Gold, golden identity
Gerald Cox
6 source records from 2 feeds.
MBR-002479Verified6 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameCLM
- Gerald
- Middle name—
- —
- Last nameCLM
- Cox
- Date of birthCLM
- 1971-10-05
- GenderCLM
- F
- Member IDCLM
- UHC-87483-13
- SSNCLM
- •••-••-4262
- PhoneCLM
- 7334923654
- EmailCLM
- gerald.cox4@yahoo.com
- AddressCLM
- 5111 Canyon Rd
- CityCLM
- Plano
- StateCLM
- TX
- ZIPCLM
- 75044
- GroupCLM
- GRP-6143
- PlanTPA
- MEDICARE-ADV-B
Min confidence
0.97
Sources
TPA ×2CLM ×4
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| TPA-52143 | TPA | 2026-01-08 | Gerrald Coxflagged | 1971-10-05 | — | — | 5111 Canyon Rd, Plano, TX | Rule | 0.97 | D2 ssn4 + dob + last name |
| CLM-404901 | CLM | 2026-01-10 | Geralld Coxflagged | 1971-10-05 | UHC-87483-13 | 7334923654 | — | Rule | 0.99 | D1 member id + dob exact |
| CLM-404904 | CLM | 2026-03-07 | Gerald Coxflagged | 1971-10-05 | UHC-87483-13 | 7334923654 | 5111 Canyon Rd, Plano, TX | Rule | 0.99 | D1 member id + dob exact |
| CLM-404903 | CLM | 2026-03-07 | Gerald Coxflagged | 1971-10-05 | UHC-87483-13 | 7334923654 | 5111 Canyon Rd, Plano, TX | Rule | 0.99 | D1 member id + dob exact |
| TPA-52142 | TPA | 2026-03-26 | Gerald Coxflagged | 1971-10-05 | — | — | 5111 Canyon Rd, Plano, TX | Rule | 0.97 | D2 ssn4 + dob + last name |
| CLM-404902 | CLM | 2026-04-03 | Gerald Coxflagged | 1971-10-05 | UHC-87483-13 | — | 5111 Canyon Rd, Plano, TX | Rule | 0.99 | D1 member id + dob exact |
Evidence
15 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-404904CLMCLM-404902CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-404903CLMCLM-404902CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-404901CLMCLM-404902CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-404904CLMCLM-404903CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 4Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-404901CLMCLM-404903CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-404901CLMCLM-404904CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶TPA-52143TPACLM-404902CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶TPA-52142TPACLM-404902CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶TPA-52143TPACLM-404903CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶TPA-52143TPACLM-404904CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-404904CLMTPA-52142TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-404903CLMTPA-52142TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶TPA-52143TPACLM-404901CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||||||
▶CLM-404901CLMTPA-52142TPA0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Care coordination outreachProposedGerald Cox: 4 claims, no attributed providerACT-017959, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically5200967b17matching_agent, CLM-404902, identity id MBR-002479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404904
- 2026-10-19 19:54:38Record linked automatically46b5c0c2cdmatching_agent, TPA-52142, identity id MBR-002479, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-52143
- 2026-10-19 19:54:38Record linked automatically662f35631dmatching_agent, CLM-404903, identity id MBR-002479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404904
- 2026-10-19 19:54:38Record linked automaticallyc4a2973654matching_agent, CLM-404904, identity id MBR-002479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404903
- 2026-10-19 19:54:38Record linked automatically761cd26967matching_agent, CLM-404901, identity id MBR-002479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404904
- 2026-10-19 19:54:38Record linked automatically1974566456matching_agent, TPA-52143, identity id MBR-002479, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404904
- 2026-10-19 19:52:08Record linked automatically61fe178b94matching_agent, CLM-404902, identity id MBR-002479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404904
- 2026-10-19 19:52:08Record linked automaticallyd517225740matching_agent, TPA-52142, identity id MBR-002479, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-52143
- 2026-10-19 19:52:08Record linked automaticallyeac9a0bca8matching_agent, CLM-404903, identity id MBR-002479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404904
- 2026-10-19 19:52:08Record linked automaticallyaad40c7d47matching_agent, CLM-404904, identity id MBR-002479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404903
- 2026-10-19 19:52:08Record linked automatically7143ae3c9fmatching_agent, CLM-404901, identity id MBR-002479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404904
- 2026-10-19 19:52:08Record linked automaticallyed74891759matching_agent, TPA-52143, identity id MBR-002479, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404904
- 2026-10-19 19:45:41Record linked automatically42eaec55abmatching_agent, CLM-404902, identity id MBR-002479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404904
- 2026-10-19 19:45:41Record linked automaticallya70863c036matching_agent, TPA-52142, identity id MBR-002479, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-52143
- 2026-10-19 19:45:41Record linked automatically5b9de75e86matching_agent, CLM-404903, identity id MBR-002479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404904
- 2026-10-19 19:45:41Record linked automatically4882992989matching_agent, CLM-404904, identity id MBR-002479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404903
- 2026-10-19 19:45:41Record linked automatically52c264aa06matching_agent, CLM-404901, identity id MBR-002479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404904
- 2026-10-19 19:45:41Record linked automatically44425b2beamatching_agent, TPA-52143, identity id MBR-002479, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404904
- 2026-10-19 19:32:31Record linked automaticallyb11d0cbb72matching_agent, CLM-404902, identity id MBR-002479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404904
- 2026-10-19 19:32:31Record linked automaticallya554105596matching_agent, TPA-52142, identity id MBR-002479, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-52143
- 2026-10-19 19:32:31Record linked automaticallyc3c1df3d71matching_agent, CLM-404903, identity id MBR-002479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404904
- 2026-10-19 19:32:31Record linked automatically558a166b54matching_agent, CLM-404904, identity id MBR-002479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404903
- 2026-10-19 19:32:31Record linked automatically76058394e0matching_agent, CLM-404901, identity id MBR-002479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404904
- 2026-10-19 19:32:31Record linked automatically0b165dededmatching_agent, TPA-52143, identity id MBR-002479, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404904
- 2026-10-19 19:31:28Record linked automatically80ef0bde08matching_agent, TPA-52143, identity id MBR-036728, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-106281
- 2026-10-19 19:31:28Record linked automatically0556f68a56scoring_agent, TPA-52142, identity id MBR-014693, confidence 1, method probabilistic, matched record CLM-404804, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyf6d870f5bfmatching_agent, CLM-404901, identity id MBR-010162, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404902
- 2026-10-19 19:31:28Record linked automatically5ba8c8e163matching_agent, CLM-404902, identity id MBR-010162, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404901
- 2026-10-19 19:31:28Record linked automatically2993ccfcd9matching_agent, CLM-404903, identity id MBR-003358, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-21455
- 2026-10-19 19:31:28Record linked automaticallybb1d38a2e3matching_agent, CLM-404904, identity id MBR-003358, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21455
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-2026-005560 | 2026-03-22 | Summit Internal Medicine Associates in network | 99214, 93000, 80053 | $453.00 | $250.86 | Approved | Approved |
| CLM-2026-029151 | 2026-03-03 | Desert Imaging Center in network | 77067, 71046, 70553 | $2,909.00 | $879.54 | Approved | Approved |
| CLM-2026-018168 | 2026-03-01 | Mesa Physical Therapy in network | 97110 | $236.00 | $116.32 | Approved | Approved |
| CLM-2026-006346 | 2025-12-12 | Evergreen Family Practice in network | 99395 | $259.00 | $130.58 | Approved | Approved |