Identities/MBR-007089
Gold, golden identity

Billy I Wong

5 source records from 2 feeds.

MBR-007089Verified5 recordsOpen steward case

Golden record

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

First nameCLM
Billy
Middle nameCLM
I
Last nameCLM
Wong
Date of birthCLM
1989-02-21
GenderCLM
F
Member IDCLM
UHC-81240-57
SSNCLM
•••-••-8090
PhoneCLM
7366585740
Email—
—
AddressCLM
5293 Ridge Rd
CityCLM
Plano
StateCLM
TX
ZIPCLM
75096
GroupCLM
GRP-6751
PlanCLM
NAVIGATE-HMO
Min confidence
0.99
Sources
TPA ×1CLM ×4
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.000.99TPATPA-59051CLMCLM-420606CLMCLM-420604CLMCLM-420605CLMCLM-420607IDMBR-007089
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
TPA-59051TPA2026-01-24Billy Wongflagged1989-02-21——5293 Ridge Rd, Plano, TXScored1.00—
CLM-420606CLM2026-02-13Billy Wongflagged1989-02-21UHC-81240-57—5293 Ridge Rd, Plano, TXScored1.00—
CLM-420604CLM2026-07-17Billy Wongflagged1989-02-21—73665857405293 Ridge Rd, Plano, TXScored1.00—
CLM-420605CLM2026-09-09Billy Wongflagged1989-02-21UHC-81240-5773665857405293 Ridge Rd, Plano, TXScored1.00—
CLM-420607CLM2026-10-02Billy Wongflagged1989-02-21UHC-81240-577366585740—Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶TPA-59051TPACLM-420604CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-420606CLMCLM-420604CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-59051TPACLM-420605CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-420604CLMCLM-420605CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-59051TPACLM-420606CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-420606CLMCLM-420605CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-420606CLMCLM-420607CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-420605CLMCLM-420607CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-420604CLMCLM-420607CLM0.97RuleD2 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
▶TPA-59051TPACLM-420607CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-420604 → UHC-81240-57 (Billy Wong)
    ACT-001932, Claims processor
  • Care coordination outreachProposed
    Billy Wong: 4 claims, no attributed provider
    ACT-018342, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyc944dee6ff
    matching_agent, CLM-420607, identity id MBR-007089, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420606
  • 2026-10-19 19:54:38Record linked automaticallyf87feef617
    scoring_agent, CLM-420605, identity id MBR-007089, confidence 1, method probabilistic, matched record TPA-59051, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyeadad940cb
    scoring_agent, CLM-420604, identity id MBR-007089, confidence 1, method probabilistic, matched record TPA-59051, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc3933adb14
    scoring_agent, CLM-420606, identity id MBR-007089, confidence 1, method probabilistic, matched record TPA-59051, policy version 1
  • 2026-10-19 19:54:38Record linked automatically33c28d74fb
    scoring_agent, TPA-59051, identity id MBR-007089, confidence 1, method probabilistic, matched record CLM-420606, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd7f4a7ac8d
    matching_agent, CLM-420607, identity id MBR-007089, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420606
  • 2026-10-19 19:52:09Record linked automatically734828bcbb
    scoring_agent, CLM-420605, identity id MBR-007089, confidence 1, method probabilistic, matched record TPA-59051, policy version 1
  • 2026-10-19 19:52:09Record linked automatically244d0ada4e
    scoring_agent, CLM-420604, identity id MBR-007089, confidence 1, method probabilistic, matched record TPA-59051, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya8359039a2
    scoring_agent, CLM-420606, identity id MBR-007089, confidence 1, method probabilistic, matched record TPA-59051, policy version 1
  • 2026-10-19 19:52:09Record linked automatically48e97ad9e1
    scoring_agent, TPA-59051, identity id MBR-007089, confidence 1, method probabilistic, matched record CLM-420606, policy version 1
  • 2026-10-19 19:45:42Record linked automatically04d7dd3edc
    matching_agent, CLM-420607, identity id MBR-007089, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420606
  • 2026-10-19 19:45:42Record linked automaticallyaa3f746c01
    scoring_agent, CLM-420605, identity id MBR-007089, confidence 1, method probabilistic, matched record TPA-59051, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc00f82e964
    scoring_agent, CLM-420604, identity id MBR-007089, confidence 1, method probabilistic, matched record TPA-59051, policy version 1
  • 2026-10-19 19:45:42Record linked automatically597142bed3
    scoring_agent, CLM-420606, identity id MBR-007089, confidence 1, method probabilistic, matched record TPA-59051, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7850d5de6b
    scoring_agent, TPA-59051, identity id MBR-007089, confidence 1, method probabilistic, matched record CLM-420606, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4c815f6a98
    matching_agent, CLM-420607, identity id MBR-007089, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420606
  • 2026-10-19 19:32:31Record linked automatically8de2a2ad60
    scoring_agent, CLM-420605, identity id MBR-007089, confidence 1, method probabilistic, matched record TPA-59051, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya5d8d19115
    scoring_agent, CLM-420604, identity id MBR-007089, confidence 1, method probabilistic, matched record TPA-59051, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyac5a3f6713
    scoring_agent, CLM-420606, identity id MBR-007089, confidence 1, method probabilistic, matched record TPA-59051, policy version 1
  • 2026-10-19 19:32:31Record linked automatically27cdc8fcc5
    scoring_agent, TPA-59051, identity id MBR-007089, confidence 1, method probabilistic, matched record CLM-420606, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc2a0cb93d7
    matching_agent, CLM-420607, identity id MBR-012463, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-127078
  • 2026-10-19 19:31:28Record linked automaticallyf05b5a4788
    matching_agent, CLM-420604, identity id MBR-011085, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420603
  • 2026-10-19 19:31:28Record linked automatically54a351fa60
    matching_agent, CLM-420606, identity id MBR-007546, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-127075
  • 2026-10-19 19:31:28Record linked automatically4b99085ad5
    matching_agent, CLM-420605, identity id MBR-000706, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127072

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0287542026-09-12Harbor Reference Lab
in network
80053, 83036, 85025$204.00$0.00ApprovedApproved
CLM-2026-0077422026-08-04Mesa Family Practice
in network
99395, 36415$234.00$120.08ApprovedApproved
CLM-2026-0023622026-07-12Heritage Digestive Health Center
in network
45378$1,778.00$0.00ApprovedApproved
CLM-2026-0310412026-01-18Unity Community Hospital
in network
99283$688.00$28.40ApprovedApproved