Identities/MBR-005429

Gold, golden identity

Sean L Fuller

5 source records from 4 feeds.

MBR-005429Verified5 records

Golden record

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

First nameENR: Sean
Middle nameENR: L
Last nameENR: Fuller
Date of birthENR: 1986-08-24
GenderPRV: M
Member IDENR: UHC-36745-76
SSNENR: •••-••-0956
PhoneENR: 9424263366
EmailPRV: sean.fuller@aol.com
AddressENR: 1395 Grand Ave
CityENR: Chandler
StateENR: AZ
ZIPENR: 85201
GroupENR: GRP-6051
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

PRV ×2TPA ×1CLM ×1ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-23527	PRV	2026-01-18	Sean Fullerflagged	1986-08-24	UHC-36745-76	9424263366	8628 Spring St, Charlotte, NC	Scored	1.00	—
TPA-55367	TPA	2026-02-13	Sean Fullerflagged	1986-08-24	—	—	1395 Grand Ave, Chandler, AZ	Scored	1.00	—
CLM-412175	CLM	2026-02-25	Sean Fullerflagged	1986-08-24	—	—	8628 Spring St, Charlotte, NC	Scored	1.00	—
ENR-116047	ENR	2026-04-08	Sean Fullerflagged	1986-08-24	UHC-36745-76	9424263366	1395 Grand Ave, Chandler, AZ	Scored	1.00	—
PRV-23526	PRV	2026-08-27	Sean Fullerflagged	1986-08-24	UHC-36745-76	—	1395 Grand Ave, Chandler, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-23527PRVCLM-412175CLM1.00Scoredweighted 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-55367 TPAENR-116047ENR1.00Scoredweighted 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-55367 TPAPRV-23526PRV1.00Scoredweighted 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

