Identities/MBR-002746

Gold, golden identity

Peter P Roberts

5 source records from 4 feeds.

MBR-002746Verified5 records

Golden record

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

First nameENR: Peter
Middle namePRV: P
Last nameENR: Roberts
Date of birthCLM: 2008-09-12
GenderPRV: F
Member IDENR: UHC-81497-96
SSNENR: •••-••-2756
PhoneENR: 6742520210
EmailENR: peter.roberts95@proton.me
AddressENR: 1031 Grand Ave
CityENR: Plano
StateENR: TX
ZIPENR: 75042
GroupENR: GRP-8244
PlanENR: MEDICARE-ADV-B

Min confidence

0.99

Sources

CLM ×2PRV ×1ENR ×1TPA ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-431422	CLM	2026-01-09	Peter Robertsflagged	2008-09-12	UHC-81497-96	6742520210	1031 Grand Ave, Plano, TX	Scored	1.00	—
PRV-29185	PRV	2026-06-27	Peter Robertsflagged	2009-09-12	UHC-81497-96	—	1031 Grand Ave, Plano, TX	Rule	0.99	D1 member id + dob exact
ENR-141246	ENR	2026-07-01	Peter Robertsflagged	2009-09-12	UHC-81497-96	6742520210	1031 Grand Ave, Plano, TX	Rule	0.99	D1 member id + dob exact
TPA-63876	TPA	2026-07-10	Peter Robertsflagged	2008-09-12	—	—	1031 Grand Ave, Plano, TX	Scored	1.00	—
CLM-431423	CLM	2026-09-14	Peter Robertsflagged	2008-09-12	UHC-81497-96	—	1031 Grand Ave, Plano, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-63876TPA CLM-431423CLM1.00Scoredweighted 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-431422CLMTPA-63876TPA 1.00Scoredweighted 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-431422CLMCLM-431423CLM0.99RuleD1 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

▶PRV-29185PRVENR-141246ENR0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-29185PRVCLM-431423CLM0.96RuleD3 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-141246ENRCLM-431423CLM0.96RuleD3 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-431422CLMENR-141246ENR0.96RuleD3 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-431422CLMPRV-29185PRV0.96RuleD3 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

▶PRV-29185PRVTPA-63876TPA 0.81Scoredweighted 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

▶ENR-141246ENRTPA-63876TPA 0.81Scoredweighted 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

