Identities/MBR-002585

Gold, golden identity

Scott K Thomas

6 source records from 3 feeds.

MBR-002585Verified6 records

Golden record

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

First nameENR: Scott
Middle nameENR: K
Last nameCLM: Thomas
Date of birthENR: 1970-07-24
GenderENR: M
Member IDENR: UHC-17753-40
SSNCLM: •••-••-9931
PhoneENR: 7134747562
Email—: —
AddressENR: 2385 Park Pl
CityENR: Eden Prairie
StateENR: MN
ZIPENR: 55374
GroupENR: GRP-7552
PlanENR: CORE-HMO

Min confidence

0.98

Sources

ENR ×1CLM ×4TPA ×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
ENR-127168	ENR	2026-01-09	Scott Thoasflagged	1970-07-24	UHC-17753-40	7134747562	2385 Park Pl, Eden Prairie, MN	Scored	0.99	—
CLM-420665	CLM	2026-02-16	Scott Thomasflagged	1970-07-24	—	7134747562	2385 Park Pl, Eden Prairie, MN	Scored	1.00	—
CLM-420663	CLM	2026-03-22	Scott Thomasflagged	1970-07-24	UHC-17753-40	—	—	Rule	0.99	D1 member id + dob exact
CLM-420664	CLM	2026-05-31	Thomas Scottflagged	1970-07-24	—	7134747562	2385 Park Pl, Eden Prairie, MN	Scored	0.98	—
CLM-420666	CLM	2026-08-19	Scott Thomasflagged	1970-07-24	UHC-17753-40	7134747562	2385 Park Pl, Eden Prairie, MN	Scored	1.00	—
TPA-59068	TPA	2026-09-02	Scott Thomasflagged	1970-07-24	—	7134747562	2385 Park Pl, Eden Prairie, MN	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-420665CLMCLM-420666CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420665CLMTPA-59068TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-127168ENRCLM-420665CLM0.99Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-127168ENRTPA-59068TPA0.99Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-127168ENRCLM-420663CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-127168ENRCLM-420666CLM0.99RuleD1 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

