Identities/MBR-005787

Gold, golden identity

Gregory H Smith

6 source records from 2 feeds.

MBR-005787Verified6 records

Golden record

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

First nameCLM: Gregory
Middle nameCLM: H
Last nameCLM: Smith
Date of birthCLM: 1980-08-27
GenderCLM: M
Member IDCLM: UHC-84719-85
SSN—: —
PhoneCLM: 2843201062
Email—: —
AddressCLM: 9597 Sage Ct
CityCLM: Charlotte
StateCLM: NC
ZIPCLM: 28267
GroupCLM: GRP-6839
PlanCLM: SELECT-EPO

Min confidence

0.99

Sources

TPA ×3CLM ×3

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-57859	TPA	2026-01-19	Gregory Smithflagged	1980-08-27	—	—	9597 Sage Ct, Charlotte, NC	Scored	1.00	—
CLM-417809	CLM	2026-05-04	Gregory Smthflagged	1980-08-27	UHC-84719-85	—	9597 Sage Ct, Charlotte, NC	Rule	0.99	D1 member id + dob exact
CLM-417807	CLM	2026-07-14	Gregory Smithflagged	1980-08-27	UHC-84719-85	2843201062	9597 Sage Ct # 467, Charlotte, NC	Scored	1.00	—
TPA-57860	TPA	2026-08-05	Gregory Smithflagged	1980-08-27	—	—	9597 Sage Ct, Charlotte, NC	Scored	1.00	—
CLM-417808	CLM	2026-09-16	Gregory Smithflagged	1980-08-27	UHC-84719-85	2843201062	9597 Sage Ct, Charlotte, NC	Scored	1.00	—
TPA-57861	TPA	2026-10-12	Gregory Smithflagged	1980-08-27	—	—	9597 Sage Ct, Charlotte, NC	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-57859TPACLM-417807CLM1.00Scoredweighted 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-57859TPACLM-417808CLM1.00Scoredweighted 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-57860TPACLM-417808CLM1.00Scoredweighted 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-57859TPATPA-57860TPA1.00Scoredweighted 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-417807CLMTPA-57860TPA1.00Scoredweighted 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-57859TPATPA-57861TPA1.00Scoredweighted 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-417807CLMTPA-57861TPA1.00Scoredweighted 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-57860TPATPA-57861TPA1.00Scoredweighted 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-417808CLMTPA-57861TPA1.00Scoredweighted 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-417809CLMCLM-417807CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-417809CLMCLM-417808CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-417807CLMCLM-417808CLM0.99RuleD1 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	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-57859TPACLM-417809CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-417809CLMTPA-57860TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-417809CLMTPA-57861TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Care coordination outreachProposed
Gregory Smith: 3 claims, no attributed provider
ACT-018231, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallybfdf2ca32c
scoring_agent, TPA-57861, identity id MBR-005787, confidence 1, method probabilistic, matched record TPA-57859, policy version 1
2026-10-19 19:54:38Record linked automaticallybefc37d48d
scoring_agent, CLM-417808, identity id MBR-005787, confidence 1, method probabilistic, matched record TPA-57859, policy version 1
2026-10-19 19:54:38Record linked automatically0feef29533
scoring_agent, TPA-57860, identity id MBR-005787, confidence 1, method probabilistic, matched record TPA-57859, policy version 1
2026-10-19 19:54:38Record linked automatically3f704c67f6
scoring_agent, CLM-417807, identity id MBR-005787, confidence 1, method probabilistic, matched record TPA-57859, policy version 1
2026-10-19 19:54:38Record linked automatically7cc070a9dd
matching_agent, CLM-417809, identity id MBR-005787, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417807
2026-10-19 19:54:38Record linked automaticallycaff996e1e
scoring_agent, TPA-57859, identity id MBR-005787, confidence 1, method probabilistic, matched record CLM-417807, policy version 1
2026-10-19 19:52:08Record linked automaticallyb0d7c4f591
scoring_agent, TPA-57861, identity id MBR-005787, confidence 1, method probabilistic, matched record TPA-57859, policy version 1
2026-10-19 19:52:08Record linked automatically808a839bb2
scoring_agent, CLM-417808, identity id MBR-005787, confidence 1, method probabilistic, matched record TPA-57859, policy version 1
