Identities/MBR-005830
Gold, golden identity

Jack Barnes

7 source records from 2 feeds.

MBR-005830Verified7 records

Golden record

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

First nameCLM
Jack
Middle name—
—
Last nameCLM
Barnes
Date of birthCLM
1940-07-25
GenderCLM
M
Member IDCLM
UHC-58851-08
SSNCLM
•••-••-2377
PhoneCLM
4075416482
Email—
—
AddressCLM
5734 Washington St
CityCLM
Atlanta
StateCLM
GA
ZIP—
—
GroupCLM
GRP-9378
PlanCLM
NAVIGATE-HMO
Min confidence
0.99
Sources
CLM ×5TPA ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.991.001.001.000.990.99CLMCLM-424267CLMCLM-424268CLMCLM-424270CLMCLM-424269CLMCLM-424271TPATPA-60697TPATPA-60698IDMBR-005830
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
CLM-424267CLM2026-01-19Jack Barnesflagged1940-07-25——5734 Washington St, Atlanta, GAScored1.00—
CLM-424268CLM2026-02-10Jack Barnesflagged1940-07-25UHC-58851-08—5734 Washington St # 920, Atlanta, GARule0.99D1 member id + dob exact
CLM-424270CLM2026-03-14Jack Barnesflagged1940-07-25—40754164825734 Washington St, Atlanta, GAScored1.00—
CLM-424269CLM2026-03-16Jack Barnesflagged1940-07-25UHC-58851-08—5734 Washington St, Atlanta, GAScored1.00—
CLM-424271CLM2026-04-12Jack Barnesflagged1940-07-25UHC-58851-08—5734 Washington St, Atlanta, GAScored1.00—
TPA-60697TPA2026-08-16Jacck Barnesflagged1940-07-25UHC-58851-08—5734 Washington St, Atlanta, GARule0.99D1 member id + dob exact
TPA-60698TPA2026-08-16Jacck Barnesflagged1940-07-25UHC-58851-08—5734 Washington St, Atlanta, GARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-424267CLMCLM-424269CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424270 CLMCLM-424269CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424267CLMCLM-424270 CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424267CLMCLM-424271CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424270 CLMCLM-424271CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424268CLMCLM-424269CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-424268CLMCLM-424271CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-424269CLMCLM-424271CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-424268CLMTPA-60697TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.813
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-424269CLMTPA-60697TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.813
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-424271CLMTPA-60697TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.813
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-60697TPATPA-60698TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-424268CLMTPA-60698TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.813
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-424269CLMTPA-60698TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.813
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-424271CLMTPA-60698TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.813
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-424267CLMCLM-424268CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424268CLMCLM-424270 CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424267CLMTPA-60697TPA0.85Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.813
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424270 CLMTPA-60697TPA0.85Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.813
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424267CLMTPA-60698TPA0.85Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.813
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424270 CLMTPA-60698TPA0.85Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.813
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-424267 → UHC-58851-08 (Jack Barnes)
    ACT-001510, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-424270 → UHC-58851-08 (Jack Barnes)
    ACT-006161, Claims processor
  • Care coordination outreachProposed
    Jack Barnes: 5 claims, no attributed provider
    ACT-018236, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically459bb8b6ab
    matching_agent, TPA-60698, identity id MBR-005830, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-60697
  • 2026-10-19 19:54:38Record linked automaticallyea80ea3ef5
    matching_agent, TPA-60697, identity id MBR-005830, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-60698
  • 2026-10-19 19:54:38Record linked automatically8962b2c249
    scoring_agent, CLM-424271, identity id MBR-005830, confidence 1, method probabilistic, matched record CLM-424267, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyba80f9ae67
    scoring_agent, CLM-424269, identity id MBR-005830, confidence 1, method probabilistic, matched record CLM-424267, policy version 1
  • 2026-10-19 19:54:38Record linked automatically834c87c7cf
    scoring_agent, CLM-424270, identity id MBR-005830, confidence 1, method probabilistic, matched record CLM-424267, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8fd85474d2
    matching_agent, CLM-424268, identity id MBR-005830, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424269
  • 2026-10-19 19:54:38Record linked automaticallyc0fa97205c
    scoring_agent, CLM-424267, identity id MBR-005830, confidence 1, method probabilistic, matched record CLM-424270, policy version 1
  • 2026-10-19 19:52:08Record linked automatically101715cf11
    matching_agent, TPA-60698, identity id MBR-005830, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-60697
