Identities/MBR-004725

Gold, golden identity

Edward O Peterson

5 source records from 3 feeds.

MBR-004725Verified5 records

Golden record

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

First nameENR: Edward
Middle nameENR: O
Last nameENR: Peterson
Date of birthENR: 1969-01-12
GenderENR: M
Member IDENR: UHC-42460-12
SSNENR: •••-••-7279
PhoneENR: 9752701716
EmailENR: edward.peterson38@yahoo.com
AddressENR: 4454 Harbor Blvd
CityENR: Houston
StateENR: TX
ZIP—: —
GroupENR: GRP-3872
PlanENR: SELECT-EPO

Min confidence

0.99

Sources

CLM ×3TPA ×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-410365	CLM	2026-01-15	Edward Petersonflagged	1969-01-12	UHC-42460-12	9752701716	—	Scored	1.00	—
TPA-54531	TPA	2026-01-21	Edward Petersonflagged	1969-01-12	UHC-42460-12	9752701716	4454 Harbor Blvd, Houston, TX	Rule	0.99	D1 member id + dob exact
CLM-410367	CLM	2026-01-29	Edward Petersonflagged	1969-01-12	UHC-42460-12	9752701716	4454 Harbor Blvd, Houston, TX	Rule	0.99	D1 member id + dob exact
ENR-113634	ENR	2026-02-09	Edward Petersonflagged	1969-01-12	UHC-42460-12	9752701716	4454 Harbor Blvd, Houston, TX	Rule	0.99	D1 member id + dob exact
CLM-410366	CLM	2026-02-09	Edward Petersonflagged	1969-01-12	—	9752701716	4454 Harbor Blvd, Houston, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-410365CLMCLM-410366 CLM1.00Scoredweighted 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-410365CLMCLM-410367 CLM0.99RuleD1 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

▶TPA-54531TPACLM-410367 CLM0.99RuleD1 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-410365CLMENR-113634ENR0.99RuleD1 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

▶TPA-54531TPAENR-113634ENR0.99RuleD1 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-410367 CLMENR-113634ENR0.99RuleD1 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-410365CLMTPA-54531TPA0.99RuleD1 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

▶TPA-54531TPACLM-410366 CLM0.94Scoredweighted 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-410367 CLMCLM-410366 CLM0.94Scoredweighted 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-113634ENRCLM-410366 CLM0.94Scoredweighted 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-410366 → UHC-42460-12 (Edward Peterson)
ACT-006165, Claims processor
Care coordination outreachProposed
Edward Peterson: 3 claims, no attributed provider
ACT-018143, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallydf9daca367
scoring_agent, CLM-410366, identity id MBR-004725, confidence 1, method probabilistic, matched record CLM-410365, policy version 1
2026-10-19 19:54:38Record linked automatically513a718f8f
matching_agent, ENR-113634, identity id MBR-004725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410365
2026-10-19 19:54:38Record linked automatically834d5b2564
matching_agent, CLM-410367, identity id MBR-004725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410365
2026-10-19 19:54:38Record linked automatically811b5b80ce
matching_agent, TPA-54531, identity id MBR-004725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410365
2026-10-19 19:54:38Record linked automatically5a3dbb9960
scoring_agent, CLM-410365, identity id MBR-004725, confidence 1, method probabilistic, matched record CLM-410366, policy version 1
2026-10-19 19:52:08Record linked automatically9cbe252cb2
scoring_agent, CLM-410366, identity id MBR-004725, confidence 1, method probabilistic, matched record CLM-410365, policy version 1
2026-10-19 19:52:08Record linked automatically899472fec8
matching_agent, ENR-113634, identity id MBR-004725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410365
2026-10-19 19:52:08Record linked automatically1690568b0c
matching_agent, CLM-410367, identity id MBR-004725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410365
2026-10-19 19:52:08Record linked automaticallyb229c0fd8c
matching_agent, TPA-54531, identity id MBR-004725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410365
2026-10-19 19:52:08Record linked automaticallyf3c662e1f7
scoring_agent, CLM-410365, identity id MBR-004725, confidence 1, method probabilistic, matched record CLM-410366, policy version 1
2026-10-19 19:45:42Record linked automatically71d57af789
scoring_agent, CLM-410366, identity id MBR-004725, confidence 1, method probabilistic, matched record CLM-410365, policy version 1
2026-10-19 19:45:42Record linked automatically12dd0da542
matching_agent, ENR-113634, identity id MBR-004725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410365
2026-10-19 19:45:42Record linked automatically9410c0fd33
matching_agent, CLM-410367, identity id MBR-004725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410365
2026-10-19 19:45:42Record linked automatically297c293723
matching_agent, TPA-54531, identity id MBR-004725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410365
2026-10-19 19:45:42Record linked automaticallyc298d5faf6
scoring_agent, CLM-410365, identity id MBR-004725, confidence 1, method probabilistic, matched record CLM-410366, policy version 1
2026-10-19 19:32:31Record linked automaticallybf8ddf21e5
scoring_agent, CLM-410366, identity id MBR-004725, confidence 1, method probabilistic, matched record CLM-410365, policy version 1
2026-10-19 19:32:31Record linked automatically2abf0f2e4e
matching_agent, ENR-113634, identity id MBR-004725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410365
2026-10-19 19:32:31Record linked automatically59f202048e
matching_agent, CLM-410367, identity id MBR-004725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410365
2026-10-19 19:32:31Record linked automatically337104745a
matching_agent, TPA-54531, identity id MBR-004725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410365
2026-10-19 19:32:31Record linked automaticallydcb6968aeb
scoring_agent, CLM-410365, identity id MBR-004725, confidence 1, method probabilistic, matched record CLM-410366, policy version 1
2026-10-19 19:31:28Record linked automaticallye36bb4297f
scoring_agent, ENR-113634, identity id MBR-039635, confidence 1.00, method probabilistic, matched record CLM-410325, policy version 1
2026-10-19 19:31:28Record linked automatically00fa670730
scoring_agent, CLM-410366, identity id MBR-020082, confidence 1, method probabilistic, matched record ENR-113682, policy version 1

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-2026-018155	2026-01-23	Lakeside Physical Therapy in network	97110	$324.00	—	Needs review	Needs review
CLM-2026-013875	2025-12-16	Mesa Diabetes Center in network	83036, 95251	$266.00	$138.88	Approved	Approved
CLM-2026-025697	2025-12-07	Heritage Primary Care Associates in network	36415, 90471, 99203	$260.00	—	Denied	Denied
CLM-2026-025696	2025-12-07	Heritage Primary Care Associates in network	36415, 90471, 99203	$260.00	$146.94	Approved	Approved