Identities/MBR-006216
Gold, golden identity

Scott J Johnston

4 source records from 2 feeds.

MBR-006216Verified4 records

Golden record

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

First nameCLM
Scott
Middle nameCLM
J
Last nameCLM
Johnston
Date of birthCLM
1965-08-10
GenderCLM
F
Member IDCLM
UHC-34433-48
SSNCLM
•••-••-8845
PhoneCLM
3599750648
EmailCLM
scott.johnston18@icloud.com
AddressCLM
7864 Oak St
CityCLM
Nashville
StateCLM
TN
ZIPCLM
37209
GroupCLM
GRP-9142
Plan—
—
Min confidence
1.00
Sources
CLM ×3TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.00CLMCLM-425529TPATPA-61264CLMCLM-425527CLMCLM-425528IDMBR-006216
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-425529CLM2026-01-20Scott Johnstonflagged1965-08-10—35997506487864 Oak St, Nashville, TNScored1.00—
TPA-61264TPA2026-03-23Scott Johnstonflagged1965-08-10UHC-34433-48—7864 Oak St, Nashville, TNScored1.00—
CLM-425527CLM2026-04-20Scott Johnstonflagged1965-08-10UHC-34433-483599750648—Scored1.00—
CLM-425528CLM2026-06-23Scott Johnstonflagged1965-08-10UHC-34433-48—7864 Oak St, Nashville, TNScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-425529CLMCLM-425527CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-425529CLMCLM-425528CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Email1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-425529CLMTPA-61264TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-61264TPACLM-425527CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-61264TPACLM-425528CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-425527CLMCLM-425528CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-425529 → UHC-34433-48 (Scott Johnston)
    ACT-004013, Claims processor
  • Care coordination outreachProposed
    Scott Johnston: 3 claims, no attributed provider
    ACT-018263, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically548707a004
    scoring_agent, CLM-425528, identity id MBR-006216, confidence 1, method probabilistic, matched record CLM-425529, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf53c102361
    scoring_agent, CLM-425527, identity id MBR-006216, confidence 1, method probabilistic, matched record CLM-425529, policy version 1
  • 2026-10-19 19:54:38Record linked automatically2594afaf0a
    scoring_agent, TPA-61264, identity id MBR-006216, confidence 1, method probabilistic, matched record CLM-425529, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc186c49371
    scoring_agent, CLM-425529, identity id MBR-006216, confidence 1, method probabilistic, matched record TPA-61264, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyaef58355e7
    scoring_agent, CLM-425528, identity id MBR-006216, confidence 1, method probabilistic, matched record CLM-425529, policy version 1
  • 2026-10-19 19:52:09Record linked automatically21bb8d3519
    scoring_agent, CLM-425527, identity id MBR-006216, confidence 1, method probabilistic, matched record CLM-425529, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7046ffdb42
    scoring_agent, TPA-61264, identity id MBR-006216, confidence 1, method probabilistic, matched record CLM-425529, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya395cb6c35
    scoring_agent, CLM-425529, identity id MBR-006216, confidence 1, method probabilistic, matched record TPA-61264, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8c84e77685
    scoring_agent, CLM-425528, identity id MBR-006216, confidence 1, method probabilistic, matched record CLM-425529, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb55f57f397
    scoring_agent, CLM-425527, identity id MBR-006216, confidence 1, method probabilistic, matched record CLM-425529, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1521e604fb
    scoring_agent, TPA-61264, identity id MBR-006216, confidence 1, method probabilistic, matched record CLM-425529, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9f4bf02b8d
    scoring_agent, CLM-425529, identity id MBR-006216, confidence 1, method probabilistic, matched record TPA-61264, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyafaf4c5ee1
    scoring_agent, CLM-425528, identity id MBR-006216, confidence 1, method probabilistic, matched record CLM-425529, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybed77a03fa
    scoring_agent, CLM-425527, identity id MBR-006216, confidence 1, method probabilistic, matched record CLM-425529, policy version 1
  • 2026-10-19 19:32:31Record linked automatically10c166a9b8
    scoring_agent, TPA-61264, identity id MBR-006216, confidence 1, method probabilistic, matched record CLM-425529, policy version 1
  • 2026-10-19 19:32:31Record linked automatically42addce670
    scoring_agent, CLM-425529, identity id MBR-006216, confidence 1, method probabilistic, matched record TPA-61264, policy version 1
  • 2026-10-19 19:31:28Record linked automatically3c480c6e6a
    scoring_agent, CLM-425529, identity id MBR-029720, confidence 1, method probabilistic, matched record ENR-133663, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb815561694
    matching_agent, TPA-61264, identity id MBR-011377, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133723
  • 2026-10-19 19:31:28Record linked automaticallya0bcbce992
    scoring_agent, CLM-425527, identity id MBR-007380, confidence 1, method probabilistic, matched record CLM-425528, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyde75c46dec
    scoring_agent, CLM-425528, identity id MBR-007380, confidence 1, method probabilistic, matched record CLM-425527, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0177362026-05-14Desert Internal Medicine Associates
in network
99215, 93000$478.00—Needs reviewNeeds review
CLM-2026-0102622026-03-25Summit Primary Care Associates
in network
99203, 99395$507.00$294.34ApprovedApproved
CLM-2026-0102852025-12-22Pinecrest Bone and Joint Center
in network
27447$28,134.00—Needs reviewNeeds review