Identities/MBR-003225

Gold, golden identity

Justin Le

5 source records from 3 feeds.

MBR-003225Verified5 records

Golden record

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

First nameENR: Justin
Middle name—: —
Last nameENR: Le
Date of birthENR: 1977-05-22
GenderENR: F
Member IDENR: UHC-43468-04
SSNCLM: •••-••-2246
PhoneENR: 4799229662
Email—: —
AddressENR: 1662 Market St
CityENR: Phoenix
StateENR: AZ
ZIPENR: 85049
GroupENR: GRP-3964
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

ENR ×1CLM ×3TPA ×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-140611	ENR	2026-01-11	Justin Leflagged	1977-05-22	UHC-43468-04	4799229662	1662 Market St, Phoenix, AZ	Scored	1.00	—
CLM-430916	CLM	2026-04-04	Justin Leflagged	1977-05-22	UHC-43468-04	4799229662	1662 Market St, Phoenix, AZ	Scored	1.00	—
CLM-430914	CLM	2026-05-07	Justin Leflagged	1977-05-22	—	4799229662	1662 Market St, Phoenix, AZ	Scored	1.00	—
TPA-63667	TPA	2026-06-03	Justin Leflagged	1977-05-22	—	—	1662 Market St, Phoenix, AZ	Scored	1.00	—
CLM-430915	CLM	2026-08-24	Justin Leflagged	1977-05-22	—	—	1662 Market St, Phoenix, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶ENR-140611ENRCLM-430914CLM1.00Scoredweighted 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-140611ENRCLM-430915CLM1.00Scoredweighted 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-430914CLMCLM-430915CLM1.00Scoredweighted 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-430916CLMTPA-63667TPA1.00Scoredweighted 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

▶ENR-140611ENRCLM-430916CLM0.99RuleD1 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
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-430914CLMTPA-63667TPA0.97RuleD2 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-430916CLMCLM-430914CLM0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-430916CLMCLM-430915CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-63667TPACLM-430915CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-140611ENRTPA-63667TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Justin Le: 2 plan codes across sources → canonical NAVIGATE-HMO
ACT-000162, Eligibility engine
Orphan claim re-pointedExecuted
CLM-430914 → UHC-43468-04 (Justin Le)
ACT-004252, Claims processor
Orphan claim re-pointedExecuted
CLM-430915 → UHC-43468-04 (Justin Le)
ACT-005067, Claims processor
Care coordination outreachProposed
Justin Le: 3 claims, no attributed provider
ACT-018014, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyaf8d75daf9
scoring_agent, CLM-430915, identity id MBR-003225, confidence 1, method probabilistic, matched record ENR-140611, policy version 1
2026-10-19 19:54:38Record linked automaticallyca31c7066a
scoring_agent, TPA-63667, identity id MBR-003225, confidence 1, method probabilistic, matched record CLM-430916, policy version 1
2026-10-19 19:54:38Record linked automaticallyfb0f68f2e8
scoring_agent, CLM-430914, identity id MBR-003225, confidence 1, method probabilistic, matched record ENR-140611, policy version 1
2026-10-19 19:54:38Record linked automatically949a040f82
scoring_agent, CLM-430916, identity id MBR-003225, confidence 1, method probabilistic, matched record TPA-63667, policy version 1
2026-10-19 19:54:38Record linked automaticallyd646c2da83
scoring_agent, ENR-140611, identity id MBR-003225, confidence 1, method probabilistic, matched record CLM-430914, policy version 1
2026-10-19 19:52:08Record linked automatically046052a1cd
scoring_agent, CLM-430915, identity id MBR-003225, confidence 1, method probabilistic, matched record ENR-140611, policy version 1
2026-10-19 19:52:08Record linked automatically42e22b05aa
scoring_agent, TPA-63667, identity id MBR-003225, confidence 1, method probabilistic, matched record CLM-430916, policy version 1
2026-10-19 19:52:08Record linked automatically8decfb67d6
scoring_agent, CLM-430914, identity id MBR-003225, confidence 1, method probabilistic, matched record ENR-140611, policy version 1
2026-10-19 19:52:08Record linked automaticallyeb316952e4
scoring_agent, CLM-430916, identity id MBR-003225, confidence 1, method probabilistic, matched record TPA-63667, policy version 1
2026-10-19 19:52:08Record linked automatically00213b0e4d
scoring_agent, ENR-140611, identity id MBR-003225, confidence 1, method probabilistic, matched record CLM-430914, policy version 1
2026-10-19 19:45:41Record linked automatically776c0e84bb
scoring_agent, CLM-430915, identity id MBR-003225, confidence 1, method probabilistic, matched record ENR-140611, policy version 1
2026-10-19 19:45:41Record linked automatically4c38d31aeb
scoring_agent, TPA-63667, identity id MBR-003225, confidence 1, method probabilistic, matched record CLM-430916, policy version 1
2026-10-19 19:45:41Record linked automatically9fd53648fc
scoring_agent, CLM-430914, identity id MBR-003225, confidence 1, method probabilistic, matched record ENR-140611, policy version 1
2026-10-19 19:45:41Record linked automaticallyf21c756fbb
scoring_agent, CLM-430916, identity id MBR-003225, confidence 1, method probabilistic, matched record TPA-63667, policy version 1
2026-10-19 19:45:41Record linked automatically39b123e913
scoring_agent, ENR-140611, identity id MBR-003225, confidence 1, method probabilistic, matched record CLM-430914, policy version 1
2026-10-19 19:32:31Record linked automatically4a26b3eb0b
scoring_agent, CLM-430915, identity id MBR-003225, confidence 1, method probabilistic, matched record ENR-140611, policy version 1
2026-10-19 19:32:31Record linked automatically6e876ff887
scoring_agent, TPA-63667, identity id MBR-003225, confidence 1, method probabilistic, matched record CLM-430916, policy version 1
2026-10-19 19:32:31Record linked automatically17cff3de24
scoring_agent, CLM-430914, identity id MBR-003225, confidence 1, method probabilistic, matched record ENR-140611, policy version 1
2026-10-19 19:32:31Record linked automaticallya7e8c3d8b1
scoring_agent, CLM-430916, identity id MBR-003225, confidence 1, method probabilistic, matched record TPA-63667, policy version 1
2026-10-19 19:32:31Record linked automatically02e24e6a63
scoring_agent, ENR-140611, identity id MBR-003225, confidence 1, method probabilistic, matched record CLM-430914, policy version 1
2026-10-19 19:31:28Record linked automatically66099b3735
matching_agent, CLM-430915, identity id MBR-038997, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-140806
2026-10-19 19:31:28Record linked automaticallyc46937cc5f
scoring_agent, CLM-430914, identity id MBR-004894, confidence 1, method probabilistic, matched record TPA-63555, policy version 1
2026-10-19 19:31:28Record linked automatically77c048026d
matching_agent, ENR-140611, identity id MBR-004028, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430779

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-2026-014107	2026-07-11	Mesa Dermatology Clinic in network	11102, 11403	$884.00	$473.08	Approved	Approved
CLM-2026-011145	2026-04-09	Mesa Internal Medicine Associates in network	99215, 93000	$396.00	$220.52	Approved	Approved
CLM-2026-017894	2026-02-20	Heritage Digestive Health Center in network	43239	$1,373.00	$0.00	Approved	Approved