Identities/MBR-001750
Gold, golden identity

Peter T Gilbert

5 source records from 3 feeds.

MBR-001750Verified5 records

Golden record

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

First nameENR
Peter
Middle nameENR
T
Last nameENR
Gilbert
Date of birthENR
1961-12-23
GenderENR
F
Member IDENR
UHC-05029-61
SSNENR
•••-••-8587
PhoneENR
3182530104
EmailENR
peter.gilbert@gmail.com
AddressTPA
4458 Canyon Rd Apt 33
CityENR
Tucson
StateENR
AZ
ZIP—
—
GroupENR
GRP-0516
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×3ENR ×1TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

0.990.990.990.990.99CLMCLM-414853CLMCLM-414851CLMCLM-414852ENRENR-119536TPATPA-56548IDMBR-001750
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
CLM-414853CLM2026-01-06Peter Gilbertflagged1961-12-23—31825301044458 Canyon Rd, Tucson, AZScored0.99—
CLM-414851CLM2026-02-24Petar Gilbertflagged1961-12-23UHC-05029-61—4458 Canyon Rd, Tucson, AZRule0.99D1 member id + dob exact
CLM-414852CLM2026-04-08Peter Gilbertflagged1961-12-23UHC-05029-6131825301044458 Canyon Rd, Tucson, AZRule0.99D1 member id + dob exact
ENR-119536ENR2026-04-18Peter Gilbertflagged1961-12-23UHC-05029-6131825301044458 Canyon Rd, Tucson, AZRule0.99D1 member id + dob exact
TPA-56548TPA2026-09-16Peeter Gilbertflagged1961-12-23—31825301044458 Canyon Rd Apt 33, Tucson, AZScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-414851CLMCLM-414852CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-414851CLMENR-119536ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-414852CLMENR-119536ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-414853CLMTPA-56548TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414853CLMCLM-414852CLM0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414853CLMENR-119536ENR0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414852CLMTPA-56548TPA0.92Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-119536ENRTPA-56548TPA0.92Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414853CLMCLM-414851CLM0.91Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414851CLMTPA-56548TPA0.90Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.943
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Peter Gilbert: 2 plan codes across sources → canonical MEDICARE-ADV-B
    ACT-000090, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-414853 → UHC-05029-61 (Peter Gilbert)
    ACT-004928, Claims processor
  • Outreach address correctedProposed
    Peter Gilbert: 4458 Canyon Rd, Tucson → 4458 Canyon Rd Apt 33, Tucson
    ACT-010636, Outreach
  • Care coordination outreachProposed
    Peter Gilbert: 3 claims, no attributed provider
    ACT-017904, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically4c1ff6c3bd
    scoring_agent, TPA-56548, identity id MBR-001750, confidence 0.99, method probabilistic, matched record CLM-414853, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd45142bc88
    matching_agent, ENR-119536, identity id MBR-001750, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414851
  • 2026-10-19 19:54:38Record linked automatically0f2247562f
    matching_agent, CLM-414852, identity id MBR-001750, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414851
  • 2026-10-19 19:54:38Record linked automaticallyb0990021bd
    matching_agent, CLM-414851, identity id MBR-001750, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414852
  • 2026-10-19 19:54:38Record linked automaticallye314570b85
    scoring_agent, CLM-414853, identity id MBR-001750, confidence 0.99, method probabilistic, matched record TPA-56548, policy version 1
  • 2026-10-19 19:52:08Record linked automatically352980df17
    scoring_agent, TPA-56548, identity id MBR-001750, confidence 0.99, method probabilistic, matched record CLM-414853, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyb46f4b0c66
    matching_agent, ENR-119536, identity id MBR-001750, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414851
  • 2026-10-19 19:52:08Record linked automatically51f3920cfc
    matching_agent, CLM-414852, identity id MBR-001750, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414851
  • 2026-10-19 19:52:08Record linked automaticallya7ca1b287d
    matching_agent, CLM-414851, identity id MBR-001750, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414852
  • 2026-10-19 19:52:08Record linked automatically745cad5e01
    scoring_agent, CLM-414853, identity id MBR-001750, confidence 0.99, method probabilistic, matched record TPA-56548, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallye9a19d0134
    scoring_agent, TPA-56548, identity id MBR-001750, confidence 0.99, method probabilistic, matched record CLM-414853, policy version 1
  • 2026-10-19 19:45:41Record linked automatically913ed842f8
    matching_agent, ENR-119536, identity id MBR-001750, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414851
  • 2026-10-19 19:45:41Record linked automatically66b3011783
    matching_agent, CLM-414852, identity id MBR-001750, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414851
  • 2026-10-19 19:45:41Record linked automaticallyc7ff53e12d
    matching_agent, CLM-414851, identity id MBR-001750, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414852
  • 2026-10-19 19:45:41Record linked automatically9abbac18fa
    scoring_agent, CLM-414853, identity id MBR-001750, confidence 0.99, method probabilistic, matched record TPA-56548, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb26f08ebfe
    scoring_agent, TPA-56548, identity id MBR-001750, confidence 0.99, method probabilistic, matched record CLM-414853, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye265dd332d
    matching_agent, ENR-119536, identity id MBR-001750, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414851
  • 2026-10-19 19:32:31Record linked automaticallye200a6d7b6
    matching_agent, CLM-414852, identity id MBR-001750, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414851
  • 2026-10-19 19:32:31Record linked automatically1026d80aab
    matching_agent, CLM-414851, identity id MBR-001750, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414852
  • 2026-10-19 19:32:31Record linked automatically3d2d9e775f
    scoring_agent, CLM-414853, identity id MBR-001750, confidence 0.99, method probabilistic, matched record TPA-56548, policy version 1
  • 2026-10-19 19:31:28Record linked automatically56cfe78e95
    scoring_agent, ENR-119536, identity id MBR-030304, confidence 1, method probabilistic, matched record PRV-24380, policy version 1
  • 2026-10-19 19:31:28Record linked automatically1e2591623d
    matching_agent, CLM-414851, identity id MBR-011588, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119451
  • 2026-10-19 19:31:28Record linked automatically0ec4168a90
    matching_agent, CLM-414852, identity id MBR-011588, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-119451
  • 2026-10-19 19:31:28Record linked automaticallyebfd55db46
    scoring_agent, TPA-56548, identity id MBR-008751, confidence 1, method probabilistic, matched record ENR-119719, policy version 1

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0337052026-03-18Summit Reference Lab
in network
80053, 87086, 80061$151.00$0.00ApprovedApproved
CLM-2026-0298402026-01-14Harbor Clinical Laboratories
out of network
85025$65.00$0.00ApprovedApproved
CLM-2026-0136242025-12-10Mesa Family Practice
in network
90471$35.00$0.00ApprovedApproved