Identities/MBR-004961

Gold, golden identity

James Chen

6 source records from 2 feeds.

MBR-004961Verified6 records

Golden record

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

First nameCLM: James
Middle name—: —
Last nameCLM: Chen
Date of birthCLM: 1961-02-13
GenderCLM: F
Member IDCLM: UHC-30142-52
SSNCLM: •••-••-4235
PhoneCLM: 8594009501
EmailCLM: james.chen67@hotmail.com
AddressCLM: 2201 River Rd
CityCLM: Tucson
StateCLM: AZ
ZIPCLM: 85704
GroupCLM: GRP-7948
PlanTPA: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

TPA ×3CLM ×3

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
TPA-51030	TPA	2026-01-16	James Chenflagged	1961-02-13	—	8594009501	—	Scored	1.00	—
TPA-51031	TPA	2026-03-15	James Chenflagged	1961-02-13	—	—	2201 River Rd, Tucson, AZ	Scored	1.00	—
TPA-51029	TPA	2026-05-10	James Chenflagged	1961-02-13	—	—	2201 River Rd, Tucson, AZ	Scored	1.00	—
CLM-402427	CLM	2026-07-22	James Chenflagged	1961-02-13	UHC-30142-52	8594009501	2201 River Rd, Tucson, AZ	Scored	1.00	—
CLM-402426	CLM	2026-10-04	James Chenflagged	1961-02-13	—	—	2201 River Rd, Tucson, AZ	Scored	1.00	—
CLM-402428	CLM	2026-10-17	James Chenflagged	1961-02-13	—	—	2201 River Rd, Tucson, AZ	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-51031TPACLM-402426CLM1.00Scoredweighted 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

▶TPA-51029TPACLM-402426CLM1.00Scoredweighted 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

▶CLM-402427 CLMCLM-402426CLM1.00Scoredweighted 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

▶TPA-51030TPACLM-402427 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

▶TPA-51031TPACLM-402427 CLM1.00Scoredweighted 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

▶TPA-51029TPACLM-402427 CLM1.00Scoredweighted 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

▶TPA-51031TPACLM-402428CLM1.00Scoredweighted 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

▶TPA-51029TPACLM-402428CLM1.00Scoredweighted 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

▶CLM-402427 CLMCLM-402428CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-51031TPATPA-51029TPA1.00Scoredweighted 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

▶TPA-51030TPACLM-402426CLM0.97RuleD2 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

▶TPA-51030TPACLM-402428CLM0.97RuleD2 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

▶CLM-402426CLMCLM-402428CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-51030TPATPA-51029TPA0.83Scoredweighted 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

