Identities/MBR-005594
Gold, golden identity

James E Hanson

6 source records from 2 feeds.

MBR-005594Verified6 records

Golden record

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

First nameENR
James
Middle nameENR
E
Last nameENR
Hanson
Date of birthENR
1984-11-23
GenderCLM
F
Member IDENR
UHC-90765-54
SSNENR
•••-••-2691
PhoneENR
6222528462
EmailCLM
james.hanson@outlook.com
AddressENR
6778 Ocean Ave
CityENR
Miami
StateENR
FL
ZIP—
—
GroupENR
GRP-0887
PlanENR
MEDICARE-ADV-A
Min confidence
0.97
Sources
ENR ×1CLM ×5
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.991.001.000.990.97ENRENR-129195CLMCLM-422273CLMCLM-422272CLMCLM-422270CLMCLM-422271CLMCLM-422274IDMBR-005594
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
ENR-129195ENR2026-01-18James Hansonflagged1984-11-23UHC-90765-5462225284626778 Ocean Ave, Miami, FLRule0.99D1 member id + dob exact
CLM-422273CLM2026-04-11James Hansonflagged1984-11-23UHC-90765-5462225284626778 Ocean Ave, Miami, FLRule0.99D1 member id + dob exact
CLM-422272CLM2026-05-28James Hansonflagged1984-11-23UHC-90765-54—6778 Ocean Ave # 897, Miami, FLScored1.00—
CLM-422270CLM2026-06-05Jim Hansonflagged1984-11-23—62225284626778 Ocean Ave, Miami, FLScored1.00—
CLM-422271CLM2026-07-22James Hansonflagged1984-11-23UHC-90765-546222528462—Rule0.99D1 member id + dob exact
CLM-422274CLM2026-10-06James Hansonflagged1984-11-23—62225284626778 Ocean Ave, Miami, FLRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-422272CLMCLM-422270CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-129195ENRCLM-422271CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-422273CLMCLM-422271CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-422272CLMCLM-422271CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-129195ENRCLM-422272CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422273CLMCLM-422272CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-129195ENRCLM-422273CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-129195ENRCLM-422270CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-422273CLMCLM-422270CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-422270CLMCLM-422271CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-129195ENRCLM-422274CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-422273CLMCLM-422274CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-422270CLMCLM-422274CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-422271CLMCLM-422274CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422272CLMCLM-422274CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-422270 → UHC-90765-54 (James Hanson)
    ACT-002064, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-422274 → UHC-90765-54 (James Hanson)
    ACT-003979, Claims processor
  • Care coordination outreachProposed
    James Hanson: 5 claims, no attributed provider
    ACT-018215, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically9203e972c7
    matching_agent, CLM-422274, identity id MBR-005594, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-129195
  • 2026-10-19 19:54:38Record linked automatically2f88a9d115
    matching_agent, CLM-422271, identity id MBR-005594, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129195
  • 2026-10-19 19:54:38Record linked automatically162cfe3e9f
    scoring_agent, CLM-422270, identity id MBR-005594, confidence 1, method probabilistic, matched record CLM-422272, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc3f26ec98c
    scoring_agent, CLM-422272, identity id MBR-005594, confidence 1, method probabilistic, matched record CLM-422270, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc9aaa0f782
    matching_agent, CLM-422273, identity id MBR-005594, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129195
  • 2026-10-19 19:54:38Record linked automatically26928bd69c
    matching_agent, ENR-129195, identity id MBR-005594, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422273
  • 2026-10-19 19:52:08Record linked automatically12bef8a617
    matching_agent, CLM-422274, identity id MBR-005594, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-129195
  • 2026-10-19 19:52:08Record linked automatically06f54977ea
    matching_agent, CLM-422271, identity id MBR-005594, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129195
  • 2026-10-19 19:52:08Record linked automaticallya44ba77bed
    scoring_agent, CLM-422270, identity id MBR-005594, confidence 1, method probabilistic, matched record CLM-422272, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallybd20476278
    scoring_agent, CLM-422272, identity id MBR-005594, confidence 1, method probabilistic, matched record CLM-422270, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyc6fe09e8c0
    matching_agent, CLM-422273, identity id MBR-005594, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129195
  • 2026-10-19 19:52:08Record linked automatically5233927b34
    matching_agent, ENR-129195, identity id MBR-005594, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422273
  • 2026-10-19 19:45:42Record linked automatically98caefd9ba
    matching_agent, CLM-422274, identity id MBR-005594, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-129195
  • 2026-10-19 19:45:42Record linked automatically89b74d8268
    matching_agent, CLM-422271, identity id MBR-005594, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129195
  • 2026-10-19 19:45:42Record linked automatically1c4a7698c0
    scoring_agent, CLM-422270, identity id MBR-005594, confidence 1, method probabilistic, matched record CLM-422272, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc522f17e56
    scoring_agent, CLM-422272, identity id MBR-005594, confidence 1, method probabilistic, matched record CLM-422270, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd03ef2b027
    matching_agent, CLM-422273, identity id MBR-005594, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129195
  • 2026-10-19 19:45:42Record linked automatically5ed50f98d2
    matching_agent, ENR-129195, identity id MBR-005594, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422273
  • 2026-10-19 19:32:31Record linked automaticallyf1086ea867
    matching_agent, CLM-422274, identity id MBR-005594, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-129195
  • 2026-10-19 19:32:31Record linked automatically4bc6a881bd
    matching_agent, CLM-422271, identity id MBR-005594, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129195
  • 2026-10-19 19:32:31Record linked automatically8f370017fc
    scoring_agent, CLM-422270, identity id MBR-005594, confidence 1, method probabilistic, matched record CLM-422272, policy version 1
  • 2026-10-19 19:32:31Record linked automatically98f81a20f3
    scoring_agent, CLM-422272, identity id MBR-005594, confidence 1, method probabilistic, matched record CLM-422270, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5a7b192e15
    matching_agent, CLM-422273, identity id MBR-005594, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129195
  • 2026-10-19 19:32:31Record linked automaticallycbfadd4c2c
    matching_agent, ENR-129195, identity id MBR-005594, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422273
  • 2026-10-19 19:31:28Record linked automatically7bd144d73a
    matching_agent, CLM-422272, identity id MBR-041449, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129273
  • 2026-10-19 19:31:28Record linked automaticallye2eea0d27d
    matching_agent, ENR-129195, identity id MBR-030906, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-59735
  • 2026-10-19 19:31:28Record linked automaticallyb773fdd0aa
    scoring_agent, CLM-422270, identity id MBR-027473, confidence 1, method probabilistic, matched record CLM-422269, policy version 1
  • 2026-10-19 19:31:28Record linked automatically1091927434
    scoring_agent, CLM-422274, identity id MBR-009628, confidence 1, method probabilistic, matched record TPA-59771, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0101422026-08-26Riverside Primary Care Associates
in network
99203, 36415$253.00—Needs reviewNeeds review
CLM-2026-0101412026-08-26Riverside Primary Care Associates
in network
99203, 36415$253.00$126.86ApprovedApproved
CLM-2026-0254062026-06-13Northgate Reference Lab
in network
80061$75.00$0.00ApprovedApproved
CLM-2026-0027932026-04-22Northgate Internal Medicine Associates
in network
99215$375.00$202.50ApprovedApproved
CLM-2026-0152072026-05-16Meadow Heart Institute
in network
93306$925.00$0.00ApprovedApproved
CLM-2026-0021872026-02-28Unity Digestive Health Center
in network
43239$1,736.00—Needs reviewNeeds review