2026-10-19 19:52:08Record linked automaticallyabe30cb20a
scoring_agent, TPA-57860, identity id MBR-005787, confidence 1, method probabilistic, matched record TPA-57859, policy version 1
2026-10-19 19:52:08Record linked automatically69230f47a9
scoring_agent, CLM-417807, identity id MBR-005787, confidence 1, method probabilistic, matched record TPA-57859, policy version 1
2026-10-19 19:52:08Record linked automatically785131016e
matching_agent, CLM-417809, identity id MBR-005787, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417807
2026-10-19 19:52:08Record linked automatically1ac1354c7d
scoring_agent, TPA-57859, identity id MBR-005787, confidence 1, method probabilistic, matched record CLM-417807, policy version 1
2026-10-19 19:45:42Record linked automaticallybe6fdf1c64
scoring_agent, TPA-57861, identity id MBR-005787, confidence 1, method probabilistic, matched record TPA-57859, policy version 1
2026-10-19 19:45:42Record linked automatically43cf3292d7
scoring_agent, CLM-417808, identity id MBR-005787, confidence 1, method probabilistic, matched record TPA-57859, policy version 1
2026-10-19 19:45:42Record linked automaticallyad9f199d30
scoring_agent, TPA-57860, identity id MBR-005787, confidence 1, method probabilistic, matched record TPA-57859, policy version 1
2026-10-19 19:45:42Record linked automatically0ad23c5baa
scoring_agent, CLM-417807, identity id MBR-005787, confidence 1, method probabilistic, matched record TPA-57859, policy version 1
2026-10-19 19:45:42Record linked automaticallyd3c370c3da
matching_agent, CLM-417809, identity id MBR-005787, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417807
2026-10-19 19:45:42Record linked automaticallyfb231be107
scoring_agent, TPA-57859, identity id MBR-005787, confidence 1, method probabilistic, matched record CLM-417807, policy version 1
2026-10-19 19:32:31Record linked automatically87863fc853
scoring_agent, TPA-57861, identity id MBR-005787, confidence 1, method probabilistic, matched record TPA-57859, policy version 1
2026-10-19 19:32:31Record linked automatically5d879b2c42
scoring_agent, CLM-417808, identity id MBR-005787, confidence 1, method probabilistic, matched record TPA-57859, policy version 1
2026-10-19 19:32:31Record linked automaticallydec9ee871a
scoring_agent, TPA-57860, identity id MBR-005787, confidence 1, method probabilistic, matched record TPA-57859, policy version 1
2026-10-19 19:32:31Record linked automaticallyf71731f85d
scoring_agent, CLM-417807, identity id MBR-005787, confidence 1, method probabilistic, matched record TPA-57859, policy version 1
2026-10-19 19:32:31Record linked automatically4a11f931b1
matching_agent, CLM-417809, identity id MBR-005787, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417807
2026-10-19 19:32:31Record linked automatically2f55e46e48
scoring_agent, TPA-57859, identity id MBR-005787, confidence 1, method probabilistic, matched record CLM-417807, policy version 1
2026-10-19 19:31:28Record linked automatically4110a25585
matching_agent, CLM-417808, identity id MBR-018036, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123293
2026-10-19 19:31:28Record linked automaticallyd334a0e4af
matching_agent, CLM-417807, identity id MBR-018036, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-123293
2026-10-19 19:31:28Record linked automatically2fd1b9ed67
scoring_agent, TPA-57861, identity id MBR-016110, confidence 0.93, method probabilistic, matched record CLM-417984, policy version 1
2026-10-19 19:31:28Record linked automatically252f745d13
scoring_agent, TPA-57859, identity id MBR-007535, confidence 1, method probabilistic, matched record CLM-417981, policy version 1
2026-10-19 19:31:28Record linked automatically780dc26323
scoring_agent, CLM-417809, identity id MBR-000876, confidence 1, method probabilistic, matched record TPA-57780, 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-2026-022470	2026-09-09	Heritage Physical Therapy in network	97110	$195.00	—	Denied	Denied
CLM-2026-006649	2026-06-15	Lakeside Dermatology Clinic in network	11102	$216.00	—	Denied	Denied
CLM-2026-021647	2026-04-04	Evergreen Clinical Laboratories in network	83036, 80061	$124.00	$0.00	Approved	Approved