Identities/MBR-003535

Gold, golden identity

Wayne C Bailey

6 source records from 3 feeds.

MBR-003535Verified6 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: C
Last nameENR: Bailey
Date of birthENR: 2007-07-10
GenderENR: M
Member IDENR: UHC-22905-01
SSNENR: •••-••-9493
PhoneENR: 7077290054
EmailENR: wayne.bailey@outlook.com
AddressCLM: 8816 Forest Ave Apt 19
CityENR: Phoenix
StateENR: AZ
ZIP—: —
GroupENR: GRP-1021
PlanENR: OPTIONS-PPO

Min confidence

1.00

Sources

CLM ×4ENR ×1TPA ×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
CLM-416623	CLM	2026-01-12	Wayne Baileyflagged	2007-07-10	UHC-22905-01	7077290054	8816 Forest Ave # 794, Phoenix, AZ	Scored	1.00	—
ENR-121839	ENR	2026-01-17	Wayne Baileyflagged	2007-07-10	UHC-22905-01	7077290054	8816 Forest Ave, Phoenix, AZ	Scored	1.00	—
CLM-416620	CLM	2026-01-19	Wayne Baileyflagged	2007-07-10	UHC-22905-01	7077290054	8816 Forest Ave, Phoenix, AZ	Scored	1.00	—
TPA-57311	TPA	2026-02-03	Wayne Baileyflagged	2007-07-10	—	—	8816 Forest Ave, Phoenix, AZ	Scored	1.00	—
CLM-416621	CLM	2026-03-16	Wayne Baileyflagged	2007-07-10	—	7077290054	—	Scored	1.00	—
CLM-416622	CLM	2026-07-08	Wayne Baileyflagged	2007-07-10	—	7077290054	8816 Forest Ave Apt 19, Phoenix, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-416623CLMCLM-416621CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-121839 ENRCLM-416621CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416620CLMCLM-416621CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-416621CLMCLM-416622CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-416623CLMTPA-57311TPA1.00Scoredweighted 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-121839 ENRTPA-57311TPA1.00Scoredweighted 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-416620CLMTPA-57311TPA1.00Scoredweighted 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-416623CLMCLM-416620CLM0.99RuleD1 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	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-121839 ENRCLM-416620CLM0.99RuleD1 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	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-416623CLMENR-121839 ENR0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-416623CLMCLM-416622CLM0.94Scoredweighted 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

▶ENR-121839 ENRCLM-416622CLM0.94Scoredweighted 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-416620CLMCLM-416622CLM0.94Scoredweighted 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

▶TPA-57311TPACLM-416622CLM0.93Scoredweighted 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-57311TPACLM-416621CLM0.83Scoredweighted 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

