09-05 | Ralph Knightflagged | 1949-10-18 | UHC-81725-26 | — | 5725 Pine Dr, San Diego, CA | Rule | 0.99 | D1 member id + dob exact |
| CLM-415583 | CLM | 2026-09-05 | Ralph Knightflagged | 1949-10-18 | UHC-81725-26 | — | 5725 Pine Dr, San Diego, CA | Rule | 0.99 | D1 member id + dob exact |
Evidence
21 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶TPA-56831TPA ENR-120541ENR1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-415585CLMTPA-56831TPA 1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-415585CLMCLM-415583CLM 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-415586CLMCLM-415583CLM 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶ENR-120541ENRCLM-415583CLM 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-415584CLM CLM-415583CLM 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-415585CLMCLM-415584CLM 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-415586CLMCLM-415584CLM 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶ENR-120541ENRCLM-415584CLM 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-415585CLMCLM-415586CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-415585CLMENR-120541ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-415586CLMENR-120541ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-415587CLM ENR-120541ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-415587CLM CLM-415583CLM 0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||
▶CLM-415587CLM CLM-415584CLM 0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||
▶CLM-415585CLMCLM-415587CLM 0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||
▶TPA-56831TPA CLM-415587CLM 0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||
▶CLM-415586CLMCLM-415587CLM 0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||
▶TPA-56831TPA CLM-415583CLM 0.75Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶TPA-56831TPA CLM-415584CLM 0.75Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶TPA-56831TPA CLM-415586CLM0.75Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-415587 → UHC-81725-26 (Ralph Knight)ACT-003988, Claims processor
- Outreach address correctedProposedRalph Knight: 9517 Maple Ave # 957, Denver → 5725 Pine Dr, San DiegoACT-010614, Outreach
- Care coordination outreachProposedRalph Knight: 5 claims, no attributed providerACT-017895, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically6b9f6a4a1cmatching_agent, CLM-415583, identity id MBR-001575, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415585
- 2026-10-19 19:54:38Record linked automatically7a74d7bf76matching_agent, CLM-415584, identity id MBR-001575, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415585
- 2026-10-19 19:54:38Record linked automaticallyb232bdff94scoring_agent, ENR-120541, identity id MBR-001575, confidence 1, method probabilistic, matched record TPA-56831, policy version 1
- 2026-10-19 19:54:38Record linked automatically486efe2822matching_agent, CLM-415587, identity id MBR-001575, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120541
- 2026-10-19 19:54:38Record linked automatically40b5582448matching_agent, CLM-415586, identity id MBR-001575, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415585
- 2026-10-19 19:54:38Record linked automatically2e8dced1d7scoring_agent, TPA-56831, identity id MBR-001575, confidence 1, method probabilistic, matched record CLM-415585, policy version 1
- 2026-10-19 19:54:38Record linked automatically1fb1b94611scoring_agent, CLM-415585, identity id MBR-001575, confidence 1, method probabilistic, matched record TPA-56831, policy version 1
- 2026-10-19 19:52:08Record linked automaticallyebc8ad41famatching_agent, CLM-415583, identity id MBR-001575, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415585
- 2026-10-19 19:52:08Record linked automatically941af6afa9matching_agent, CLM-415584, identity id MBR-001575, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415585
- 2026-10-19 19:52:08Record linked automaticallyaa0d15cc7fscoring_agent, ENR-120541, identity id MBR-001575, confidence 1, method probabilistic, matched record TPA-56831, policy version 1
- 2026-10-19 19:52:08Record linked automatically33808cd1efmatching_agent, CLM-415587, identity id MBR-001575, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120541
- 2026-10-19 19:52:08Record linked automatically7b61510c87matching_agent, CLM-415586, identity id MBR-001575, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415585
- 2026-10-19 19:52:08Record linked automatically52653c1764scoring_agent, TPA-56831, identity id MBR-001575, confidence 1, method probabilistic, matched record CLM-415585, policy version 1
