Identities/MBR-006611

Gold, golden identity

Ralph K Peterson

5 source records from 3 feeds.

MBR-006611Verified5 records

Golden record

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

First nameENR: Ralph
Middle nameCLM: K
Last nameENR: Peterson
Date of birthENR: 1995-08-04
GenderENR: M
Member IDENR: UHC-53260-05
SSNENR: •••-••-3133
PhoneENR: 4588571984
Email—: —
AddressENR: 1958 Market St
CityENR: Sacramento
StateENR: CA
ZIPENR: 95883
GroupENR: GRP-0505
PlanENR: CORE-HMO

Min confidence

1.00

Sources

CLM ×3PRV ×1ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
CLM-427581	CLM	2026-01-22	Ralph Petersonflagged	1995-08-04	UHC-53260-05	4588571984	1958 Market St, Sacramento, CA	Scored	1.00	—
PRV-28085	PRV	2026-01-28	Ralph Petersonflagged	1995-08-04	UHC-53260-05	4588571984	1958 Market St, Sacramento, CA	Scored	1.00	—
ENR-136162	ENR	2026-06-23	Ralph Petersonflagged	1995-08-04	UHC-53260-05	4588571984	1958 Market St, Sacramento, CA	Scored	1.00	—
CLM-427580	CLM	2026-07-01	Ralph Petersonflagged	1995-08-04	—	—	1958 Market St, Sacramento, CA	Scored	1.00	—
CLM-427582	CLM	2026-07-27	Ralph Petersonflagged	1995-08-04	—	4588571984	1958 Market St, Sacramento, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-427581CLMCLM-427580CLM1.00Scoredweighted 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

▶PRV-28085PRVCLM-427580CLM1.00Scoredweighted 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

▶ENR-136162ENRCLM-427580CLM1.00Scoredweighted 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

▶PRV-28085PRVCLM-427582CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-427580CLMCLM-427582CLM1.00Scoredweighted 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-427581CLMENR-136162ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶PRV-28085PRVENR-136162ENR0.99RuleD1 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

▶CLM-427581CLMPRV-28085PRV0.99RuleD1 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

▶CLM-427581CLMCLM-427582CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-136162ENRCLM-427582CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-427580 → UHC-53260-05 (Ralph Peterson)
ACT-002722, Claims processor
Orphan claim re-pointedExecuted
CLM-427582 → UHC-53260-05 (Ralph Peterson)
ACT-003171, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically1340687074
scoring_agent, CLM-427582, identity id MBR-006611, confidence 1, method probabilistic, matched record PRV-28085, policy version 1
2026-10-22 12:43:53Record linked automatically63a37a9543
scoring_agent, CLM-427580, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427581, policy version 1
2026-10-22 12:43:53Record linked automatically685410997c
scoring_agent, ENR-136162, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427580, policy version 1
2026-10-22 12:43:53Record linked automaticallyee9852749e
scoring_agent, PRV-28085, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427580, policy version 1
2026-10-22 12:43:53Record linked automaticallyd0da65d137
scoring_agent, CLM-427581, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427580, policy version 1
2026-10-19 19:54:38Record linked automatically41949437da
scoring_agent, CLM-427582, identity id MBR-006611, confidence 1, method probabilistic, matched record PRV-28085, policy version 1
2026-10-19 19:54:38Record linked automatically30585a92b5
scoring_agent, CLM-427580, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427581, policy version 1
2026-10-19 19:54:38Record linked automatically8fc5f5aee7
scoring_agent, ENR-136162, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427580, policy version 1
2026-10-19 19:54:38Record linked automaticallyb27cebb1d1
scoring_agent, PRV-28085, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427580, policy version 1
2026-10-19 19:54:38Record linked automaticallyc00182ab49
scoring_agent, CLM-427581, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427580, policy version 1
2026-10-19 19:52:09Record linked automatically7d1b66e6d7
scoring_agent, CLM-427582, identity id MBR-006611, confidence 1, method probabilistic, matched record PRV-28085, policy version 1
2026-10-19 19:52:09Record linked automatically1e4dcadc6d
scoring_agent, CLM-427580, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427581, policy version 1
2026-10-19 19:52:09Record linked automatically1864bd557b
scoring_agent, ENR-136162, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427580, policy version 1
2026-10-19 19:52:09Record linked automaticallye8b11fce5d
scoring_agent, PRV-28085, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427580, policy version 1
2026-10-19 19:52:09Record linked automatically472d90c246
scoring_agent, CLM-427581, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427580, policy version 1
2026-10-19 19:45:42Record linked automatically25ba4972f4
scoring_agent, CLM-427582, identity id MBR-006611, confidence 1, method probabilistic, matched record PRV-28085, policy version 1
2026-10-19 19:45:42Record linked automaticallyf461677641
scoring_agent, CLM-427580, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427581, policy version 1
2026-10-19 19:45:42Record linked automatically327eebdba5
scoring_agent, ENR-136162, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427580, policy version 1
2026-10-19 19:45:42Record linked automatically63a4956810
scoring_agent, PRV-28085, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427580, policy version 1
2026-10-19 19:45:42Record linked automaticallyf57096205b
scoring_agent, CLM-427581, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427580, policy version 1
2026-10-19 19:32:31Record linked automaticallyf6c4c5c442
scoring_agent, CLM-427582, identity id MBR-006611, confidence 1, method probabilistic, matched record PRV-28085, policy version 1
2026-10-19 19:32:31Record linked automatically781e485eaa
scoring_agent, CLM-427580, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427581, policy version 1
2026-10-19 19:32:31Record linked automaticallye98ca2f894
scoring_agent, ENR-136162, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427580, policy version 1
2026-10-19 19:32:31Record linked automaticallya12f2a7f7e
scoring_agent, PRV-28085, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427580, policy version 1
2026-10-19 19:32:31Record linked automaticallya7b19f3b52
scoring_agent, CLM-427581, identity id MBR-006611, confidence 1, method probabilistic, matched record CLM-427580, policy version 1
2026-10-19 19:31:28Record linked automatically889e3e6d3b
scoring_agent, CLM-427582, identity id MBR-023475, confidence 1, method probabilistic, matched record TPA-62130, policy version 1
2026-10-19 19:31:28Record linked automatically2834053040
scoring_agent, CLM-427580, identity id MBR-016577, confidence 1, method probabilistic, matched record CLM-427581, policy version 1
2026-10-19 19:31:28Record linked automaticallyaed41dc1e3
scoring_agent, CLM-427581, identity id MBR-016577, confidence 1, method probabilistic, matched record PRV-28085, policy version 1
2026-10-19 19:31:28Record linked automaticallyaf7a5854d3
scoring_agent, PRV-28085, identity id MBR-016577, confidence 1, method probabilistic, matched record CLM-427581, policy version 1
2026-10-19 19:31:28Record linked automatically75cd172b90
matching_agent, ENR-136162, identity id MBR-008731, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136163

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-2026-006955	2026-07-20	Harbor Family Practice in network	36415	$16.00	$0.00	Approved	Approved
CLM-2026-005253	2025-12-14	Desert Diagnostic Imaging in network	70553	$2,509.00	—	Denied	Denied
CLM-2026-014091	2025-12-23	Lakeside Internal Medicine Associates in network	93000	$75.00	$16.50	Approved	Approved