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically6caf2d5ecc
scoring_agent, CLM-431423, identity id MBR-002746, confidence 1, method probabilistic, matched record TPA-63876, policy version 1
2026-10-22 12:43:53Record linked automatically15f616ef59
scoring_agent, TPA-63876, identity id MBR-002746, confidence 1, method probabilistic, matched record CLM-431422, policy version 1
2026-10-22 12:43:53Record linked automatically285f751983
matching_agent, ENR-141246, identity id MBR-002746, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29185
2026-10-22 12:43:53Record linked automatically5ef2182376
matching_agent, PRV-29185, identity id MBR-002746, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141246
2026-10-22 12:43:53Record linked automatically70cefca9f1
scoring_agent, CLM-431422, identity id MBR-002746, confidence 1, method probabilistic, matched record TPA-63876, policy version 1
2026-10-19 19:54:38Record linked automatically9f936a8c1d
scoring_agent, CLM-431423, identity id MBR-002746, confidence 1, method probabilistic, matched record TPA-63876, policy version 1
2026-10-19 19:54:38Record linked automatically1c5f7d3283
scoring_agent, TPA-63876, identity id MBR-002746, confidence 1, method probabilistic, matched record CLM-431422, policy version 1
2026-10-19 19:54:38Record linked automatically20db3ce9f5
matching_agent, ENR-141246, identity id MBR-002746, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29185
2026-10-19 19:54:38Record linked automaticallye180047d48
matching_agent, PRV-29185, identity id MBR-002746, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141246
2026-10-19 19:54:38Record linked automaticallya466cc45d1
scoring_agent, CLM-431422, identity id MBR-002746, confidence 1, method probabilistic, matched record TPA-63876, policy version 1
2026-10-19 19:52:08Record linked automatically8db4918f49
scoring_agent, CLM-431423, identity id MBR-002746, confidence 1, method probabilistic, matched record TPA-63876, policy version 1
2026-10-19 19:52:08Record linked automaticallyec26c5534b
scoring_agent, TPA-63876, identity id MBR-002746, confidence 1, method probabilistic, matched record CLM-431422, policy version 1
2026-10-19 19:52:08Record linked automatically66e926ff80
matching_agent, ENR-141246, identity id MBR-002746, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29185
2026-10-19 19:52:08Record linked automatically64f5bcd7d6
matching_agent, PRV-29185, identity id MBR-002746, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141246
2026-10-19 19:52:08Record linked automaticallya569e3dd09
scoring_agent, CLM-431422, identity id MBR-002746, confidence 1, method probabilistic, matched record TPA-63876, policy version 1
2026-10-19 19:45:41Record linked automatically15459f9207
scoring_agent, CLM-431423, identity id MBR-002746, confidence 1, method probabilistic, matched record TPA-63876, policy version 1
2026-10-19 19:45:41Record linked automaticallyb538bbc021
scoring_agent, TPA-63876, identity id MBR-002746, confidence 1, method probabilistic, matched record CLM-431422, policy version 1
2026-10-19 19:45:41Record linked automatically148edb81fa
matching_agent, ENR-141246, identity id MBR-002746, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29185
2026-10-19 19:45:41Record linked automatically5f2b048cf1
matching_agent, PRV-29185, identity id MBR-002746, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141246
2026-10-19 19:45:41Record linked automatically2e89eed265
scoring_agent, CLM-431422, identity id MBR-002746, confidence 1, method probabilistic, matched record TPA-63876, policy version 1
2026-10-19 19:32:31Record linked automatically25b20e0498
scoring_agent, CLM-431423, identity id MBR-002746, confidence 1, method probabilistic, matched record TPA-63876, policy version 1
2026-10-19 19:32:31Record linked automatically7dd51bc400
scoring_agent, TPA-63876, identity id MBR-002746, confidence 1, method probabilistic, matched record CLM-431422, policy version 1
2026-10-19 19:32:31Record linked automatically503e7aa371
matching_agent, ENR-141246, identity id MBR-002746, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29185
2026-10-19 19:32:31Record linked automatically7ff74a7c59
matching_agent, PRV-29185, identity id MBR-002746, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141246
2026-10-19 19:32:31Record linked automatically308db187c4
scoring_agent, CLM-431422, identity id MBR-002746, confidence 1, method probabilistic, matched record TPA-63876, policy version 1
2026-10-19 19:31:28Record linked automatically282f78c3ed
matching_agent, ENR-141246, identity id MBR-036481, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63703
2026-10-19 19:31:28Record linked automatically0b1b2d869a
matching_agent, CLM-431423, identity id MBR-033627, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141470
2026-10-19 19:31:28Record linked automaticallyba4b289c22
scoring_agent, PRV-29185, identity id MBR-023672, confidence 1, method probabilistic, matched record ENR-141483, policy version 1
2026-10-19 19:31:28Record linked automatically21431084cc
scoring_agent, TPA-63876, identity id MBR-018574, confidence 1, method probabilistic, matched record CLM-431656, policy version 1
2026-10-19 19:31:28Record linked automaticallybddf6f75d7
matching_agent, CLM-431422, identity id MBR-009466, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141468

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-2026-002102	2026-08-05	Sunrise Physical Therapy in network	97110	$244.00	—	Denied	Denied
CLM-2026-025690	2025-12-10	Meadow Family Practice in network	90471, 99213	$236.00	—	Denied	Denied
CLM-2026-025689	2025-12-10	Meadow Family Practice in network	90471, 99213	$236.00	$126.32	Approved	Approved