Identities/MBR-004368
Gold, golden identity

Joshua Q Campbell

5 source records from 3 feeds.

MBR-004368Verified5 records

Golden record

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

First nameENR
Joshua
Middle nameCLM
Q
Last nameENR
Campbell
Date of birthENR
1939-03-16
GenderENR
M
Member IDENR
UHC-12728-30
SSNENR
•••-••-1926
PhoneENR
6599837536
EmailENR
joshua.campbell@gmail.com
AddressCLM
2377 Harbor Blvd # 561
CityENR
Fresno
StateENR
CA
ZIPENR
93745
GroupENR
GRP-5907
PlanENR
OPTIONS-PPO
Min confidence
0.96
Sources
TPA ×1CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.960.991.00TPATPA-63102CLMCLM-429644CLMCLM-429643ENRENR-138903CLMCLM-429645IDMBR-004368
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
TPA-63102TPA2026-01-14Joshua Campbellflagged1939-03-16——2377 Harbor Blvd, Fresno, CAScored1.00—
CLM-429644CLM2026-02-02Joshua Campbellflagged1939-03-16——2377 Harbor Blvd, Fresno, CAScored1.00—
CLM-429643CLM2026-03-29Joshua Campbellflagged1938-03-16UHC-12728-306599837536—Rule0.96D3 member id + name
ENR-138903ENR2026-05-27Joshua Campbellflagged1939-03-16UHC-12728-3065998375362377 Harbor Blvd, Fresno, CARule0.99D1 member id + dob exact
CLM-429645CLM2026-10-17Joshua Campbellflagged1939-03-16UHC-12728-3065998375362377 Harbor Blvd # 561, Fresno, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-63102TPACLM-429645CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-429644CLMCLM-429645CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-138903ENRCLM-429645CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-63102TPACLM-429644CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-63102TPAENR-138903ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-429644CLMENR-138903ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-429643CLMCLM-429645CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-429643CLMENR-138903ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-63102TPACLM-429643CLM0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Identifiers agreeing: 0Conflicts: noneGuard: none
▶CLM-429644CLMCLM-429643CLM0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Joshua Campbell: 2 plan codes across sources → canonical OPTIONS-PPO
    ACT-000216, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-429644 → UHC-12728-30 (Joshua Campbell)
    ACT-005057, Claims processor
  • Outreach address correctedProposed
    Joshua Campbell: 2377 Harbor Blvd, Fresno → 2377 Harbor Blvd # 561, Fresno
    ACT-010855, Outreach
  • Care coordination outreachProposed
    Joshua Campbell: 3 claims, no attributed provider
    ACT-018117, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyfe705e180b
    scoring_agent, CLM-429645, identity id MBR-004368, confidence 1, method probabilistic, matched record TPA-63102, policy version 1
  • 2026-10-19 19:54:38Record linked automatically43cd3332ba
    matching_agent, ENR-138903, identity id MBR-004368, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429645
  • 2026-10-19 19:54:38Record linked automatically5eeb5b2da7
    matching_agent, CLM-429643, identity id MBR-004368, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-138903
  • 2026-10-19 19:54:38Record linked automatically7d550b059f
    scoring_agent, CLM-429644, identity id MBR-004368, confidence 1, method probabilistic, matched record CLM-429645, policy version 1
  • 2026-10-19 19:54:38Record linked automatically637245c198
    scoring_agent, TPA-63102, identity id MBR-004368, confidence 1, method probabilistic, matched record CLM-429645, policy version 1
  • 2026-10-19 19:52:08Record linked automatically6b133f4db3
    scoring_agent, CLM-429645, identity id MBR-004368, confidence 1, method probabilistic, matched record TPA-63102, policy version 1
  • 2026-10-19 19:52:08Record linked automatically43fac7fcc7
    matching_agent, ENR-138903, identity id MBR-004368, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429645
  • 2026-10-19 19:52:08Record linked automatically2fa1b386f2
    matching_agent, CLM-429643, identity id MBR-004368, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-138903
  • 2026-10-19 19:52:08Record linked automatically40d2e76b81
    scoring_agent, CLM-429644, identity id MBR-004368, confidence 1, method probabilistic, matched record CLM-429645, policy version 1
  • 2026-10-19 19:52:08Record linked automatically68c271fba2
    scoring_agent, TPA-63102, identity id MBR-004368, confidence 1, method probabilistic, matched record CLM-429645, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb94a71358b
    scoring_agent, CLM-429645, identity id MBR-004368, confidence 1, method probabilistic, matched record TPA-63102, policy version 1
  • 2026-10-19 19:45:42Record linked automatically22814ec0fd
    matching_agent, ENR-138903, identity id MBR-004368, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429645
  • 2026-10-19 19:45:42Record linked automaticallycc1ee281ac
    matching_agent, CLM-429643, identity id MBR-004368, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-138903
  • 2026-10-19 19:45:42Record linked automaticallyf4a42c91a0
    scoring_agent, CLM-429644, identity id MBR-004368, confidence 1, method probabilistic, matched record CLM-429645, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd333350299
    scoring_agent, TPA-63102, identity id MBR-004368, confidence 1, method probabilistic, matched record CLM-429645, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7b63400dfb
    scoring_agent, CLM-429645, identity id MBR-004368, confidence 1, method probabilistic, matched record TPA-63102, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9b4edc30bc
    matching_agent, ENR-138903, identity id MBR-004368, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429645
  • 2026-10-19 19:32:31Record linked automatically56ccdded8f
    matching_agent, CLM-429643, identity id MBR-004368, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-138903
  • 2026-10-19 19:32:31Record linked automaticallyba175fe91e
    scoring_agent, CLM-429644, identity id MBR-004368, confidence 1, method probabilistic, matched record CLM-429645, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyda71c0be77
    scoring_agent, TPA-63102, identity id MBR-004368, confidence 1, method probabilistic, matched record CLM-429645, policy version 1
  • 2026-10-19 19:31:28Record linked automatically88f70770c6
    matching_agent, ENR-138903, identity id MBR-035942, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429470
  • 2026-10-19 19:31:28Record linked automatically9712b836fc
    matching_agent, CLM-429643, identity id MBR-016271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139153
  • 2026-10-19 19:31:28Record linked automaticallyf40b426818
    matching_agent, TPA-63102, identity id MBR-010312, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139439
  • 2026-10-19 19:31:28Record linked automaticallye9d7c3ed80
    matching_agent, CLM-429644, identity id MBR-006567, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429647
  • 2026-10-19 19:31:28Record linked automaticallye2574d06f0
    matching_agent, CLM-429645, identity id MBR-006567, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429647

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0231842026-09-13Lakeside Imaging Center
in network
74177$1,255.00—Needs reviewNeeds review
CLM-2026-0061442026-03-17Riverside Imaging Center
in network
71046, 74177$1,770.00—DeniedDenied
CLM-2026-0140762026-01-03Sunrise Behavioral Health
in network
99214$201.00$64.62ApprovedApproved