▶PRV-23527PRVENR-116047ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-23527PRVPRV-23526PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-116047ENRPRV-23526PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-412175CLMENR-116047ENR0.97RuleD2 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	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-55367 TPACLM-412175CLM0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶CLM-412175CLMPRV-23526PRV0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶PRV-23527PRVTPA-55367 TPA0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-412175 → UHC-36745-76 (Sean Fuller)
ACT-004126, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automaticallyf8b5186359
scoring_agent, PRV-23526, identity id MBR-005429, confidence 1, method probabilistic, matched record TPA-55367, policy version 1
2026-10-22 12:43:53Record linked automatically91eb7d351c
scoring_agent, ENR-116047, identity id MBR-005429, confidence 1, method probabilistic, matched record TPA-55367, policy version 1
2026-10-22 12:43:53Record linked automaticallybcc4470389
scoring_agent, CLM-412175, identity id MBR-005429, confidence 1, method probabilistic, matched record PRV-23527, policy version 1
2026-10-22 12:43:53Record linked automatically5cfb2a6de2
scoring_agent, TPA-55367, identity id MBR-005429, confidence 1, method probabilistic, matched record ENR-116047, policy version 1
2026-10-22 12:43:53Record linked automaticallya5a11a8b80
scoring_agent, PRV-23527, identity id MBR-005429, confidence 1, method probabilistic, matched record CLM-412175, policy version 1
2026-10-19 19:54:38Record linked automatically233f448f5a
scoring_agent, PRV-23526, identity id MBR-005429, confidence 1, method probabilistic, matched record TPA-55367, policy version 1
2026-10-19 19:54:38Record linked automatically378ff41090
scoring_agent, ENR-116047, identity id MBR-005429, confidence 1, method probabilistic, matched record TPA-55367, policy version 1
2026-10-19 19:54:38Record linked automatically5bef21724d
scoring_agent, CLM-412175, identity id MBR-005429, confidence 1, method probabilistic, matched record PRV-23527, policy version 1
2026-10-19 19:54:38Record linked automatically48ddc44464
scoring_agent, TPA-55367, identity id MBR-005429, confidence 1, method probabilistic, matched record ENR-116047, policy version 1
2026-10-19 19:54:38Record linked automatically6daa35f8a2
scoring_agent, PRV-23527, identity id MBR-005429, confidence 1, method probabilistic, matched record CLM-412175, policy version 1
2026-10-19 19:52:08Record linked automaticallyb62bd3f6c9
scoring_agent, PRV-23526, identity id MBR-005429, confidence 1, method probabilistic, matched record TPA-55367, policy version 1
2026-10-19 19:52:08Record linked automatically88b4d24ff9
scoring_agent, ENR-116047, identity id MBR-005429, confidence 1, method probabilistic, matched record TPA-55367, policy version 1
2026-10-19 19:52:08Record linked automatically40c90765b8
scoring_agent, CLM-412175, identity id MBR-005429, confidence 1, method probabilistic, matched record PRV-23527, policy version 1
2026-10-19 19:52:08Record linked automaticallya86658f38a
scoring_agent, TPA-55367, identity id MBR-005429, confidence 1, method probabilistic, matched record ENR-116047, policy version 1
2026-10-19 19:52:08Record linked automatically9da8d37824
scoring_agent, PRV-23527, identity id MBR-005429, confidence 1, method probabilistic, matched record CLM-412175, policy version 1
2026-10-19 19:45:42Record linked automatically82397bc321
scoring_agent, PRV-23526, identity id MBR-005429, confidence 1, method probabilistic, matched record TPA-55367, policy version 1
2026-10-19 19:45:42Record linked automaticallyc5e5c67c7d
scoring_agent, ENR-116047, identity id MBR-005429, confidence 1, method probabilistic, matched record TPA-55367, policy version 1
2026-10-19 19:45:42Record linked automatically698fd688dd
scoring_agent, CLM-412175, identity id MBR-005429, confidence 1, method probabilistic, matched record PRV-23527, policy version 1
2026-10-19 19:45:42Record linked automatically65fc023c6c
scoring_agent, TPA-55367, identity id MBR-005429, confidence 1, method probabilistic, matched record ENR-116047, policy version 1
2026-10-19 19:45:42Record linked automatically1f521f5fc4
scoring_agent, PRV-23527, identity id MBR-005429, confidence 1, method probabilistic, matched record CLM-412175, policy version 1
2026-10-19 19:32:31Record linked automatically0941a6f155
scoring_agent, PRV-23526, identity id MBR-005429, confidence 1, method probabilistic, matched record TPA-55367, policy version 1
2026-10-19 19:32:31Record linked automatically541178fce6
scoring_agent, ENR-116047, identity id MBR-005429, confidence 1, method probabilistic, matched record TPA-55367, policy version 1
2026-10-19 19:32:31Record linked automaticallydbdf4ff120
scoring_agent, CLM-412175, identity id MBR-005429, confidence 1, method probabilistic, matched record PRV-23527, policy version 1
2026-10-19 19:32:31Record linked automatically8c03968176
scoring_agent, TPA-55367, identity id MBR-005429, confidence 1, method probabilistic, matched record ENR-116047, policy version 1
2026-10-19 19:32:31Record linked automatically782fe92d94
scoring_agent, PRV-23527, identity id MBR-005429, confidence 1, method probabilistic, matched record CLM-412175, policy version 1
2026-10-19 19:31:28Record linked automaticallyd90539fb76
matching_agent, CLM-412175, identity id MBR-034191, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116093
2026-10-19 19:31:28Record linked automatically100422a812
scoring_agent, PRV-23526, identity id MBR-013598, confidence 1, method probabilistic, matched record ENR-115763, policy version 1
2026-10-19 19:31:28Record linked automatically0b44cf0739
scoring_agent, PRV-23527, identity id MBR-008020, confidence 1, method probabilistic, matched record ENR-115771, 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-2026-010662	2026-02-18	Harbor Clinical Laboratories out of network	83036, 85025	$133.00	—	Denied	Denied