Identities/MBR-004156
Gold, golden identity

Terry L Gibson

3 source records from 2 feeds.

MBR-004156Verified3 records

Golden record

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

First nameENR
Terry
Middle nameENR
L
Last nameENR
Gibson
Date of birthENR
2000-04-08
GenderCLM
F
Member IDENR
UHC-48195-05
SSNENR
•••-••-4443
PhoneCLM
2212555050
EmailENR
terry.gibson@yahoo.com
AddressCLM
5213 Spring St
CityENR
Seattle
StateENR
WA
ZIPCLM
98159
GroupENR
GRP-8796
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×2ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

1.000.991.00CLMCLM-400910ENRENR-101206CLMCLM-400909IDMBR-004156
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
CLM-400910CLM2026-01-14Terry Gibsonflagged——22125550505213 Spring St, Seattle, WAScored1.00—
ENR-101206ENR2026-02-05Terry Gibsonflagged2000-04-08UHC-48195-05—3151 Forest Ave, Seattle, WARule0.99D1 member id + dob exact
CLM-400909CLM2026-05-05Terry Gibsonflagged2000-04-08UHC-48195-0522125550505213 Spring St, Seattle, WAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-400910CLMCLM-400909CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-101206ENRCLM-400909CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-400910 → UHC-48195-05 (Terry Gibson)
    ACT-003054, Claims processor
  • Outreach address correctedProposed
    Terry Gibson: 3151 Forest Ave, Seattle → 5213 Spring St, Seattle
    ACT-010828, Outreach

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically7e69648b97
    scoring_agent, CLM-400909, identity id MBR-004156, confidence 1, method probabilistic, matched record CLM-400910, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyac2a42abc3
    matching_agent, ENR-101206, identity id MBR-004156, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400909
  • 2026-10-19 19:54:38Record linked automaticallye589fdb18e
    scoring_agent, CLM-400910, identity id MBR-004156, confidence 1, method probabilistic, matched record CLM-400909, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallye5a5348e26
    scoring_agent, CLM-400909, identity id MBR-004156, confidence 1, method probabilistic, matched record CLM-400910, policy version 1
  • 2026-10-19 19:52:08Record linked automatically82d6e2a930
    matching_agent, ENR-101206, identity id MBR-004156, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400909
  • 2026-10-19 19:52:08Record linked automatically26c8d26cfe
    scoring_agent, CLM-400910, identity id MBR-004156, confidence 1, method probabilistic, matched record CLM-400909, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyef5ca5584d
    scoring_agent, CLM-400909, identity id MBR-004156, confidence 1, method probabilistic, matched record CLM-400910, policy version 1
  • 2026-10-19 19:45:42Record linked automatically667dafd84b
    matching_agent, ENR-101206, identity id MBR-004156, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400909
  • 2026-10-19 19:45:42Record linked automatically5988791672
    scoring_agent, CLM-400910, identity id MBR-004156, confidence 1, method probabilistic, matched record CLM-400909, policy version 1
  • 2026-10-19 19:32:31Record linked automatically68fabd89e2
    scoring_agent, CLM-400909, identity id MBR-004156, confidence 1, method probabilistic, matched record CLM-400910, policy version 1
  • 2026-10-19 19:32:31Record linked automatically29f09d3398
    matching_agent, ENR-101206, identity id MBR-004156, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400909
  • 2026-10-19 19:32:31Record linked automatically89e4b2be04
    scoring_agent, CLM-400910, identity id MBR-004156, confidence 1, method probabilistic, matched record CLM-400909, policy version 1
  • 2026-10-19 19:31:28Record linked automatically91cb5e1e50
    scoring_agent, CLM-400910, identity id MBR-007176, confidence 1, method probabilistic, matched record CLM-400911, policy version 1
  • 2026-10-19 19:31:28Record linked automatically583b343e66
    scoring_agent, CLM-400909, identity id MBR-001831, confidence 1, method probabilistic, matched record ENR-101263, policy version 1

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0263532026-03-22Meadow Primary Care Associates
in network
99203, 99213$382.00$206.84ApprovedApproved
CLM-2026-0065462025-12-30Sunrise Medical Group
out of network
99214, 99215$558.00—Needs reviewNeeds review