- 2026-10-19 19:52:08Record linked automaticallye08c9842b9scoring_agent, CLM-415585, identity id MBR-001575, confidence 1, method probabilistic, matched record TPA-56831, policy version 1
- 2026-10-19 19:45:41Record linked automatically6f89c8afe8matching_agent, CLM-415583, identity id MBR-001575, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415585
- 2026-10-19 19:45:41Record linked automatically5c44e90d8cmatching_agent, CLM-415584, identity id MBR-001575, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415585
- 2026-10-19 19:45:41Record linked automaticallye44b1d86afscoring_agent, ENR-120541, identity id MBR-001575, confidence 1, method probabilistic, matched record TPA-56831, policy version 1
- 2026-10-19 19:45:41Record linked automaticallye3ebf4ef5dmatching_agent, CLM-415587, identity id MBR-001575, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120541
- 2026-10-19 19:45:41Record linked automaticallyae0312295bmatching_agent, CLM-415586, identity id MBR-001575, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415585
- 2026-10-19 19:45:41Record linked automaticallyf7f8f608c6scoring_agent, TPA-56831, identity id MBR-001575, confidence 1, method probabilistic, matched record CLM-415585, policy version 1
- 2026-10-19 19:45:41Record linked automatically62be360326scoring_agent, CLM-415585, identity id MBR-001575, confidence 1, method probabilistic, matched record TPA-56831, policy version 1
- 2026-10-19 19:32:31Record linked automatically22cbf2f190matching_agent, CLM-415583, identity id MBR-001575, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415585
- 2026-10-19 19:32:31Record linked automaticallybca006d9b3matching_agent, CLM-415584, identity id MBR-001575, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415585
- 2026-10-19 19:32:31Record linked automatically1530a33ec2scoring_agent, ENR-120541, identity id MBR-001575, confidence 1, method probabilistic, matched record TPA-56831, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyc3ac5bc78ematching_agent, CLM-415587, identity id MBR-001575, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120541
- 2026-10-19 19:32:31Record linked automatically1bef296ce2matching_agent, CLM-415586, identity id MBR-001575, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415585
- 2026-10-19 19:32:31Record linked automatically66002eaa9ascoring_agent, TPA-56831, identity id MBR-001575, confidence 1, method probabilistic, matched record CLM-415585, policy version 1
- 2026-10-19 19:32:31Record linked automatically1e8665d47dscoring_agent, CLM-415585, identity id MBR-001575, confidence 1, method probabilistic, matched record TPA-56831, policy version 1
- 2026-10-19 19:31:28Record linked automatically6f8f9cd87fscoring_agent, CLM-415587, identity id MBR-038963, confidence 1, method probabilistic, matched record TPA-56771, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyd05725071dscoring_agent, CLM-415586, identity id MBR-038963, confidence 1, method probabilistic, matched record CLM-415587, policy version 1
- 2026-10-19 19:31:28Record linked automaticallye614a21ac2scoring_agent, CLM-415585, identity id MBR-017052, confidence 1, method probabilistic, matched record PRV-24573, policy version 1
- 2026-10-19 19:31:28Record linked automatically5cae6c44e9matching_agent, TPA-56831, identity id MBR-010290, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120607
- 2026-10-19 19:31:28Record linked automatically583381d116matching_agent, CLM-415584, identity id MBR-007333, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415583
- 2026-10-19 19:31:28Record linked automaticallyf2522f1ef9matching_agent, CLM-415583, identity id MBR-007333, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120409
- 2026-10-19 19:31:28Record linked automatically95139039c6matching_agent, ENR-120541, identity id MBR-001879, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415687
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-2026-021876 | 2026-08-06 | Cornerstone Cardiovascular Associates in network | 93015 | $468.00 | $0.00 | Approved | Approved |
| CLM-2026-000390 | 2026-08-06 | Sunrise Clinical Laboratories in network | 85025, 80061, 87086 | $189.00 | $0.00 | Approved | Approved |
| CLM-2026-010187 | 2026-04-26 | Lakeside Imaging Center in network | 71046 | $126.00 | — | Denied | Denied |
| CLM-2026-010186 | 2026-04-26 | Lakeside Imaging Center in network | 71046 | $126.00 | $0.00 | Approved | Approved |
| CLM-2026-011778 | 2026-02-06 | Canyon Medical Group in network | 99232 | $220.00 | $0.00 | Approved | Approved |
| CLM-2026-023226 | 2025-12-27 | Canyon Reference Lab in network | 80053, 83036 | $131.00 | $0.00 | Approved | Approved |