Identities/MBR-005474

Gold, golden identity

Arjun R Sullivan

5 source records from 2 feeds.

MBR-005474Verified5 records

Golden record

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

First nameCLM: Arjun
Middle nameCLM: R
Last nameCLM: Sullivan
Date of birthCLM: 1967-11-02
GenderCLM: M
Member IDCLM: UHC-69356-13
SSNCLM: •••-••-6878
PhoneCLM: 7098308941
Email—: —
AddressCLM: 5726 Broadway
CityCLM: Jacksonville
StateCLM: FL
ZIPCLM: 32202
GroupCLM: GRP-9442
PlanCLM: SELECT-EPO

Min confidence

0.99

Sources

TPA ×1CLM ×4

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-54072	TPA	2026-01-18	Arjun Sullivanflagged	1967-11-02	—	7098308941	5726 Broadway, Jacksonville, FL	Scored	1.00	—
CLM-409402	CLM	2026-03-28	Arjun Sullivanflagged	1967-11-02	—	—	5726 Broadway, Jacksonville, FL	Scored	1.00	—
CLM-409401	CLM	2026-04-19	Arjun Sullvanflagged	1967-11-02	UHC-69356-13	7098308941	5726 Broadway, Jacksonville, FL	Scored	0.99	—
CLM-409400	CLM	2026-06-04	Arjun Sullivanflagged	1967-11-02	—	7098308941	5726 Broadway, Jacksonville, FL	Scored	1.00	—
CLM-409403	CLM	2026-09-17	Arjun Sullivanflagged	1967-11-02	UHC-69356-13	—	5726 Broadway, Jacksonville, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-54072TPACLM-409400CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54072TPACLM-409402CLM1.00Scoredweighted 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-54072TPACLM-409403CLM1.00Scoredweighted 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-409401CLMCLM-409400CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54072TPACLM-409401CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-409402CLMCLM-409401CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-409401CLMCLM-409403CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-409402CLMCLM-409400CLM0.97RuleD2 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

▶CLM-409402CLMCLM-409403CLM0.97RuleD2 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

