Identities/MBR-004927
Gold, golden identity

Vincent Sullivan

5 source records from 3 feeds.

MBR-004927Verified5 records

Golden record

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

First nameCLM
Vincent
Middle name—
—
Last nameENR
Sullivan
Date of birthENR
1973-06-20
GenderCLM
F
Member IDENR
UHC-26763-55
SSNENR
•••-••-0864
PhoneENR
2977589648
EmailENR
vincent.sullivan56@outlook.com
AddressCLM
8234 Jefferson Ave
CityENR
San Antonio
StateENR
TX
ZIPENR
78246
GroupENR
GRP-6812
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
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

1.001.001.000.991.00TPATPA-60876CLMCLM-424643CLMCLM-424642ENRENR-132192CLMCLM-424644IDMBR-004927
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-60876TPA2026-01-16Vincent Sullivanflagged1973-06-20——8234 Jefferson Ave, San Antonio, TXScored1.00—
CLM-424643CLM2026-03-02Vincent Sullivanflagged1973-06-20UHC-26763-5529775896488234 Jefferson Ave, San Antonio, TXScored1.00—
CLM-424642CLM2026-08-10Vincent Sullivanflagged1973-06-20UHC-26763-5529775896488234 Jefferson Ave, San Antonio, TXScored1.00—
ENR-132192ENR2026-08-20Vincant Sullivanflagged1973-06-20UHC-26763-5529775896488234 Jefferson Ave Apt 18, San Antonio, TXScored0.99—
CLM-424644CLM2026-10-02Vincent Sullivanflagged1973-06-20——8234 Jefferson Ave, San Antonio, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-60876TPACLM-424642CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-60876TPACLM-424643CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-60876TPACLM-424644CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424643CLMCLM-424644CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424642CLMCLM-424644CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-132192ENRCLM-424644CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-60876TPAENR-132192ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424643CLMCLM-424642CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-424643CLMENR-132192ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-424642CLMENR-132192ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Vincent Sullivan: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
    ACT-000238, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-424644 → UHC-26763-55 (Vincent Sullivan)
    ACT-007247, Claims processor
  • Outreach address correctedProposed
    Vincent Sullivan: 8234 Jefferson Ave Apt 18, San Antonio → 8234 Jefferson Ave, San Antonio
    ACT-010905, Outreach
  • Care coordination outreachProposed
    Vincent Sullivan: 3 claims, no attributed provider
    ACT-018157, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallycc15ce4d9d
    scoring_agent, CLM-424644, identity id MBR-004927, confidence 1, method probabilistic, matched record TPA-60876, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0d0fa741dc
    scoring_agent, ENR-132192, identity id MBR-004927, confidence 0.99, method probabilistic, matched record TPA-60876, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycbcdffbe81
    scoring_agent, CLM-424642, identity id MBR-004927, confidence 1, method probabilistic, matched record TPA-60876, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf75ac43fb9
    scoring_agent, CLM-424643, identity id MBR-004927, confidence 1, method probabilistic, matched record TPA-60876, policy version 1
  • 2026-10-19 19:54:38Record linked automatically63176ab24e
    scoring_agent, TPA-60876, identity id MBR-004927, confidence 1, method probabilistic, matched record CLM-424643, policy version 1
  • 2026-10-19 19:52:08Record linked automatically77bf7f6f7f
    scoring_agent, CLM-424644, identity id MBR-004927, confidence 1, method probabilistic, matched record TPA-60876, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallya1f42030f8
    scoring_agent, ENR-132192, identity id MBR-004927, confidence 0.99, method probabilistic, matched record TPA-60876, policy version 1
  • 2026-10-19 19:52:08Record linked automatically5af948c5c9
    scoring_agent, CLM-424642, identity id MBR-004927, confidence 1, method probabilistic, matched record TPA-60876, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyb5b45ecf32
    scoring_agent, CLM-424643, identity id MBR-004927, confidence 1, method probabilistic, matched record TPA-60876, policy version 1
  • 2026-10-19 19:52:08Record linked automatically8268118fb3
    scoring_agent, TPA-60876, identity id MBR-004927, confidence 1, method probabilistic, matched record CLM-424643, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd0e9813aab
    scoring_agent, CLM-424644, identity id MBR-004927, confidence 1, method probabilistic, matched record TPA-60876, policy version 1
  • 2026-10-19 19:45:42Record linked automatically52fb440380
    scoring_agent, ENR-132192, identity id MBR-004927, confidence 0.99, method probabilistic, matched record TPA-60876, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallybdd2696eed
    scoring_agent, CLM-424642, identity id MBR-004927, confidence 1, method probabilistic, matched record TPA-60876, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallybc2da75441
    scoring_agent, CLM-424643, identity id MBR-004927, confidence 1, method probabilistic, matched record TPA-60876, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyaa3dbe2839
    scoring_agent, TPA-60876, identity id MBR-004927, confidence 1, method probabilistic, matched record CLM-424643, policy version 1
  • 2026-10-19 19:32:31Record linked automatically632010dfb3
    scoring_agent, CLM-424644, identity id MBR-004927, confidence 1, method probabilistic, matched record TPA-60876, policy version 1
  • 2026-10-19 19:32:31Record linked automatically26a0ff51ee
    scoring_agent, ENR-132192, identity id MBR-004927, confidence 0.99, method probabilistic, matched record TPA-60876, policy version 1
  • 2026-10-19 19:32:31Record linked automatically067d3aee55
    scoring_agent, CLM-424642, identity id MBR-004927, confidence 1, method probabilistic, matched record TPA-60876, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1f7d24f428
    scoring_agent, CLM-424643, identity id MBR-004927, confidence 1, method probabilistic, matched record TPA-60876, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2de6ee84aa
    scoring_agent, TPA-60876, identity id MBR-004927, confidence 1, method probabilistic, matched record CLM-424643, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd4ac85da6d
    scoring_agent, CLM-424644, identity id MBR-038408, confidence 1, method probabilistic, matched record PRV-27264, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb122bf5b75
    scoring_agent, TPA-60876, identity id MBR-032234, confidence 1, method probabilistic, matched record PRV-27289, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9bfbcaf595
    matching_agent, ENR-132192, identity id MBR-029866, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424468
  • 2026-10-19 19:31:28Record linked automatically8f9e4f3e52
    scoring_agent, CLM-424643, identity id MBR-007206, confidence 1, method probabilistic, matched record TPA-60847, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6bcba3f0f3
    scoring_agent, CLM-424642, identity id MBR-007206, confidence 1, method probabilistic, matched record TPA-60847, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0223552026-09-19Evergreen Reference Lab
in network
87086, 85025$94.00$0.00ApprovedApproved
CLM-2026-0162112026-07-31Evergreen GI Associates
in network
88305$272.00$0.00ApprovedApproved
CLM-2026-0262762026-02-02Canyon Internal Medicine Associates
out of network
99232$241.00$0.00ApprovedApproved