Identities/MBR-001916
Gold, golden identity

Gary B Hughes

4 source records from 3 feeds.

MBR-001916Verified4 records

Golden record

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

First nameENR
Gary
Middle nameENR
B
Last nameENR
Hughes
Date of birthENR
1947-06-17
GenderENR
M
Member IDENR
UHC-42310-56
SSNENR
•••-••-0392
PhoneENR
5145358130
EmailENR
gary.hughes@proton.me
AddressENR
6761 Cedar Ln
CityENR
Mesa
StateENR
AZ
ZIPENR
85235
GroupENR
GRP-4783
PlanENR
NAVIGATE-HMO
Min confidence
0.97
Sources
CLM ×2TPA ×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

0.970.990.970.99CLMCLM-404962CLMCLM-404963TPATPA-52171ENRENR-106541IDMBR-001916
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-404962CLM2026-01-06Gary Hughesflagged1947-06-17—5145358130—Rule0.97D2 ssn4 + dob + last name
CLM-404963CLM2026-02-27Gary Hughesflagged1947-06-17UHC-42310-5651453581306761 Cedar Ln, Mesa, AZRule0.99D1 member id + dob exact
TPA-52171TPA2026-04-05Gary Hughesflagged1947-06-17——6761 Cedar Ln, Mesa, AZRule0.97D2 ssn4 + dob + last name
ENR-106541ENR2026-05-18Gary Hughesflagged1947-06-17UHC-42310-5651453581306761 Cedar Ln, Mesa, AZRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-404963CLMENR-106541ENR0.99RuleD1 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-404962CLMCLM-404963CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-404962CLMENR-106541ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-52171TPAENR-106541ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-404962CLMTPA-52171TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-404963CLMTPA-52171TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Gary Hughes: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000098, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-404962 → UHC-42310-56 (Gary Hughes)
    ACT-003049, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically0cf371c5f2
    matching_agent, ENR-106541, identity id MBR-001916, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404963
  • 2026-10-19 19:54:38Record linked automaticallyda2d1ffa53
    matching_agent, TPA-52171, identity id MBR-001916, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404962
  • 2026-10-19 19:54:38Record linked automaticallyfaa3b029eb
    matching_agent, CLM-404963, identity id MBR-001916, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106541
  • 2026-10-19 19:54:38Record linked automatically7003120c4a
    matching_agent, CLM-404962, identity id MBR-001916, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404963
  • 2026-10-19 19:52:08Record linked automatically38c2b7e0dd
    matching_agent, ENR-106541, identity id MBR-001916, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404963
  • 2026-10-19 19:52:08Record linked automatically6f35b9fc59
    matching_agent, TPA-52171, identity id MBR-001916, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404962
  • 2026-10-19 19:52:08Record linked automatically02c098df23
    matching_agent, CLM-404963, identity id MBR-001916, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106541
  • 2026-10-19 19:52:08Record linked automatically3af79ce041
    matching_agent, CLM-404962, identity id MBR-001916, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404963
  • 2026-10-19 19:45:41Record linked automatically314e6606f7
    matching_agent, ENR-106541, identity id MBR-001916, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404963
  • 2026-10-19 19:45:41Record linked automatically62396ef4bb
    matching_agent, TPA-52171, identity id MBR-001916, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404962
  • 2026-10-19 19:45:41Record linked automatically645591eff7
    matching_agent, CLM-404963, identity id MBR-001916, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106541
  • 2026-10-19 19:45:41Record linked automatically69a384ed63
    matching_agent, CLM-404962, identity id MBR-001916, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404963
  • 2026-10-19 19:32:31Record linked automatically5b380af283
    matching_agent, ENR-106541, identity id MBR-001916, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404963
  • 2026-10-19 19:32:31Record linked automaticallyedbf5d4775
    matching_agent, TPA-52171, identity id MBR-001916, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404962
  • 2026-10-19 19:32:31Record linked automaticallyce5681e5aa
    matching_agent, CLM-404963, identity id MBR-001916, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106541
  • 2026-10-19 19:32:31Record linked automaticallyc055275f6c
    matching_agent, CLM-404962, identity id MBR-001916, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404963
  • 2026-10-19 19:31:28Record linked automatically12dee5e667
    matching_agent, CLM-404962, identity id MBR-013912, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106512
  • 2026-10-19 19:31:28Record linked automaticallyaedfdd7dde
    scoring_agent, TPA-52171, identity id MBR-008112, confidence 1, method probabilistic, matched record ENR-106369, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9cc9d424aa
    matching_agent, CLM-404963, identity id MBR-007240, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106514

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0233812026-01-14Riverside Medical Group
in network
99203, 36415, 99214$575.00$331.50ApprovedApproved
CLM-2026-0065382025-12-18Summit Medical Group
in network
80053$80.00$24.60ApprovedApproved