▶CLM-409400CLMCLM-409403CLM0.97RuleD2 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-409400 → UHC-69356-13 (Arjun Sullivan)
ACT-003307, Claims processor
Orphan claim re-pointedExecuted
CLM-409402 → UHC-69356-13 (Arjun Sullivan)
ACT-006182, Claims processor
Care coordination outreachProposed
Arjun Sullivan: 4 claims, no attributed provider
ACT-018207, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallye8cc177217
scoring_agent, CLM-409403, identity id MBR-005474, confidence 1, method probabilistic, matched record TPA-54072, policy version 1
2026-10-19 19:54:38Record linked automaticallye77b72bdcc
scoring_agent, CLM-409400, identity id MBR-005474, confidence 1, method probabilistic, matched record TPA-54072, policy version 1
2026-10-19 19:54:38Record linked automatically00742c0175
scoring_agent, CLM-409401, identity id MBR-005474, confidence 0.99, method probabilistic, matched record TPA-54072, policy version 1
2026-10-19 19:54:38Record linked automatically2a8e299cea
scoring_agent, CLM-409402, identity id MBR-005474, confidence 1, method probabilistic, matched record TPA-54072, policy version 1
2026-10-19 19:54:38Record linked automaticallyda189adeb5
scoring_agent, TPA-54072, identity id MBR-005474, confidence 1, method probabilistic, matched record CLM-409402, policy version 1
2026-10-19 19:52:08Record linked automaticallye92bd767c9
scoring_agent, CLM-409403, identity id MBR-005474, confidence 1, method probabilistic, matched record TPA-54072, policy version 1
2026-10-19 19:52:08Record linked automatically6a1bdada5a
scoring_agent, CLM-409400, identity id MBR-005474, confidence 1, method probabilistic, matched record TPA-54072, policy version 1
2026-10-19 19:52:08Record linked automaticallyba912250bb
scoring_agent, CLM-409401, identity id MBR-005474, confidence 0.99, method probabilistic, matched record TPA-54072, policy version 1
2026-10-19 19:52:08Record linked automaticallyc9ec2acacb
scoring_agent, CLM-409402, identity id MBR-005474, confidence 1, method probabilistic, matched record TPA-54072, policy version 1
2026-10-19 19:52:08Record linked automaticallybfb8a03dfe
scoring_agent, TPA-54072, identity id MBR-005474, confidence 1, method probabilistic, matched record CLM-409402, policy version 1
2026-10-19 19:45:42Record linked automatically12932cb3ca
scoring_agent, CLM-409403, identity id MBR-005474, confidence 1, method probabilistic, matched record TPA-54072, policy version 1
2026-10-19 19:45:42Record linked automatically4c4008170e
scoring_agent, CLM-409400, identity id MBR-005474, confidence 1, method probabilistic, matched record TPA-54072, policy version 1
2026-10-19 19:45:42Record linked automaticallyd690dcc786
scoring_agent, CLM-409401, identity id MBR-005474, confidence 0.99, method probabilistic, matched record TPA-54072, policy version 1
2026-10-19 19:45:42Record linked automaticallyb9ae35d17a
scoring_agent, CLM-409402, identity id MBR-005474, confidence 1, method probabilistic, matched record TPA-54072, policy version 1
2026-10-19 19:45:42Record linked automatically5bf70030f8
scoring_agent, TPA-54072, identity id MBR-005474, confidence 1, method probabilistic, matched record CLM-409402, policy version 1
2026-10-19 19:32:31Record linked automatically30bd7a4c62
scoring_agent, CLM-409403, identity id MBR-005474, confidence 1, method probabilistic, matched record TPA-54072, policy version 1
2026-10-19 19:32:31Record linked automatically47a82bb6e9
scoring_agent, CLM-409400, identity id MBR-005474, confidence 1, method probabilistic, matched record TPA-54072, policy version 1
2026-10-19 19:32:31Record linked automatically3d55d985ed
scoring_agent, CLM-409401, identity id MBR-005474, confidence 0.99, method probabilistic, matched record TPA-54072, policy version 1
2026-10-19 19:32:31Record linked automaticallyd5bd138dcd
scoring_agent, CLM-409402, identity id MBR-005474, confidence 1, method probabilistic, matched record TPA-54072, policy version 1
2026-10-19 19:32:31Record linked automatically58df7ccff6
scoring_agent, TPA-54072, identity id MBR-005474, confidence 1, method probabilistic, matched record CLM-409402, policy version 1
2026-10-19 19:31:28Record linked automatically7397cfc6be
scoring_agent, CLM-409400, identity id MBR-021117, confidence 1, method probabilistic, matched record CLM-409398, policy version 1
2026-10-19 19:31:28Record linked automaticallya9aa3ada70
scoring_agent, TPA-54072, identity id MBR-020896, confidence 1.00, method probabilistic, matched record ENR-112064, policy version 1
2026-10-19 19:31:28Record linked automaticallya6347e63f7
scoring_agent, CLM-409403, identity id MBR-020889, confidence 1, method probabilistic, matched record PRV-22796, policy version 1
2026-10-19 19:31:28Record linked automatically0809390eeb
matching_agent, CLM-409402, identity id MBR-006361, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112401
2026-10-19 19:31:28Record linked automatically0785da576d
matching_agent, CLM-409401, identity id MBR-004090, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-112400

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-2026-016646	2026-08-16	Pinecrest Regional Medical Center out of network	99285	$2,470.00	—	Needs review	Needs review
CLM-2026-007467	2026-05-20	Evergreen Medical Group in network	90471, 99214, 36415	$296.00	$156.24	Approved	Approved
CLM-2026-009278	2026-03-18	Harbor Rehabilitation Center in network	97110, 97161, 97014	$517.00	$290.54	Approved	Approved
CLM-2026-018223	2026-02-12	Unity Reference Lab in network	87086, 85025	$119.00	$0.00	Approved	Approved