Identities/MBR-002113

Gold, golden identity

Billy Barnes

6 source records from 2 feeds.

MBR-002113Verified6 records

Golden record

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

First nameENR: Billy
Middle name—: —
Last nameENR: Barnes
Date of birthENR: 1995-06-25
GenderCLM: M
Member IDENR: UHC-81889-78
SSNENR: •••-••-4355
PhoneENR: 9359707258
Email—: —
AddressENR: 3035 Church St
CityENR: Tampa
StateENR: FL
ZIPENR: 33672
GroupENR: GRP-6960
PlanENR: NAVIGATE-HMO

Min confidence

0.96

Sources

CLM ×5ENR ×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-404475	CLM	2026-01-07	Billy Barnesflagged	1995-06-25	—	—	3035 Church St, Tampa, FL	Scored	1.00	—
CLM-404476	CLM	2026-01-07	Billy Barnesflagged	1995-06-25	—	—	3035 Church St, Tampa, FL	Scored	1.00	—
ENR-105902	ENR	2026-05-23	Billy Barnesflagged	1995-06-25	UHC-81889-78	9359707258	3035 Church St, Tampa, FL	Scored	1.00	—
CLM-404473	CLM	2026-06-03	Billy Barnsflagged	1995-06-25	UHC-81889-78	9359707258	3035 Church St, Tampa, FL	Scored	0.99	—
CLM-404477	CLM	2026-08-28	Billy Barnesflagged	1996-06-25	UHC-81889-78	—	3035 Church St, Tampa, FL	Rule	0.96	D3 member id + name
CLM-404474	CLM	2026-08-31	Billy Barnesflagged	1995-06-25	UHC-81889-78	—	3035 Church St, Tampa, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-404475CLMCLM-404474CLM1.00Scoredweighted 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-404476CLMCLM-404474CLM1.00Scoredweighted 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-404475CLMCLM-404476CLM1.00Scoredweighted 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-404475CLMENR-105902ENR1.00Scoredweighted 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-404476CLMENR-105902ENR1.00Scoredweighted 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-404475CLMCLM-404473CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-404476CLMCLM-404473CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-105902ENRCLM-404473CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-105902ENRCLM-404474CLM0.99RuleD1 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