  • 2026-10-19 19:52:08Record linked automatically113c111179
    matching_agent, TPA-60697, identity id MBR-005830, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-60698
  • 2026-10-19 19:52:08Record linked automaticallycbba2b8544
    scoring_agent, CLM-424271, identity id MBR-005830, confidence 1, method probabilistic, matched record CLM-424267, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyfcbe28f3e5
    scoring_agent, CLM-424269, identity id MBR-005830, confidence 1, method probabilistic, matched record CLM-424267, policy version 1
  • 2026-10-19 19:52:08Record linked automatically37d911acee
    scoring_agent, CLM-424270, identity id MBR-005830, confidence 1, method probabilistic, matched record CLM-424267, policy version 1
  • 2026-10-19 19:52:08Record linked automatically21a81cea5b
    matching_agent, CLM-424268, identity id MBR-005830, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424269
  • 2026-10-19 19:52:08Record linked automatically7f38be5d04
    scoring_agent, CLM-424267, identity id MBR-005830, confidence 1, method probabilistic, matched record CLM-424270, policy version 1
  • 2026-10-19 19:45:42Record linked automatically653dc87931
    matching_agent, TPA-60698, identity id MBR-005830, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-60697
  • 2026-10-19 19:45:42Record linked automaticallyb2e5963a94
    matching_agent, TPA-60697, identity id MBR-005830, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-60698
  • 2026-10-19 19:45:42Record linked automaticallyb6b84478a2
    scoring_agent, CLM-424271, identity id MBR-005830, confidence 1, method probabilistic, matched record CLM-424267, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9aa1ea01e6
    scoring_agent, CLM-424269, identity id MBR-005830, confidence 1, method probabilistic, matched record CLM-424267, policy version 1
  • 2026-10-19 19:45:42Record linked automatically08f3d72a19
    scoring_agent, CLM-424270, identity id MBR-005830, confidence 1, method probabilistic, matched record CLM-424267, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6b82203a93
    matching_agent, CLM-424268, identity id MBR-005830, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424269
  • 2026-10-19 19:45:42Record linked automaticallybb1e131e08
    scoring_agent, CLM-424267, identity id MBR-005830, confidence 1, method probabilistic, matched record CLM-424270, policy version 1
  • 2026-10-19 19:32:31Record linked automatically65df6b2024
    matching_agent, TPA-60698, identity id MBR-005830, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-60697
  • 2026-10-19 19:32:31Record linked automatically5da05878dc
    matching_agent, TPA-60697, identity id MBR-005830, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-60698
  • 2026-10-19 19:32:31Record linked automatically797638eac3
    scoring_agent, CLM-424271, identity id MBR-005830, confidence 1, method probabilistic, matched record CLM-424267, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5c2ca4f79b
    scoring_agent, CLM-424269, identity id MBR-005830, confidence 1, method probabilistic, matched record CLM-424267, policy version 1
  • 2026-10-19 19:32:31Record linked automatically062c1437c0
    scoring_agent, CLM-424270, identity id MBR-005830, confidence 1, method probabilistic, matched record CLM-424267, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7d04f5ad13
    matching_agent, CLM-424268, identity id MBR-005830, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424269
  • 2026-10-19 19:32:31Record linked automatically49e7e93992
    scoring_agent, CLM-424267, identity id MBR-005830, confidence 1, method probabilistic, matched record CLM-424270, policy version 1
  • 2026-10-19 19:31:28Record linked automatically45b380e6bb
    matching_agent, TPA-60697, identity id MBR-032659, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-131986
  • 2026-10-19 19:31:28Record linked automatically0960b31df8
    scoring_agent, CLM-424267, identity id MBR-031977, confidence 0.99, method probabilistic, matched record PRV-27161, policy version 1
  • 2026-10-19 19:31:28Record linked automatically56b56d420c
    matching_agent, CLM-424268, identity id MBR-031977, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424267
  • 2026-10-19 19:31:28Record linked automaticallye17f7c172d
    scoring_agent, CLM-424271, identity id MBR-008126, confidence 1, method probabilistic, matched record ENR-131934, policy version 1
  • 2026-10-19 19:31:28Record linked automatically87c33f9f33
    scoring_agent, CLM-424269, identity id MBR-008126, confidence 1, method probabilistic, matched record CLM-424271, policy version 1
  • 2026-10-19 19:31:28Record linked automatically856176673d
    matching_agent, CLM-424270, identity id MBR-008126, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131934

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0032552026-03-30Desert Internal Medicine Associates
in network
99214$252.00$136.24ApprovedApproved
CLM-2026-0275602026-03-08Heritage Family Practice
in network
99395, 99214$562.00—Needs reviewNeeds review
CLM-2026-0275592026-03-08Heritage Family Practice
in network
99395, 99214$562.00$328.44ApprovedApproved
CLM-2026-0181472026-02-07Northgate Clinical Laboratories
in network
83036, 87086$116.00$0.00ApprovedApproved
CLM-2026-0214692026-01-10Meadow Diagnostic Imaging
out of network
71046$160.00—DeniedDenied
CLM-2026-0007432026-01-06Summit Community Hospital
in network
99285$1,769.00$622.95ApprovedApproved