▶CLM-420663CLMCLM-420666CLM0.99RuleD1 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
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420665CLMCLM-420664CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420664CLMCLM-420666CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420664CLMTPA-59068TPA0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-127168ENRCLM-420664CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.93	3	swapped
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420666CLMTPA-59068TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-420663CLMTPA-59068TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-420665CLMCLM-420663CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Scott Thomas: 2 plan codes across sources → canonical CORE-HMO
ACT-000129, Eligibility engine
Orphan claim re-pointedExecuted
CLM-420664 → UHC-17753-40 (Scott Thomas)
ACT-003482, Claims processor
Orphan claim re-pointedExecuted
CLM-420665 → UHC-17753-40 (Scott Thomas)
ACT-009769, Claims processor
Care coordination outreachProposed
Scott Thomas: 4 claims, no attributed provider
ACT-017967, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyce34850ca1
scoring_agent, TPA-59068, identity id MBR-002585, confidence 1, method probabilistic, matched record CLM-420665, policy version 1
2026-10-19 19:54:38Record linked automatically5e32a1ae24
scoring_agent, CLM-420666, identity id MBR-002585, confidence 1, method probabilistic, matched record CLM-420665, policy version 1
2026-10-19 19:54:38Record linked automatically1f6b728af1
scoring_agent, CLM-420664, identity id MBR-002585, confidence 0.98, method probabilistic, matched record CLM-420665, policy version 1
2026-10-19 19:54:38Record linked automaticallyb74d862617
matching_agent, CLM-420663, identity id MBR-002585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127168
2026-10-19 19:54:38Record linked automatically31b7fa587d
scoring_agent, CLM-420665, identity id MBR-002585, confidence 1, method probabilistic, matched record CLM-420666, policy version 1
2026-10-19 19:54:38Record linked automaticallyab50f5e675
scoring_agent, ENR-127168, identity id MBR-002585, confidence 0.99, method probabilistic, matched record CLM-420665, policy version 1
2026-10-19 19:52:08Record linked automaticallyad31936886
scoring_agent, TPA-59068, identity id MBR-002585, confidence 1, method probabilistic, matched record CLM-420665, policy version 1
2026-10-19 19:52:08Record linked automatically598b06c6df
scoring_agent, CLM-420666, identity id MBR-002585, confidence 1, method probabilistic, matched record CLM-420665, policy version 1
2026-10-19 19:52:08Record linked automatically4a0eab17d1
scoring_agent, CLM-420664, identity id MBR-002585, confidence 0.98, method probabilistic, matched record CLM-420665, policy version 1
2026-10-19 19:52:08Record linked automaticallyb21de9c8a5
matching_agent, CLM-420663, identity id MBR-002585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127168
2026-10-19 19:52:08Record linked automatically2c0d219bb9
scoring_agent, CLM-420665, identity id MBR-002585, confidence 1, method probabilistic, matched record CLM-420666, policy version 1
2026-10-19 19:52:08Record linked automaticallyd45a1911df
scoring_agent, ENR-127168, identity id MBR-002585, confidence 0.99, method probabilistic, matched record CLM-420665, policy version 1
2026-10-19 19:45:41Record linked automaticallyff3a0c7a97
scoring_agent, TPA-59068, identity id MBR-002585, confidence 1, method probabilistic, matched record CLM-420665, policy version 1
2026-10-19 19:45:41Record linked automatically0e4a322f19
scoring_agent, CLM-420666, identity id MBR-002585, confidence 1, method probabilistic, matched record CLM-420665, policy version 1
2026-10-19 19:45:41Record linked automaticallya6f3342935
scoring_agent, CLM-420664, identity id MBR-002585, confidence 0.98, method probabilistic, matched record CLM-420665, policy version 1
2026-10-19 19:45:41Record linked automaticallyabc24ff871
matching_agent, CLM-420663, identity id MBR-002585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127168
2026-10-19 19:45:41Record linked automatically008edeb3f1
scoring_agent, CLM-420665, identity id MBR-002585, confidence 1, method probabilistic, matched record CLM-420666, policy version 1
2026-10-19 19:45:41Record linked automatically078b9201a8
scoring_agent, ENR-127168, identity id MBR-002585, confidence 0.99, method probabilistic, matched record CLM-420665, policy version 1
2026-10-19 19:32:31Record linked automatically4ed4cfa324
scoring_agent, TPA-59068, identity id MBR-002585, confidence 1, method probabilistic, matched record CLM-420665, policy version 1
2026-10-19 19:32:31Record linked automatically05e58fcfb5
scoring_agent, CLM-420666, identity id MBR-002585, confidence 1, method probabilistic, matched record CLM-420665, policy version 1
2026-10-19 19:32:31Record linked automatically4da8a386e6
scoring_agent, CLM-420664, identity id MBR-002585, confidence 0.98, method probabilistic, matched record CLM-420665, policy version 1
2026-10-19 19:32:31Record linked automatically4de68cecc9
matching_agent, CLM-420663, identity id MBR-002585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127168
2026-10-19 19:32:31Record linked automatically8e63d6ea9b
scoring_agent, CLM-420665, identity id MBR-002585, confidence 1, method probabilistic, matched record CLM-420666, policy version 1
2026-10-19 19:32:31Record linked automatically6f88c4c340
scoring_agent, ENR-127168, identity id MBR-002585, confidence 0.99, method probabilistic, matched record CLM-420665, policy version 1
2026-10-19 19:31:28Record linked automatically19e998941a
scoring_agent, TPA-59068, identity id MBR-040534, confidence 1, method probabilistic, matched record CLM-420815, policy version 1
2026-10-19 19:31:28Record linked automatically6cf6bcb055
matching_agent, CLM-420665, identity id MBR-007549, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-127152
2026-10-19 19:31:28Record linked automaticallye37d405a52
matching_agent, CLM-420664, identity id MBR-002794, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-127150
2026-10-19 19:31:28Record linked automatically8b5270ea15
scoring_agent, CLM-420666, identity id MBR-001851, confidence 1, method probabilistic, matched record ENR-127153, policy version 1

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-2026-004241	2026-07-16	Unity Dermatology Clinic in network	17110	$175.00	$58.50	Approved	Approved
CLM-2026-008123	2026-05-17	Meadow Family Practice in network	36415, 90471	$41.00	$16.74	Approved	Approved
CLM-2026-029972	2026-02-18	Meadow Primary Care Associates in network	99203	$257.00	$139.34	Approved	Approved
CLM-2026-032064	2026-01-24	Unity Clinical Laboratories in network	87086, 83036, 85025	$134.00	$0.00	Approved	Approved