▶CLM-404473CLMCLM-404474CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-404477CLMCLM-404474CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-105902ENRCLM-404477CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-404473CLMCLM-404477CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-404475CLMCLM-404477CLM0.81Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-404476CLMCLM-404477CLM0.81Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Billy Barnes: 2 plan codes across sources → canonical NAVIGATE-HMO
ACT-000110, Eligibility engine
Orphan claim re-pointedExecuted
CLM-404475 → UHC-81889-78 (Billy Barnes)
ACT-001962, Claims processor
Orphan claim re-pointedExecuted
CLM-404476 → UHC-81889-78 (Billy Barnes)
ACT-008630, Claims processor
Care coordination outreachProposed
Billy Barnes: 5 claims, no attributed provider
ACT-017935, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically930da5b1c7
scoring_agent, CLM-404474, identity id MBR-002113, confidence 1, method probabilistic, matched record CLM-404475, policy version 1
2026-10-19 19:54:38Record linked automatically7031df8c25
matching_agent, CLM-404477, identity id MBR-002113, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-105902
2026-10-19 19:54:38Record linked automaticallyd4d143152f
scoring_agent, CLM-404473, identity id MBR-002113, confidence 0.99, method probabilistic, matched record CLM-404475, policy version 1
2026-10-19 19:54:38Record linked automaticallyccf87b4d48
scoring_agent, ENR-105902, identity id MBR-002113, confidence 1, method probabilistic, matched record CLM-404475, policy version 1
2026-10-19 19:54:38Record linked automatically21f769b796
scoring_agent, CLM-404476, identity id MBR-002113, confidence 1, method probabilistic, matched record CLM-404475, policy version 1
2026-10-19 19:54:38Record linked automaticallyc1c44a114d
scoring_agent, CLM-404475, identity id MBR-002113, confidence 1, method probabilistic, matched record CLM-404476, policy version 1
2026-10-19 19:52:08Record linked automatically5fd5b33fbc
scoring_agent, CLM-404474, identity id MBR-002113, confidence 1, method probabilistic, matched record CLM-404475, policy version 1
2026-10-19 19:52:08Record linked automatically823d258726
matching_agent, CLM-404477, identity id MBR-002113, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-105902
2026-10-19 19:52:08Record linked automaticallyd502973b9a
scoring_agent, CLM-404473, identity id MBR-002113, confidence 0.99, method probabilistic, matched record CLM-404475, policy version 1
2026-10-19 19:52:08Record linked automaticallyfebfb84451
scoring_agent, ENR-105902, identity id MBR-002113, confidence 1, method probabilistic, matched record CLM-404475, policy version 1
2026-10-19 19:52:08Record linked automatically5290756d31
scoring_agent, CLM-404476, identity id MBR-002113, confidence 1, method probabilistic, matched record CLM-404475, policy version 1
2026-10-19 19:52:08Record linked automaticallyeb22cf462a
scoring_agent, CLM-404475, identity id MBR-002113, confidence 1, method probabilistic, matched record CLM-404476, policy version 1
2026-10-19 19:45:41Record linked automatically653c927db9
scoring_agent, CLM-404474, identity id MBR-002113, confidence 1, method probabilistic, matched record CLM-404475, policy version 1
2026-10-19 19:45:41Record linked automatically0a6fb42081
matching_agent, CLM-404477, identity id MBR-002113, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-105902
2026-10-19 19:45:41Record linked automatically59852b9d94
scoring_agent, CLM-404473, identity id MBR-002113, confidence 0.99, method probabilistic, matched record CLM-404475, policy version 1
2026-10-19 19:45:41Record linked automatically53209e1c4b
scoring_agent, ENR-105902, identity id MBR-002113, confidence 1, method probabilistic, matched record CLM-404475, policy version 1
2026-10-19 19:45:41Record linked automatically1ca17bf04f
scoring_agent, CLM-404476, identity id MBR-002113, confidence 1, method probabilistic, matched record CLM-404475, policy version 1
2026-10-19 19:45:41Record linked automatically200efef084
scoring_agent, CLM-404475, identity id MBR-002113, confidence 1, method probabilistic, matched record CLM-404476, policy version 1
2026-10-19 19:32:31Record linked automatically1648c79e06
scoring_agent, CLM-404474, identity id MBR-002113, confidence 1, method probabilistic, matched record CLM-404475, policy version 1
2026-10-19 19:32:31Record linked automaticallyea962a0137
matching_agent, CLM-404477, identity id MBR-002113, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-105902
2026-10-19 19:32:31Record linked automaticallye2e865fa48
scoring_agent, CLM-404473, identity id MBR-002113, confidence 0.99, method probabilistic, matched record CLM-404475, policy version 1
2026-10-19 19:32:31Record linked automatically6f77ce23cf
scoring_agent, ENR-105902, identity id MBR-002113, confidence 1, method probabilistic, matched record CLM-404475, policy version 1
2026-10-19 19:32:31Record linked automatically0d169da585
scoring_agent, CLM-404476, identity id MBR-002113, confidence 1, method probabilistic, matched record CLM-404475, policy version 1
2026-10-19 19:32:31Record linked automaticallyeb104901cd
scoring_agent, CLM-404475, identity id MBR-002113, confidence 1, method probabilistic, matched record CLM-404476, policy version 1
2026-10-19 19:31:28Record linked automatically8df5dd9266
scoring_agent, CLM-404474, identity id MBR-028383, confidence 1, method probabilistic, matched record TPA-51995, policy version 1
2026-10-19 19:31:28Record linked automaticallyc62020d39b
scoring_agent, CLM-404473, identity id MBR-028383, confidence 1, method probabilistic, matched record TPA-51995, policy version 1
2026-10-19 19:31:28Record linked automatically5210194f4e
scoring_agent, CLM-404475, identity id MBR-014248, confidence 1, method probabilistic, matched record ENR-105838, policy version 1
2026-10-19 19:31:28Record linked automaticallycea159899e
scoring_agent, CLM-404476, identity id MBR-014248, confidence 1, method probabilistic, matched record CLM-404475, policy version 1
2026-10-19 19:31:28Record linked automatically83759c02be
matching_agent, CLM-404477, identity id MBR-014248, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-21327

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-2026-032084	2026-08-19	Northgate Internal Medicine Associates in network	99214, 99215	$691.00	$388.42	Approved	Approved
CLM-2026-021945	2026-07-29	Heritage Primary Care Associates in network	99395	$268.00	$126.16	Approved	Approved
CLM-2026-011331	2026-05-26	Summit Clinical Laboratories in network	85025, 83036	$93.00	$0.00	Approved	Approved
CLM-2026-027619	2025-12-12	Northgate Clinical Laboratories in network	80053, 85025, 87086	$164.00	$0.00	Approved	Approved
CLM-2026-002452	2025-12-13	Meadow Imaging Center in network	77067, 74177, 70553	$4,496.00	$1,527.04	Approved	Approved