Identities/MBR-005541
Gold, golden identity

Mark Q Howell

6 source records from 3 feeds.

MBR-005541Verified6 records

Golden record

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

First nameENR
Mark
Middle nameENR
Q
Last nameENR
Howell
Date of birthENR
2000-10-15
GenderENR
F
Member IDENR
UHC-59331-75
SSNENR
•••-••-0351
PhoneENR
5226252989
EmailENR
mark.howell37@icloud.com
AddressENR
8095 Bayshore Dr
CityENR
San Diego
StateENR
CA
ZIPENR
92135
GroupENR
GRP-2116
PlanENR
CORE-HMO
Min confidence
0.87
Sources
TPA ×2ENR ×1CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.000.871.000.971.00TPATPA-60224ENRENR-130412CLMCLM-423258CLMCLM-423259CLMCLM-423257TPATPA-60223IDMBR-005541
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-60224TPA2026-01-18Mark Howellflagged2000-10-15UHC-59331-7552262529898095 Bayshore Dr, San Diego, CARule0.99D1 member id + dob exact
ENR-130412ENR2026-02-26Mark Howellflagged2000-10-15UHC-59331-7552262529898095 Bayshore Dr, San Diego, CAScored1.00—
CLM-423258CLM2026-07-15Mark Howellflagged2000-01-15——8095 Bayshore Dr, San Diego, CAScored0.87—
CLM-423259CLM2026-07-21Mark Howellflagged——5226252989—Scored1.00—
CLM-423257CLM2026-08-01Mark Howellflagged2000-10-15———Rule0.97D2 ssn4 + dob + last name
TPA-60223TPA2026-09-12Mark Howellflagged2000-10-15——8095 Bayshore Dr, San Diego, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-130412 ENRCLM-423259CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-130412 ENRTPA-60223TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-60224TPAENR-130412 ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-130412 ENRCLM-423257 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-60224TPATPA-60223TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-60224TPACLM-423258CLM0.87Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Email1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-60224TPACLM-423257 CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶TPA-60224TPACLM-423259CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare
▶CLM-423257 CLMTPA-60223TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶ENR-130412 ENRCLM-423258CLM0.81Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Email1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-423258CLMCLM-423257 CLM0.80Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Identifiers agreeing: 0Conflicts: noneGuard: none
▶CLM-423258CLMTPA-60223TPA0.78Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-423257 → UHC-59331-75 (Mark Howell)
    ACT-001551, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-423259 → UHC-59331-75 (Mark Howell)
    ACT-008584, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-423258 → UHC-59331-75 (Mark Howell)
    ACT-009969, Claims processor
  • Care coordination outreachProposed
    Mark Howell: 3 claims, no attributed provider
    ACT-018213, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically62e155815f
    scoring_agent, TPA-60223, identity id MBR-005541, confidence 1, method probabilistic, matched record ENR-130412, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc2a31241ee
    matching_agent, CLM-423257, identity id MBR-005541, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-130412
  • 2026-10-19 19:54:38Record linked automaticallye62c23508f
    scoring_agent, CLM-423259, identity id MBR-005541, confidence 1, method probabilistic, matched record ENR-130412, policy version 1
  • 2026-10-19 19:54:38Record linked automatically28c837c6bc
    scoring_agent, CLM-423258, identity id MBR-005541, confidence 0.87, method probabilistic, matched record TPA-60224, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyad13f570cf
    scoring_agent, ENR-130412, identity id MBR-005541, confidence 1, method probabilistic, matched record TPA-60223, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye4830063f9
    matching_agent, TPA-60224, identity id MBR-005541, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130412
  • 2026-10-19 19:52:08Record linked automatically33a8d55c08
    scoring_agent, TPA-60223, identity id MBR-005541, confidence 1, method probabilistic, matched record ENR-130412, policy version 1
  • 2026-10-19 19:52:08Record linked automatically6ff973f937
    matching_agent, CLM-423257, identity id MBR-005541, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-130412
  • 2026-10-19 19:52:08Record linked automaticallyb3f5671848
    scoring_agent, CLM-423259, identity id MBR-005541, confidence 1, method probabilistic, matched record ENR-130412, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallybc210a50e1
    scoring_agent, CLM-423258, identity id MBR-005541, confidence 0.87, method probabilistic, matched record TPA-60224, policy version 1
  • 2026-10-19 19:52:08Record linked automatically1e24f74477
    scoring_agent, ENR-130412, identity id MBR-005541, confidence 1, method probabilistic, matched record TPA-60223, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyb6332735b1
    matching_agent, TPA-60224, identity id MBR-005541, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130412
  • 2026-10-19 19:45:42Record linked automatically21e66f965f
    scoring_agent, TPA-60223, identity id MBR-005541, confidence 1, method probabilistic, matched record ENR-130412, policy version 1
  • 2026-10-19 19:45:42Record linked automatically13bc60ff84
    matching_agent, CLM-423257, identity id MBR-005541, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-130412
  • 2026-10-19 19:45:42Record linked automatically9a109a57a6
    scoring_agent, CLM-423259, identity id MBR-005541, confidence 1, method probabilistic, matched record ENR-130412, policy version 1
  • 2026-10-19 19:45:42Record linked automatically06f03aebab
    scoring_agent, CLM-423258, identity id MBR-005541, confidence 0.87, method probabilistic, matched record TPA-60224, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0a2b4f0713
    scoring_agent, ENR-130412, identity id MBR-005541, confidence 1, method probabilistic, matched record TPA-60223, policy version 1
  • 2026-10-19 19:45:42Record linked automatically19c4a8e13f
    matching_agent, TPA-60224, identity id MBR-005541, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130412
  • 2026-10-19 19:32:31Record linked automatically06b3fba24c
    scoring_agent, TPA-60223, identity id MBR-005541, confidence 1, method probabilistic, matched record ENR-130412, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyeae8f82d3d
    matching_agent, CLM-423257, identity id MBR-005541, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-130412
  • 2026-10-19 19:32:31Record linked automaticallya0dffdd4fe
    scoring_agent, CLM-423259, identity id MBR-005541, confidence 1, method probabilistic, matched record ENR-130412, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2b73c69bc2
    scoring_agent, CLM-423258, identity id MBR-005541, confidence 0.87, method probabilistic, matched record TPA-60224, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc7783bb508
    scoring_agent, ENR-130412, identity id MBR-005541, confidence 1, method probabilistic, matched record TPA-60223, policy version 1
  • 2026-10-19 19:32:31Record linked automatically879e57c1f0
    matching_agent, TPA-60224, identity id MBR-005541, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130412
  • 2026-10-19 19:31:28Record linked automatically28bc961cae
    matching_agent, TPA-60224, identity id MBR-027208, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-60223
  • 2026-10-19 19:31:28Record linked automatically7dad731087
    matching_agent, TPA-60223, identity id MBR-027208, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-60224
  • 2026-10-19 19:31:28Record linked automaticallye69f208f22
    matching_agent, CLM-423257, identity id MBR-014020, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130623
  • 2026-10-19 19:31:28Record linked automatically6777e9821e
    matching_agent, CLM-423259, identity id MBR-010052, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130630

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0009072026-07-24Desert Reference Lab
in network
80053, 83036, 87086$185.00—Needs reviewNeeds review
CLM-2026-0009062026-07-24Desert Reference Lab
in network
80053, 83036, 87086$185.00$0.00ApprovedApproved
CLM-2026-0274652026-07-13Sunrise Internal Medicine Associates
in network
99232$174.00$0.00ApprovedApproved
CLM-2026-0328642026-07-08Mesa GI Associates
in network
99214$219.00$60.78ApprovedApproved