Identities/MBR-003977

Gold, golden identity

James Y Richardson

6 source records from 3 feeds.

MBR-003977Verified6 records

Golden record

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

First nameENR: James
Middle nameENR: Y
Last nameENR: Richardson
Date of birthENR: 1943-05-17
GenderENR: F
Member IDENR: UHC-80635-16
SSNENR: •••-••-0733
PhoneCLM: 3658397185
EmailENR: james.richardson@proton.me
AddressCLM: 4127 Highland Ave
CityENR: Gilbert
StateENR: AZ
ZIPENR: 85229
GroupENR: GRP-1931
PlanENR: SELECT-EPO

Min confidence

0.96

Sources

TPA ×1ENR ×1CLM ×4

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
TPA-61096	TPA	2026-01-13	James Richardsonflagged	1943-05-17	—	—	4127 Highland Ave, Gilbert, AZ	Scored	1.00	—
ENR-132890	ENR	2026-01-19	James Richardsonflagged	1943-05-17	UHC-80635-16	—	4127 Highland Ave Apt 35, Gilbert, AZ	Scored	1.00	—
CLM-425174	CLM	2026-01-26	James Richardsnoflagged	—	UHC-80635-16	3658397185	4127 Highland Ave, Gilbert, AZ	Rule	0.96	D3 member id + name
CLM-425175	CLM	2026-03-30	Jaes Richardsonflagged	1943-05-17	UHC-80635-16	—	4127 Highland Ave, Gilbert, AZ	Scored	0.99	—
CLM-425176	CLM	2026-09-11	James Richardsonflagged	1943-05-17	UHC-80635-16	3658397185	4127 Highland Ave, Gilbert, AZ	Scored	1.00	—
CLM-425177	CLM	2026-09-30	James Richardsonflagged	1943-05-17	UHC-80635-16	—	4127 Highland Ave, Gilbert, AZ	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-61096TPA CLM-425176CLM1.00Scoredweighted 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

▶TPA-61096TPA CLM-425177CLM1.00Scoredweighted 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

▶TPA-61096TPA ENR-132890ENR1.00Scoredweighted 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

▶TPA-61096TPA CLM-425175CLM0.99Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-132890ENRCLM-425175CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-132890ENRCLM-425176CLM0.99RuleD1 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

▶CLM-425175CLMCLM-425176CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-132890ENRCLM-425177CLM0.99RuleD1 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

▶CLM-425175CLMCLM-425177CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425176CLMCLM-425177CLM0.99RuleD1 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

