Identities/MBR-004413

Gold, golden identity

Scott I Evans

6 source records from 3 feeds.

MBR-004413Verified6 records

Golden record

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

First nameENR: Scott
Middle nameENR: I
Last nameENR: Evans
Date of birthENR: 1939-08-08
GenderENR: M
Member IDENR: UHC-99603-38
SSNENR: •••-••-9167
PhoneENR: 7517417209
EmailENR: scott.evans85@outlook.com
AddressENR: 9001 Union St
CityENR: Nashville
StateENR: TN
ZIPENR: 37274
GroupENR: GRP-5512
PlanENR: OPTIONS-PPO

Min confidence

0.99

Sources

CLM ×4TPA ×1ENR ×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-401390	CLM	2026-01-14	Scott Evansflagged	1939-08-08	UHC-99603-38	7517417209	—	Scored	1.00	—
CLM-401389	CLM	2026-04-03	Scott Evansflagged	1939-08-08	UHC-99603-38	7517417209	9001 Union St, Nashville, TN	Scored	1.00	—
TPA-50610	TPA	2026-04-20	Scott Evansflagged	1939-08-08	UHC-99603-38	7517417209	—	Scored	1.00	—
CLM-401391	CLM	2026-04-28	Scott Evansflagged	1939-08-08	UHC-99603-38	—	9001 Union St, Nashville, TN	Rule	0.99	D1 member id + dob exact
ENR-101779	ENR	2026-06-30	Scott Evansflagged	1939-08-08	UHC-99603-38	7517417209	9001 Union St, Nashville, TN	Scored	1.00	—
CLM-401388	CLM	2026-07-08	Scott Evansflagged	1939-08-08	—	7517417209	—	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-401390CLMCLM-401388CLM1.00Scoredweighted 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-401389CLMCLM-401388CLM1.00Scoredweighted 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

▶TPA-50610TPACLM-401388CLM1.00Scoredweighted 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

▶ENR-101779ENRCLM-401388CLM1.00Scoredweighted 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-401390CLMCLM-401389CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-401390CLMCLM-401391CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-401389CLMCLM-401391CLM0.99RuleD1 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

▶TPA-50610TPACLM-401391CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-401390CLMENR-101779ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-401389CLMENR-101779ENR0.99RuleD1 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

▶TPA-50610TPAENR-101779ENR0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-401391CLMENR-101779ENR0.99RuleD1 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-401390CLMTPA-50610TPA0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-401389CLMTPA-50610TPA0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-401391CLMCLM-401388CLM0.83Scoredweighted 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-401388 → UHC-99603-38 (Scott Evans)
ACT-003523, Claims processor
Care coordination outreachProposed
Scott Evans: 4 claims, no attributed provider
ACT-018123, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyd7ea86e460
scoring_agent, CLM-401388, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401390, policy version 1
2026-10-19 19:54:38Record linked automatically79d786126c
scoring_agent, ENR-101779, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401388, policy version 1
2026-10-19 19:54:38Record linked automatically0a65432335
matching_agent, CLM-401391, identity id MBR-004413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401390
2026-10-19 19:54:38Record linked automaticallycc864bfe4d
scoring_agent, TPA-50610, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401388, policy version 1
2026-10-19 19:54:38Record linked automatically2d947ff128
scoring_agent, CLM-401389, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401388, policy version 1
2026-10-19 19:54:38Record linked automatically24bffba2cf
scoring_agent, CLM-401390, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401388, policy version 1
2026-10-19 19:52:08Record linked automaticallyfad1fd906d
scoring_agent, CLM-401388, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401390, policy version 1
2026-10-19 19:52:08Record linked automaticallybb827b3474
scoring_agent, ENR-101779, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401388, policy version 1
2026-10-19 19:52:08Record linked automatically2de31c174d
matching_agent, CLM-401391, identity id MBR-004413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401390
2026-10-19 19:52:08Record linked automaticallyd6da1d7cee
scoring_agent, TPA-50610, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401388, policy version 1
2026-10-19 19:52:08Record linked automatically2957c2f8b6
scoring_agent, CLM-401389, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401388, policy version 1
2026-10-19 19:52:08Record linked automatically8098c32b27
scoring_agent, CLM-401390, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401388, policy version 1
2026-10-19 19:45:42Record linked automatically0074849761
scoring_agent, CLM-401388, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401390, policy version 1
2026-10-19 19:45:42Record linked automaticallycd9abd64a8
scoring_agent, ENR-101779, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401388, policy version 1
2026-10-19 19:45:42Record linked automaticallyfc71017fb2
matching_agent, CLM-401391, identity id MBR-004413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401390
2026-10-19 19:45:42Record linked automaticallybcc8b0fd2d
scoring_agent, TPA-50610, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401388, policy version 1
2026-10-19 19:45:42Record linked automaticallya67e518aa9
scoring_agent, CLM-401389, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401388, policy version 1
2026-10-19 19:45:42Record linked automaticallyb3b58cadc7
scoring_agent, CLM-401390, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401388, policy version 1
2026-10-19 19:32:31Record linked automatically0a6222f847
scoring_agent, CLM-401388, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401390, policy version 1
2026-10-19 19:32:31Record linked automatically96f6ea9992
scoring_agent, ENR-101779, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401388, policy version 1
2026-10-19 19:32:31Record linked automatically1165dd3be5
matching_agent, CLM-401391, identity id MBR-004413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401390
2026-10-19 19:32:31Record linked automatically4dc9594c5d
scoring_agent, TPA-50610, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401388, policy version 1
2026-10-19 19:32:31Record linked automatically04fff65f98
scoring_agent, CLM-401389, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401388, policy version 1
2026-10-19 19:32:31Record linked automaticallyee2ba5edb2
scoring_agent, CLM-401390, identity id MBR-004413, confidence 1, method probabilistic, matched record CLM-401388, policy version 1
2026-10-19 19:31:28Record linked automaticallyf376baed74
matching_agent, ENR-101779, identity id MBR-019650, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101780
2026-10-19 19:31:28Record linked automatically82cf812980
scoring_agent, CLM-401391, identity id MBR-018971, confidence 0.99, method probabilistic, matched record TPA-50615, policy version 1
2026-10-19 19:31:28Record linked automaticallye3ec072d11
scoring_agent, CLM-401389, identity id MBR-017817, confidence 1, method probabilistic, matched record PRV-20426, policy version 1
2026-10-19 19:31:28Record linked automatically67283eb3bb
matching_agent, CLM-401390, identity id MBR-010996, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20427
2026-10-19 19:31:28Record linked automaticallyb60246a800
matching_agent, TPA-50610, identity id MBR-001474, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101869

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-2026-008277	2026-06-08	Unity Cardiovascular Associates in network	93306	$1,286.00	$0.00	Approved	Approved
CLM-2026-007398	2026-03-23	Harbor Rehabilitation Center in network	97110	$168.00	$64.16	Approved	Approved
CLM-2026-002878	2026-03-22	Desert Diagnostic Imaging in network	76700	$593.00	$0.00	Approved	Approved
CLM-2026-004285	2025-12-23	Lakeside Physical Therapy in network	97110	$236.00	$106.32	Approved	Approved