Identities/MBR-005342
Gold, golden identity

Raymond Gardner

4 source records from 2 feeds.

MBR-005342Verified4 recordsOpen steward case

Golden record

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

First nameCLM
Raymond
Middle name—
—
Last nameCLM
Gardner
Date of birthCLM
1948-01-19
GenderCLM
M
Member IDCLM
UHC-31863-51
SSNCLM
•••-••-8609
PhoneCLM
5403590008
Email—
—
AddressCLM
1331 Indian School Rd
CityCLM
Scottsdale
StateCLM
AZ
ZIPCLM
85260
GroupCLM
GRP-6767
PlanCLM
CORE-HMO
Min confidence
0.99
Sources
CLM ×3TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

1.001.001.000.99CLMCLM-405603TPATPA-52468CLMCLM-405602CLMCLM-405604IDMBR-005342
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-405603CLM2026-01-17Raymond Gardnerflagged1948-01-19——1331 Indian School Rd # 254, Scottsdale, AZScored1.00—
TPA-52468TPA2026-06-01Raymond Gardnerflagged1948-01-19——1331 Indian School Rd, Scottsdale, AZScored1.00—
CLM-405602CLM2026-06-19Raymond Gardnerflagged1948-01-19UHC-31863-51—1331 Indian School Rd, Scottsdale, AZScored1.00—
CLM-405604CLM2026-09-04Raymond Garderflagged1948-01-19UHC-31863-515403590008—Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-405603CLMCLM-405602CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-52468TPACLM-405602CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-405603CLMTPA-52468TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-405602CLMCLM-405604CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-405603 → UHC-31863-51 (Raymond Gardner)
    ACT-005881, Claims processor
  • Care coordination outreachProposed
    Raymond Gardner: 3 claims, no attributed provider
    ACT-018194, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically5a44983435
    matching_agent, CLM-405604, identity id MBR-005342, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405602
  • 2026-10-19 19:54:38Record linked automatically2b7d1d66b2
    scoring_agent, CLM-405602, identity id MBR-005342, confidence 1, method probabilistic, matched record CLM-405603, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd7a168697f
    scoring_agent, TPA-52468, identity id MBR-005342, confidence 1, method probabilistic, matched record CLM-405603, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf2a44f458c
    scoring_agent, CLM-405603, identity id MBR-005342, confidence 1, method probabilistic, matched record TPA-52468, policy version 1
  • 2026-10-19 19:52:08Record linked automatically5f2432959c
    matching_agent, CLM-405604, identity id MBR-005342, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405602
  • 2026-10-19 19:52:08Record linked automaticallye58612d450
    scoring_agent, CLM-405602, identity id MBR-005342, confidence 1, method probabilistic, matched record CLM-405603, policy version 1
  • 2026-10-19 19:52:08Record linked automatically6c88634680
    scoring_agent, TPA-52468, identity id MBR-005342, confidence 1, method probabilistic, matched record CLM-405603, policy version 1
  • 2026-10-19 19:52:08Record linked automatically3560dadf92
    scoring_agent, CLM-405603, identity id MBR-005342, confidence 1, method probabilistic, matched record TPA-52468, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2c7292cbdc
    matching_agent, CLM-405604, identity id MBR-005342, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405602
  • 2026-10-19 19:45:42Record linked automatically505f8d6455
    scoring_agent, CLM-405602, identity id MBR-005342, confidence 1, method probabilistic, matched record CLM-405603, policy version 1
  • 2026-10-19 19:45:42Record linked automatically97a42b99fc
    scoring_agent, TPA-52468, identity id MBR-005342, confidence 1, method probabilistic, matched record CLM-405603, policy version 1
  • 2026-10-19 19:45:42Record linked automatically861c1ee3af
    scoring_agent, CLM-405603, identity id MBR-005342, confidence 1, method probabilistic, matched record TPA-52468, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6b342774fb
    matching_agent, CLM-405604, identity id MBR-005342, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405602
  • 2026-10-19 19:32:31Record linked automaticallyf7da0fc2dc
    scoring_agent, CLM-405602, identity id MBR-005342, confidence 1, method probabilistic, matched record CLM-405603, policy version 1
  • 2026-10-19 19:32:31Record linked automatically10222fb64a
    scoring_agent, TPA-52468, identity id MBR-005342, confidence 1, method probabilistic, matched record CLM-405603, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc18e123585
    scoring_agent, CLM-405603, identity id MBR-005342, confidence 1, method probabilistic, matched record TPA-52468, policy version 1
  • 2026-10-19 19:31:28Record linked automatically56491f4e7d
    scoring_agent, TPA-52468, identity id MBR-039728, confidence 1, method probabilistic, matched record ENR-107206, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6dac36a075
    matching_agent, CLM-405603, identity id MBR-031230, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-405604
  • 2026-10-19 19:31:28Record linked automatically68a098b704
    matching_agent, CLM-405604, identity id MBR-031230, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-405603
  • 2026-10-19 19:31:28Record linked automatically9da7dab9d8
    matching_agent, CLM-405602, identity id MBR-012127, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-52509

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0330592026-08-30Sunrise Physical Therapy
in network
97110, 97161$396.00—DeniedDenied
CLM-2026-0197732026-05-23Mesa Physical Therapy
in network
97110, 97161$331.00—DeniedDenied
CLM-2026-0171612025-12-07Sunrise Behavioral Health
in network
99214$270.00$92.40ApprovedApproved