▶ENR-132890ENRCLM-425174CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425174CLMCLM-425175CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425174CLMCLM-425176CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-425174CLMCLM-425177CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-61096TPA CLM-425174CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.99	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Outreach address correctedProposed
James Richardson: 4127 Highland Ave Apt 35, Gilbert → 4127 Highland Ave, Gilbert
ACT-010814, Outreach
Care coordination outreachProposed
James Richardson: 4 claims, no attributed provider
ACT-018078, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automaticallyca19d6d271
scoring_agent, CLM-425177, identity id MBR-003977, confidence 1, method probabilistic, matched record TPA-61096, policy version 1
2026-10-22 12:43:53Record linked automatically2f95ee8ffe
scoring_agent, CLM-425176, identity id MBR-003977, confidence 1, method probabilistic, matched record TPA-61096, policy version 1
2026-10-22 12:43:53Record linked automatically9db9e69bc4
scoring_agent, CLM-425175, identity id MBR-003977, confidence 0.99, method probabilistic, matched record TPA-61096, policy version 1
2026-10-22 12:43:53Record linked automatically482fc4fd17
matching_agent, CLM-425174, identity id MBR-003977, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132890
2026-10-22 12:43:53Record linked automaticallyaf2662b2f5
scoring_agent, ENR-132890, identity id MBR-003977, confidence 1, method probabilistic, matched record TPA-61096, policy version 1
2026-10-22 12:43:53Record linked automaticallyfce59ffa50
scoring_agent, TPA-61096, identity id MBR-003977, confidence 1, method probabilistic, matched record ENR-132890, policy version 1
2026-10-19 19:54:38Record linked automatically7f86e4566b
scoring_agent, CLM-425177, identity id MBR-003977, confidence 1, method probabilistic, matched record TPA-61096, policy version 1
2026-10-19 19:54:38Record linked automatically55ec265342
scoring_agent, CLM-425176, identity id MBR-003977, confidence 1, method probabilistic, matched record TPA-61096, policy version 1
2026-10-19 19:54:38Record linked automatically9b2c499b06
scoring_agent, CLM-425175, identity id MBR-003977, confidence 0.99, method probabilistic, matched record TPA-61096, policy version 1
2026-10-19 19:54:38Record linked automaticallyc571dadfc9
matching_agent, CLM-425174, identity id MBR-003977, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132890
2026-10-19 19:54:38Record linked automatically0b44844351
scoring_agent, ENR-132890, identity id MBR-003977, confidence 1, method probabilistic, matched record TPA-61096, policy version 1
2026-10-19 19:54:38Record linked automatically48b9490cea
scoring_agent, TPA-61096, identity id MBR-003977, confidence 1, method probabilistic, matched record ENR-132890, policy version 1
2026-10-19 19:52:08Record linked automatically400716c439
scoring_agent, CLM-425177, identity id MBR-003977, confidence 1, method probabilistic, matched record TPA-61096, policy version 1
2026-10-19 19:52:08Record linked automaticallyc8ce9d239d
scoring_agent, CLM-425176, identity id MBR-003977, confidence 1, method probabilistic, matched record TPA-61096, policy version 1
2026-10-19 19:52:08Record linked automatically0c13ad37ff
scoring_agent, CLM-425175, identity id MBR-003977, confidence 0.99, method probabilistic, matched record TPA-61096, policy version 1
2026-10-19 19:52:08Record linked automaticallyba0c646a86
matching_agent, CLM-425174, identity id MBR-003977, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132890
2026-10-19 19:52:08Record linked automatically5b3c7eb457
scoring_agent, ENR-132890, identity id MBR-003977, confidence 1, method probabilistic, matched record TPA-61096, policy version 1
2026-10-19 19:52:08Record linked automaticallyf741520430
scoring_agent, TPA-61096, identity id MBR-003977, confidence 1, method probabilistic, matched record ENR-132890, policy version 1
2026-10-19 19:45:42Record linked automaticallyff407d7541
scoring_agent, CLM-425177, identity id MBR-003977, confidence 1, method probabilistic, matched record TPA-61096, policy version 1
2026-10-19 19:45:42Record linked automaticallyc128aa7ac9
scoring_agent, CLM-425176, identity id MBR-003977, confidence 1, method probabilistic, matched record TPA-61096, policy version 1
2026-10-19 19:45:42Record linked automatically9f875fc2aa
scoring_agent, CLM-425175, identity id MBR-003977, confidence 0.99, method probabilistic, matched record TPA-61096, policy version 1
2026-10-19 19:45:42Record linked automaticallyf266abda94
matching_agent, CLM-425174, identity id MBR-003977, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132890
2026-10-19 19:45:42Record linked automatically909c9ffef8
scoring_agent, ENR-132890, identity id MBR-003977, confidence 1, method probabilistic, matched record TPA-61096, policy version 1
2026-10-19 19:45:42Record linked automatically10731b813b
scoring_agent, TPA-61096, identity id MBR-003977, confidence 1, method probabilistic, matched record ENR-132890, policy version 1
2026-10-19 19:32:31Record linked automatically759af97aab
scoring_agent, CLM-425177, identity id MBR-003977, confidence 1, method probabilistic, matched record TPA-61096, policy version 1
2026-10-19 19:32:31Record linked automatically058c305013
scoring_agent, CLM-425176, identity id MBR-003977, confidence 1, method probabilistic, matched record TPA-61096, policy version 1
2026-10-19 19:32:31Record linked automatically04981248a4
scoring_agent, CLM-425175, identity id MBR-003977, confidence 0.99, method probabilistic, matched record TPA-61096, policy version 1
2026-10-19 19:32:31Record linked automatically3079c54fa1
matching_agent, CLM-425174, identity id MBR-003977, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132890
2026-10-19 19:32:31Record linked automatically7a495492ba
scoring_agent, ENR-132890, identity id MBR-003977, confidence 1, method probabilistic, matched record TPA-61096, policy version 1
2026-10-19 19:32:31Record linked automaticallyef8d0b14da
scoring_agent, TPA-61096, identity id MBR-003977, confidence 1, method probabilistic, matched record ENR-132890, policy version 1
2026-10-19 19:31:28Record linked automatically7232bf8c48
matching_agent, CLM-425175, identity id MBR-021037, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-425174
2026-10-19 19:31:28Record linked automatically5ef944037d
matching_agent, CLM-425174, identity id MBR-021037, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-425175
2026-10-19 19:31:28Record linked automatically6e4900b48d
scoring_agent, CLM-425177, identity id MBR-009079, confidence 1, method probabilistic, matched record TPA-61075, policy version 1
2026-10-19 19:31:28Record linked automatically6e480806fc
scoring_agent, TPA-61096, identity id MBR-008273, confidence 1, method probabilistic, matched record CLM-425215, policy version 1

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-2026-000641	2026-09-28	Valley Rehabilitation Center in network	97110	$285.00	$156.70	Approved	Approved
CLM-2026-030186	2026-08-20	Summit Regional Medical Center in network	99284, 99283	$1,903.00	$896.65	Approved	Approved
CLM-2026-022326	2026-03-10	Meadow Heart Institute in network	93015	$423.00	$0.00	Approved	Approved
CLM-2026-001328	2025-10-16	Summit Medical Group in network	99232	$255.00	—	Denied	Denied