Identities/MBR-002160
Gold, golden identity

Wayne Q McDonald

3 source records from 3 feeds.

MBR-002160Verified3 records

Golden record

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

First nameENR
Wayne
Middle nameENR
Q
Last nameENR
McDonald
Date of birthENR
1994-04-18
GenderENR
F
Member IDENR
UHC-31543-99
SSNENR
•••-••-4752
PhoneENR
3504933614
EmailENR
wayne.mcdonald@icloud.com
AddressENR
6884 Lincoln Way
CityENR
Los Angeles
StateENR
CA
ZIPENR
90017
GroupENR
GRP-0299
PlanENR
MEDICARE-ADV-B
Min confidence
0.97
Sources
ENR ×1TPA ×1CLM ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.970.970.97ENRENR-103022TPATPA-50998CLMCLM-402360IDMBR-002160
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
ENR-103022ENR2026-01-07Wayne McDonaldflagged1994-04-18UHC-31543-9935049336146884 Lincoln Way, Los Angeles, CARule0.97D2 ssn4 + dob + last name
TPA-50998TPA2026-02-26Wayne McDonaldflagged1994-04-18———Rule0.97D2 ssn4 + dob + last name
CLM-402360CLM2026-07-28Wayne McDonaldflagged1994-04-18—35049336146884 Lincoln Way, Los Angeles, CARule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶ENR-103022ENRCLM-402360CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶TPA-50998TPACLM-402360CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Email1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-103022ENRTPA-50998TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Email1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-402360 → UHC-31543-99 (Wayne McDonald)
    ACT-007803, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyd3799c6d82
    matching_agent, CLM-402360, identity id MBR-002160, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-103022
  • 2026-10-19 19:54:38Record linked automaticallyeb30139c51
    matching_agent, TPA-50998, identity id MBR-002160, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-103022
  • 2026-10-19 19:54:38Record linked automatically1f26522346
    matching_agent, ENR-103022, identity id MBR-002160, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50998
  • 2026-10-19 19:52:08Record linked automatically0678865eba
    matching_agent, CLM-402360, identity id MBR-002160, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-103022
  • 2026-10-19 19:52:08Record linked automaticallyb2993317e5
    matching_agent, TPA-50998, identity id MBR-002160, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-103022
  • 2026-10-19 19:52:08Record linked automatically78aab8eea2
    matching_agent, ENR-103022, identity id MBR-002160, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50998
  • 2026-10-19 19:45:41Record linked automaticallya24488300e
    matching_agent, CLM-402360, identity id MBR-002160, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-103022
  • 2026-10-19 19:45:41Record linked automaticallycc91250dfc
    matching_agent, TPA-50998, identity id MBR-002160, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-103022
  • 2026-10-19 19:45:41Record linked automatically3b8ebf5b16
    matching_agent, ENR-103022, identity id MBR-002160, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50998
  • 2026-10-19 19:32:31Record linked automatically2226bd7723
    matching_agent, CLM-402360, identity id MBR-002160, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-103022
  • 2026-10-19 19:32:31Record linked automatically30c6c6d6a1
    matching_agent, TPA-50998, identity id MBR-002160, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-103022
  • 2026-10-19 19:32:31Record linked automaticallyf6ce5e884f
    matching_agent, ENR-103022, identity id MBR-002160, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50998
  • 2026-10-19 19:31:28Record linked automatically6c88eab9c6
    scoring_agent, CLM-402360, identity id MBR-014571, confidence 1, method probabilistic, matched record CLM-402361, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6939210c48
    matching_agent, TPA-50998, identity id MBR-005708, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402200

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0244972026-06-15Riverside Orthopedic Specialists
in network
99213$153.00—Needs reviewNeeds review
CLM-2026-0244962026-06-15Riverside Orthopedic Specialists
in network
99213$153.00$19.86ApprovedApproved