Orphan claim re-pointedExecuted
CLM-416622 → UHC-22905-01 (Wayne Bailey)
ACT-001384, Claims processor
Orphan claim re-pointedExecuted
CLM-416621 → UHC-22905-01 (Wayne Bailey)
ACT-003368, Claims processor
Outreach address correctedProposed
Wayne Bailey: 8816 Forest Ave, Phoenix → 8816 Forest Ave Apt 19, Phoenix
ACT-010785, Outreach
Care coordination outreachProposed
Wayne Bailey: 4 claims, no attributed provider
ACT-018037, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyce260eeed8
scoring_agent, CLM-416622, identity id MBR-003535, confidence 1, method probabilistic, matched record CLM-416621, policy version 1
2026-10-19 19:54:38Record linked automaticallyc82e389466
scoring_agent, CLM-416621, identity id MBR-003535, confidence 1, method probabilistic, matched record CLM-416623, policy version 1
2026-10-19 19:54:38Record linked automatically434b768e1e
scoring_agent, TPA-57311, identity id MBR-003535, confidence 1, method probabilistic, matched record CLM-416623, policy version 1
2026-10-19 19:54:38Record linked automatically3e6ff1fb78
scoring_agent, CLM-416620, identity id MBR-003535, confidence 1, method probabilistic, matched record TPA-57311, policy version 1
2026-10-19 19:54:38Record linked automaticallye17b4f504b
scoring_agent, ENR-121839, identity id MBR-003535, confidence 1, method probabilistic, matched record TPA-57311, policy version 1
2026-10-19 19:54:38Record linked automatically0ccefab542
scoring_agent, CLM-416623, identity id MBR-003535, confidence 1, method probabilistic, matched record TPA-57311, policy version 1
2026-10-19 19:52:08Record linked automaticallye88ddd409d
scoring_agent, CLM-416622, identity id MBR-003535, confidence 1, method probabilistic, matched record CLM-416621, policy version 1
2026-10-19 19:52:08Record linked automatically920a4c1862
scoring_agent, CLM-416621, identity id MBR-003535, confidence 1, method probabilistic, matched record CLM-416623, policy version 1
2026-10-19 19:52:08Record linked automaticallyf3f5e46c5f
scoring_agent, TPA-57311, identity id MBR-003535, confidence 1, method probabilistic, matched record CLM-416623, policy version 1
2026-10-19 19:52:08Record linked automatically0c438ddff5
scoring_agent, CLM-416620, identity id MBR-003535, confidence 1, method probabilistic, matched record TPA-57311, policy version 1
2026-10-19 19:52:08Record linked automaticallyb846b71d7a
scoring_agent, ENR-121839, identity id MBR-003535, confidence 1, method probabilistic, matched record TPA-57311, policy version 1
2026-10-19 19:52:08Record linked automatically87d9f7a32b
scoring_agent, CLM-416623, identity id MBR-003535, confidence 1, method probabilistic, matched record TPA-57311, policy version 1
2026-10-19 19:45:42Record linked automatically681405f584
scoring_agent, CLM-416622, identity id MBR-003535, confidence 1, method probabilistic, matched record CLM-416621, policy version 1
2026-10-19 19:45:42Record linked automatically5e778e8740
scoring_agent, CLM-416621, identity id MBR-003535, confidence 1, method probabilistic, matched record CLM-416623, policy version 1
2026-10-19 19:45:42Record linked automaticallya43853f51c
scoring_agent, TPA-57311, identity id MBR-003535, confidence 1, method probabilistic, matched record CLM-416623, policy version 1
2026-10-19 19:45:42Record linked automatically2927f7c393
scoring_agent, CLM-416620, identity id MBR-003535, confidence 1, method probabilistic, matched record TPA-57311, policy version 1
2026-10-19 19:45:42Record linked automatically58646dbf09
scoring_agent, ENR-121839, identity id MBR-003535, confidence 1, method probabilistic, matched record TPA-57311, policy version 1
2026-10-19 19:45:42Record linked automatically347f77ea77
scoring_agent, CLM-416623, identity id MBR-003535, confidence 1, method probabilistic, matched record TPA-57311, policy version 1
2026-10-19 19:32:31Record linked automatically399fa0503f
scoring_agent, CLM-416622, identity id MBR-003535, confidence 1, method probabilistic, matched record CLM-416621, policy version 1
2026-10-19 19:32:31Record linked automatically157d907bff
scoring_agent, CLM-416621, identity id MBR-003535, confidence 1, method probabilistic, matched record CLM-416623, policy version 1
2026-10-19 19:32:31Record linked automatically0da886bc00
scoring_agent, TPA-57311, identity id MBR-003535, confidence 1, method probabilistic, matched record CLM-416623, policy version 1
2026-10-19 19:32:31Record linked automaticallyd9b6c6026a
scoring_agent, CLM-416620, identity id MBR-003535, confidence 1, method probabilistic, matched record TPA-57311, policy version 1
2026-10-19 19:32:31Record linked automatically36f9901cdf
scoring_agent, ENR-121839, identity id MBR-003535, confidence 1, method probabilistic, matched record TPA-57311, policy version 1
2026-10-19 19:32:31Record linked automatically14effc7aaa
scoring_agent, CLM-416623, identity id MBR-003535, confidence 1, method probabilistic, matched record TPA-57311, policy version 1
2026-10-19 19:31:28Record linked automaticallyfd04ecf1c7
matching_agent, CLM-416623, identity id MBR-025224, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121780
2026-10-19 19:31:28Record linked automatically05697bc80b
matching_agent, CLM-416621, identity id MBR-018225, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24865
2026-10-19 19:31:28Record linked automatically71a36dcbe3
scoring_agent, CLM-416622, identity id MBR-017571, confidence 1, method probabilistic, matched record TPA-57264, policy version 1
2026-10-19 19:31:28Record linked automatically01a32b2b06
matching_agent, CLM-416620, identity id MBR-000392, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121774

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-2026-000197	2026-06-11	Valley Heart Institute in network	99214	$269.00	$126.78	Approved	Approved
CLM-2026-007654	2026-02-23	Desert Medical Group in network	99203	$186.00	$75.32	Approved	Approved
CLM-2026-003110	2025-12-31	Desert Imaging Center in network	77067	$419.00	$0.00	Approved	Approved
CLM-2026-018342	2025-12-24	Lakeside Clinical Laboratories in network	83036	$71.00	$0.00	Approved	Approved