▶TPA-51030TPATPA-51031TPA0.83Scoredweighted 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-402428 → UHC-30142-52 (James Chen)
ACT-005039, Claims processor
Orphan claim re-pointedExecuted
CLM-402426 → UHC-30142-52 (James Chen)
ACT-005109, Claims processor
Care coordination outreachProposed
James Chen: 3 claims, no attributed provider
ACT-018163, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically8b53768664
scoring_agent, CLM-402428, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51031, policy version 1
2026-10-19 19:54:38Record linked automatically1b4bfeb20e
scoring_agent, CLM-402426, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51031, policy version 1
2026-10-19 19:54:38Record linked automatically314abc2b8b
scoring_agent, CLM-402427, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51030, policy version 1
2026-10-19 19:54:38Record linked automatically0d0662ef00
scoring_agent, TPA-51029, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51031, policy version 1
2026-10-19 19:54:38Record linked automatically10cd9de4d7
scoring_agent, TPA-51031, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51029, policy version 1
2026-10-19 19:54:38Record linked automaticallyae00e22d97
scoring_agent, TPA-51030, identity id MBR-004961, confidence 1, method probabilistic, matched record CLM-402427, policy version 1
2026-10-19 19:52:08Record linked automatically3006602c6f
scoring_agent, CLM-402428, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51031, policy version 1
2026-10-19 19:52:08Record linked automaticallyd6cbe873eb
scoring_agent, CLM-402426, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51031, policy version 1
2026-10-19 19:52:08Record linked automatically44b73a8c3d
scoring_agent, CLM-402427, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51030, policy version 1
2026-10-19 19:52:08Record linked automaticallyf42ea86d6c
scoring_agent, TPA-51029, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51031, policy version 1
2026-10-19 19:52:08Record linked automatically4ae651ac09
scoring_agent, TPA-51031, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51029, policy version 1
2026-10-19 19:52:08Record linked automaticallye86e8a5767
scoring_agent, TPA-51030, identity id MBR-004961, confidence 1, method probabilistic, matched record CLM-402427, policy version 1
2026-10-19 19:45:42Record linked automatically42b2de2b1b
scoring_agent, CLM-402428, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51031, policy version 1
2026-10-19 19:45:42Record linked automatically1b8f1d64f8
scoring_agent, CLM-402426, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51031, policy version 1
2026-10-19 19:45:42Record linked automatically08b67fb80b
scoring_agent, CLM-402427, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51030, policy version 1
2026-10-19 19:45:42Record linked automaticallyec67e10b3a
scoring_agent, TPA-51029, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51031, policy version 1
2026-10-19 19:45:42Record linked automatically27bb4b971d
scoring_agent, TPA-51031, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51029, policy version 1
2026-10-19 19:45:42Record linked automatically1dd6dbb40e
scoring_agent, TPA-51030, identity id MBR-004961, confidence 1, method probabilistic, matched record CLM-402427, policy version 1
2026-10-19 19:32:31Record linked automatically8f258c9a60
scoring_agent, CLM-402428, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51031, policy version 1
2026-10-19 19:32:31Record linked automaticallybf6b55c529
scoring_agent, CLM-402426, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51031, policy version 1
2026-10-19 19:32:31Record linked automatically8c063d6a59
scoring_agent, CLM-402427, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51030, policy version 1
2026-10-19 19:32:31Record linked automatically79861130f7
scoring_agent, TPA-51029, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51031, policy version 1
2026-10-19 19:32:31Record linked automatically90a8ff0ae0
scoring_agent, TPA-51031, identity id MBR-004961, confidence 1, method probabilistic, matched record TPA-51029, policy version 1
2026-10-19 19:32:31Record linked automatically0fa1fb44db
scoring_agent, TPA-51030, identity id MBR-004961, confidence 1, method probabilistic, matched record CLM-402427, policy version 1
2026-10-19 19:31:28Record linked automatically3b44f7108e
scoring_agent, TPA-51031, identity id MBR-020767, confidence 1, method probabilistic, matched record TPA-51029, policy version 1
2026-10-19 19:31:28Record linked automatically4ff1438dd8
scoring_agent, TPA-51030, identity id MBR-020767, confidence 1, method probabilistic, matched record TPA-51029, policy version 1
2026-10-19 19:31:28Record linked automaticallyc94e6a2c77
scoring_agent, TPA-51029, identity id MBR-020767, confidence 1, method probabilistic, matched record TPA-51030, policy version 1
2026-10-19 19:31:28Record linked automaticallybb858d3a4a
matching_agent, CLM-402427, identity id MBR-018422, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402429
2026-10-19 19:31:28Record linked automatically73bafcc01c
matching_agent, CLM-402428, identity id MBR-018422, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402429
2026-10-19 19:31:28Record linked automatically891d384b74
scoring_agent, CLM-402426, identity id MBR-001413, confidence 1, method probabilistic, matched record CLM-402425, policy version 1

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-2026-013988	2026-09-19	Canyon Heart Institute out of network	93306, 93458	$7,222.00	$2,457.84	Approved	Approved
CLM-2026-014273	2026-09-27	Mesa Imaging Center out of network	74177	$1,634.00	$194.71	Approved	Approved
CLM-2026-029295	2026-06-20	Heritage Community Hospital in network	71046	$184.00	$0.00	Approved	Approved