Identities/MBR-004925
Gold, golden identity

Billy R Fisher

5 source records from 3 feeds.

MBR-004925Verified5 records

Golden record

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

First nameENR
Billy
Middle nameENR
R
Last nameENR
Fisher
Date of birthENR
1980-06-20
GenderPRV
M
Member IDENR
UHC-98030-27
SSNCLM
•••-••-6894
PhoneENR
6996269135
EmailENR
billy.fisher34@aol.com
AddressPRV
1611 Hillcrest Rd
CityENR
Seattle
StateENR
WA
ZIPENR
98155
GroupENR
GRP-5249
PlanENR
SELECT-EPO
Min confidence
0.99
Sources
CLM ×3PRV ×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

1.000.990.991.001.00CLMCLM-431658PRVPRV-29252CLMCLM-431659ENRENR-141552CLMCLM-431657IDMBR-004925
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-431658CLM2026-01-16Billy Fisherflagged1980-06-20—69962691351611 Hillcrest Rd, Seattle, WAScored1.00—
PRV-29252PRV2026-03-05Blily Fisherflagged1980-06-20UHC-98030-2769962691351611 Hillcrest Rd, Seattle, WARule0.99D1 member id + dob exact
CLM-431659CLM2026-03-06Billy Fisherflagged1980-06-20UHC-98030-27——Rule0.99D1 member id + dob exact
ENR-141552ENR2026-09-02Billy Fisherflagged1980-06-20UHC-98030-2769962691351611 Hillcrest Rd Apt 31, Seattle, WAScored1.00—
CLM-431657CLM2026-09-22Billy Fisherflagged1980-06-20—69962691351611 Hillcrest Rd, Seattle, WAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-431658CLMCLM-431657CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-141552ENRCLM-431657CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431658CLMENR-141552ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-29252PRVCLM-431659CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.833
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-29252PRVENR-141552ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.833
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-431659CLMENR-141552ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-431658CLMCLM-431659CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-29252PRVCLM-431657CLM0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.833
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431658CLMPRV-29252PRV0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.833
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431659CLMCLM-431657CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-431658 → UHC-98030-27 (Billy Fisher)
    ACT-005021, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-431657 → UHC-98030-27 (Billy Fisher)
    ACT-007107, Claims processor
  • Outreach address correctedProposed
    Billy Fisher: 1611 Hillcrest Rd Apt 31, Seattle → 1611 Hillcrest Rd, Seattle
    ACT-010904, Outreach

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically0ff068ae7b
    scoring_agent, CLM-431657, identity id MBR-004925, confidence 1, method probabilistic, matched record CLM-431658, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1fd81a05f2
    scoring_agent, ENR-141552, identity id MBR-004925, confidence 1, method probabilistic, matched record CLM-431658, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5e4f9c7b5c
    matching_agent, CLM-431659, identity id MBR-004925, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29252
  • 2026-10-19 19:54:38Record linked automatically20875b3b2a
    matching_agent, PRV-29252, identity id MBR-004925, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431659
  • 2026-10-19 19:54:38Record linked automatically4f1122880b
    scoring_agent, CLM-431658, identity id MBR-004925, confidence 1, method probabilistic, matched record ENR-141552, policy version 1
  • 2026-10-19 19:52:08Record linked automatically54e3294bc5
    scoring_agent, CLM-431657, identity id MBR-004925, confidence 1, method probabilistic, matched record CLM-431658, policy version 1
  • 2026-10-19 19:52:08Record linked automatically618cb72d7b
    scoring_agent, ENR-141552, identity id MBR-004925, confidence 1, method probabilistic, matched record CLM-431658, policy version 1
  • 2026-10-19 19:52:08Record linked automatically061f818a46
    matching_agent, CLM-431659, identity id MBR-004925, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29252
  • 2026-10-19 19:52:08Record linked automaticallyb35f0e467b
    matching_agent, PRV-29252, identity id MBR-004925, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431659
  • 2026-10-19 19:52:08Record linked automatically53de389b67
    scoring_agent, CLM-431658, identity id MBR-004925, confidence 1, method probabilistic, matched record ENR-141552, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3cf1db6ad4
    scoring_agent, CLM-431657, identity id MBR-004925, confidence 1, method probabilistic, matched record CLM-431658, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallybb4fe20b0b
    scoring_agent, ENR-141552, identity id MBR-004925, confidence 1, method probabilistic, matched record CLM-431658, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallybbc318b9ec
    matching_agent, CLM-431659, identity id MBR-004925, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29252
  • 2026-10-19 19:45:42Record linked automaticallyb802605f3e
    matching_agent, PRV-29252, identity id MBR-004925, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431659
  • 2026-10-19 19:45:42Record linked automatically1eee036397
    scoring_agent, CLM-431658, identity id MBR-004925, confidence 1, method probabilistic, matched record ENR-141552, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye89b949eaa
    scoring_agent, CLM-431657, identity id MBR-004925, confidence 1, method probabilistic, matched record CLM-431658, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallydf134e38c4
    scoring_agent, ENR-141552, identity id MBR-004925, confidence 1, method probabilistic, matched record CLM-431658, policy version 1
  • 2026-10-19 19:32:31Record linked automatically93d4f3fa6b
    matching_agent, CLM-431659, identity id MBR-004925, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29252
  • 2026-10-19 19:32:31Record linked automaticallyb0c1208fa1
    matching_agent, PRV-29252, identity id MBR-004925, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431659
  • 2026-10-19 19:32:31Record linked automaticallyaefb7ff762
    scoring_agent, CLM-431658, identity id MBR-004925, confidence 1, method probabilistic, matched record ENR-141552, policy version 1
  • 2026-10-19 19:31:28Record linked automatically86ec28ee82
    matching_agent, ENR-141552, identity id MBR-032297, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431481
  • 2026-10-19 19:31:28Record linked automatically306ea9c537
    scoring_agent, PRV-29252, identity id MBR-027768, confidence 1, method probabilistic, matched record PRV-29251, policy version 1
  • 2026-10-19 19:31:28Record linked automatically06a54b58c2
    matching_agent, CLM-431659, identity id MBR-018574, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431656
  • 2026-10-19 19:31:28Record linked automatically3473b1ff9a
    scoring_agent, CLM-431657, identity id MBR-018574, confidence 1, method probabilistic, matched record TPA-63876, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya3989febc2
    scoring_agent, CLM-431658, identity id MBR-018574, confidence 1, method probabilistic, matched record TPA-63876, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0217742026-08-18Evergreen Medical Group
out of network
99215$316.00—DeniedDenied
CLM-2026-0151762026-02-03Pinecrest Primary Care Associates
in network
99213, 99203$425.00$233.50ApprovedApproved
CLM-2026-0139242026-01-05Lakeside Internal Medicine Associates
in network
80053$77.00$17.74ApprovedApproved