Sara Jones

3 source records from 3 feeds.

MBR-004730Verified3 records

Golden record

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

First namePRV: Sara
Middle name—: —
Last namePRV: Jones
Date of birthPRV: 1965-11-04
GenderPRV: F
Member IDCLM: UHC-75451-48
SSNPRV: •••-••-9009
PhonePRV: 8552580299
EmailTPA: sara.jones@proton.me
AddressCLM: 5042 Main St
CityCLM: Columbus
StateCLM: OH
ZIPCLM: 43243
Group—: —
PlanCLM: NAVIGATE-HMO

Min confidence

0.97

Sources

PRV ×1TPA ×1CLM ×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
PRV-25300	PRV	2026-01-15	Sara Jonesflagged	1965-11-04	—	8552580299	—	Rule	0.97	D2 ssn4 + dob + last name
TPA-57890	TPA	2026-05-05	Sara Jonesflagged	1965-11-04	—	—	5042 Main St, Columbus, OH	Scored	1.00	—
CLM-417883	CLM	2026-10-18	Sara Jonesflagged	1965-11-04	UHC-75451-48	—	5042 Main St, Columbus, OH	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-57890TPACLM-417883CLM 1.00Scoredweighted 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

▶PRV-25300PRV CLM-417883CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-25300PRV TPA-57890TPA0.83Scoredweighted 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

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically74fa188ae5
scoring_agent, CLM-417883, identity id MBR-004730, confidence 1, method probabilistic, matched record TPA-57890, policy version 1
2026-10-19 19:54:38Record linked automatically62a1f811fd
scoring_agent, TPA-57890, identity id MBR-004730, confidence 1, method probabilistic, matched record CLM-417883, policy version 1
2026-10-19 19:54:38Record linked automatically5df0e86349
matching_agent, PRV-25300, identity id MBR-004730, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-417883
2026-10-19 19:52:08Record linked automatically136940228d
scoring_agent, CLM-417883, identity id MBR-004730, confidence 1, method probabilistic, matched record TPA-57890, policy version 1
2026-10-19 19:52:08Record linked automatically46493300c2
scoring_agent, TPA-57890, identity id MBR-004730, confidence 1, method probabilistic, matched record CLM-417883, policy version 1
2026-10-19 19:52:08Record linked automatically7eda5d2148
matching_agent, PRV-25300, identity id MBR-004730, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-417883
2026-10-19 19:45:42Record linked automatically45911a1564
scoring_agent, CLM-417883, identity id MBR-004730, confidence 1, method probabilistic, matched record TPA-57890, policy version 1
2026-10-19 19:45:42Record linked automaticallya19e3ce535
scoring_agent, TPA-57890, identity id MBR-004730, confidence 1, method probabilistic, matched record CLM-417883, policy version 1
2026-10-19 19:45:42Record linked automatically2c7142932c
matching_agent, PRV-25300, identity id MBR-004730, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-417883
2026-10-19 19:32:31Record linked automaticallyf06b6a731f
scoring_agent, CLM-417883, identity id MBR-004730, confidence 1, method probabilistic, matched record TPA-57890, policy version 1
2026-10-19 19:32:31Record linked automatically5c32ead338
scoring_agent, TPA-57890, identity id MBR-004730, confidence 1, method probabilistic, matched record CLM-417883, policy version 1
2026-10-19 19:32:31Record linked automatically6c954a74ff
matching_agent, PRV-25300, identity id MBR-004730, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-417883
2026-10-19 19:31:28Record linked automatically5c127ecc19
scoring_agent, PRV-25300, identity id MBR-028148, confidence 1, method probabilistic, matched record TPA-57934, policy version 1
2026-10-19 19:31:28Record linked automaticallydd463802e2
scoring_agent, TPA-57890, identity id MBR-020021, confidence 1.00, method probabilistic, matched record ENR-123639, 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-2026-018403	2026-09-14	Lakeside Medical Group in network	99395, 90471, 99214	$594.00	—	Denied	Denied
CLM-2026-018402	2026-09-14	Lakeside Medical Group in network	99395, 90471, 99214	$594.00	$338.28	Approved	Approved