Adam Bailey

4 source records from 2 feeds.

MBR-007492Verified4 records

Golden record

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

First nameENR: Adam
Middle name—: —
Last nameENR: Bailey
Date of birthENR: 1993-04-26
GenderCLM: M
Member IDENR: UHC-28602-56
SSNENR: •••-••-8540
PhoneENR: 5936105188
EmailENR: adam.bailey@outlook.com
AddressENR: 8267 Sage Ct
CityENR: Fresno
StateENR: CA
ZIPENR: 93726
GroupENR: GRP-0905
PlanENR: CORE-HMO

Min confidence

1.00

Sources

CLM ×3ENR ×1

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
CLM-411262	CLM	2026-01-25	Adam Baileyflagged	1993-04-26	—	5936105188	8267 Sage Ct, Fresno, CA	Scored	1.00	—
CLM-411264	CLM	2026-02-15	Adam Baileyflagged	1993-04-26	UHC-28602-56	—	8267 Sage Ct, Fresno, CA	Scored	1.00	—
CLM-411263	CLM	2026-06-10	Adam Baileyflagged	—	—	—	8267 Sage Ct, Fresno, CA	Scored	1.00	—
ENR-114813	ENR	2026-09-28	Adam Baileyflagged	1993-04-26	UHC-28602-56	5936105188	8267 Sage Ct, Fresno, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-411262CLMCLM-411264CLM1.00Scoredweighted 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-411262CLMENR-114813ENR1.00Scoredweighted 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-411263CLM ENR-114813ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-411264CLMENR-114813ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-411262CLMCLM-411263CLM 0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

▶CLM-411264CLMCLM-411263CLM 0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-411263 → UHC-28602-56 (Adam Bailey)
ACT-007879, Claims processor
Orphan claim re-pointedExecuted
CLM-411262 → UHC-28602-56 (Adam Bailey)
ACT-009583, Claims processor
Care coordination outreachProposed
Adam Bailey: 3 claims, no attributed provider
ACT-018367, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically0be7c51fa6
scoring_agent, ENR-114813, identity id MBR-007492, confidence 1, method probabilistic, matched record CLM-411262, policy version 1
2026-10-19 19:54:38Record linked automatically44eee6d3c5
scoring_agent, CLM-411263, identity id MBR-007492, confidence 1, method probabilistic, matched record ENR-114813, policy version 1
2026-10-19 19:54:38Record linked automaticallyd1bc21aeba
scoring_agent, CLM-411264, identity id MBR-007492, confidence 1, method probabilistic, matched record CLM-411262, policy version 1
2026-10-19 19:54:38Record linked automatically4379499a1b
scoring_agent, CLM-411262, identity id MBR-007492, confidence 1, method probabilistic, matched record CLM-411264, policy version 1
2026-10-19 19:52:09Record linked automaticallybbb1f1cd3e
scoring_agent, ENR-114813, identity id MBR-007492, confidence 1, method probabilistic, matched record CLM-411262, policy version 1
2026-10-19 19:52:09Record linked automatically9a20270dc6
scoring_agent, CLM-411263, identity id MBR-007492, confidence 1, method probabilistic, matched record ENR-114813, policy version 1
2026-10-19 19:52:09Record linked automatically83c7f0ffff
scoring_agent, CLM-411264, identity id MBR-007492, confidence 1, method probabilistic, matched record CLM-411262, policy version 1
2026-10-19 19:52:09Record linked automaticallyafd919db0c
scoring_agent, CLM-411262, identity id MBR-007492, confidence 1, method probabilistic, matched record CLM-411264, policy version 1
2026-10-19 19:45:42Record linked automatically7d4404a2e0
scoring_agent, ENR-114813, identity id MBR-007492, confidence 1, method probabilistic, matched record CLM-411262, policy version 1
2026-10-19 19:45:42Record linked automaticallydd59f783b4
scoring_agent, CLM-411263, identity id MBR-007492, confidence 1, method probabilistic, matched record ENR-114813, policy version 1
2026-10-19 19:45:42Record linked automaticallya5d7d026c6
scoring_agent, CLM-411264, identity id MBR-007492, confidence 1, method probabilistic, matched record CLM-411262, policy version 1
2026-10-19 19:45:42Record linked automaticallyadfeb188a0
scoring_agent, CLM-411262, identity id MBR-007492, confidence 1, method probabilistic, matched record CLM-411264, policy version 1
2026-10-19 19:32:31Record linked automaticallye80f74b967
scoring_agent, ENR-114813, identity id MBR-007492, confidence 1, method probabilistic, matched record CLM-411262, policy version 1
2026-10-19 19:32:31Record linked automaticallyd44d1e0b58
scoring_agent, CLM-411263, identity id MBR-007492, confidence 1, method probabilistic, matched record ENR-114813, policy version 1
2026-10-19 19:32:31Record linked automatically70196fd349
scoring_agent, CLM-411264, identity id MBR-007492, confidence 1, method probabilistic, matched record CLM-411262, policy version 1
2026-10-19 19:32:31Record linked automatically10bb4263c0
scoring_agent, CLM-411262, identity id MBR-007492, confidence 1, method probabilistic, matched record CLM-411264, policy version 1
2026-10-19 19:31:28Record linked automaticallyb6eda980a2
matching_agent, ENR-114813, identity id MBR-028002, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-411185
2026-10-19 19:31:28Record linked automatically60c6066d64
scoring_agent, CLM-411264, identity id MBR-014106, confidence 1, method probabilistic, matched record PRV-23345, policy version 1
2026-10-19 19:31:28Record linked automaticallyaf9cf6c268
scoring_agent, CLM-411262, identity id MBR-006605, confidence 1, method probabilistic, matched record ENR-114912, policy version 1
2026-10-19 19:31:28Record linked automaticallyb070c79a83
scoring_agent, CLM-411263, identity id MBR-005710, confidence 1, method probabilistic, matched record ENR-114913, 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-2026-024786	2026-04-28	Riverside Primary Care Associates in network	99395, 99213	$421.00	$221.02	Approved	Approved
CLM-2026-013796	2026-02-06	Lakeside Skin Care Associates in network	11102, 17110	$495.00	$246.90	Approved	Approved
CLM-2026-031406	2026-01-16	Mesa Orthopedic Specialists out of network	27447	$41,581.00	—	Denied	Denied