Identities/MBR-007642

Gold, golden identity

Alexis Price

5 source records from 2 feeds.

MBR-007642Verified5 records

Golden record

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

First nameCLM: Alexis
Middle name—: —
Last nameCLM: Price
Date of birthCLM: 1997-10-10
GenderCLM: M
Member IDCLM: UHC-53316-85
SSNCLM: •••-••-8218
PhoneCLM: 2034729259
EmailCLM: alexis.price23@hotmail.com
AddressCLM: 300 Bayshore Dr # 703
CityCLM: Atlanta
StateCLM: GA
ZIPCLM: 30358
GroupCLM: GRP-7828
PlanCLM: NAVIGATE-HMO

Min confidence

0.99

Sources

CLM ×3TPA ×2

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-429396	CLM	2026-01-25	Alexis Priceflagged	1997-10-10	UHC-53316-85	2034729259	300 Bayshore Dr, Atlanta, GA	Scored	1.00	—
CLM-429394	CLM	2026-01-29	Alexis Prceflagged	1997-10-10	UHC-53316-85	2034729259	300 Bayshore Dr, Atlanta, GA	Rule	0.99	D1 member id + dob exact
TPA-62994	TPA	2026-06-07	Alexis Priceflagged	1997-10-10	—	2034729259	300 Bayshore Dr, Atlanta, GA	Scored	1.00	—
TPA-62995	TPA	2026-08-05	Alexis Priceflagged	1997-10-10	—	—	300 Bayshore Dr, Atlanta, GA	Scored	1.00	—
CLM-429395	CLM	2026-08-31	Alexis Priceflagged	1997-10-10	UHC-53316-85	2034729259	300 Bayshore Dr # 703, Atlanta, GA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-62994TPACLM-429395CLM1.00Scoredweighted 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

▶TPA-62995TPACLM-429395CLM1.00Scoredweighted 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-429396CLMTPA-62995TPA1.00Scoredweighted 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

▶TPA-62994TPATPA-62995TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-429396CLMCLM-429394CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	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

▶CLM-429396CLMCLM-429395CLM0.99RuleD1 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-429394CLMCLM-429395CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	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-429394CLMTPA-62995TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-429396CLMTPA-62994TPA0.97RuleD2 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

▶CLM-429394CLMTPA-62994TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Care coordination outreachProposed
Alexis Price: 3 claims, no attributed provider
ACT-018378, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallyab5ab8b485
scoring_agent, CLM-429395, identity id MBR-007642, confidence 1, method probabilistic, matched record TPA-62994, policy version 1
2026-10-22 12:43:54Record linked automatically105b9008b4
scoring_agent, TPA-62995, identity id MBR-007642, confidence 1, method probabilistic, matched record CLM-429396, policy version 1
2026-10-22 12:43:54Record linked automaticallyf4521a5fb3
scoring_agent, TPA-62994, identity id MBR-007642, confidence 1, method probabilistic, matched record TPA-62995, policy version 1
2026-10-22 12:43:54Record linked automaticallyedd34ef7e9
matching_agent, CLM-429394, identity id MBR-007642, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429396
2026-10-22 12:43:54Record linked automatically1bce538faf
scoring_agent, CLM-429396, identity id MBR-007642, confidence 1, method probabilistic, matched record TPA-62995, policy version 1
2026-10-19 19:54:38Record linked automatically3f358da4f1
scoring_agent, CLM-429395, identity id MBR-007642, confidence 1, method probabilistic, matched record TPA-62994, policy version 1
2026-10-19 19:54:38Record linked automaticallyaccc3574dc
scoring_agent, TPA-62995, identity id MBR-007642, confidence 1, method probabilistic, matched record CLM-429396, policy version 1
2026-10-19 19:54:38Record linked automaticallyb492be8368
scoring_agent, TPA-62994, identity id MBR-007642, confidence 1, method probabilistic, matched record TPA-62995, policy version 1
2026-10-19 19:54:38Record linked automatically5cec7e4cc2
matching_agent, CLM-429394, identity id MBR-007642, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429396
2026-10-19 19:54:38Record linked automatically44540891ba
scoring_agent, CLM-429396, identity id MBR-007642, confidence 1, method probabilistic, matched record TPA-62995, policy version 1
2026-10-19 19:52:09Record linked automatically5f2f3697a2
scoring_agent, CLM-429395, identity id MBR-007642, confidence 1, method probabilistic, matched record TPA-62994, policy version 1
2026-10-19 19:52:09Record linked automaticallyf7923111e3
scoring_agent, TPA-62995, identity id MBR-007642, confidence 1, method probabilistic, matched record CLM-429396, policy version 1
2026-10-19 19:52:09Record linked automatically69618b4353
scoring_agent, TPA-62994, identity id MBR-007642, confidence 1, method probabilistic, matched record TPA-62995, policy version 1
2026-10-19 19:52:09Record linked automaticallyf83e04b5af
matching_agent, CLM-429394, identity id MBR-007642, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429396
2026-10-19 19:52:09Record linked automaticallyf8c936be3c
scoring_agent, CLM-429396, identity id MBR-007642, confidence 1, method probabilistic, matched record TPA-62995, policy version 1
2026-10-19 19:45:42Record linked automatically8bc9e7d0ce
scoring_agent, CLM-429395, identity id MBR-007642, confidence 1, method probabilistic, matched record TPA-62994, policy version 1
2026-10-19 19:45:42Record linked automaticallyd13fdaea92
scoring_agent, TPA-62995, identity id MBR-007642, confidence 1, method probabilistic, matched record CLM-429396, policy version 1
2026-10-19 19:45:42Record linked automatically21bd33cd71
scoring_agent, TPA-62994, identity id MBR-007642, confidence 1, method probabilistic, matched record TPA-62995, policy version 1
2026-10-19 19:45:42Record linked automatically197b66da47
matching_agent, CLM-429394, identity id MBR-007642, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429396
2026-10-19 19:45:42Record linked automatically66beb32715
scoring_agent, CLM-429396, identity id MBR-007642, confidence 1, method probabilistic, matched record TPA-62995, policy version 1
2026-10-19 19:32:31Record linked automaticallyda4b82ad9c
scoring_agent, CLM-429395, identity id MBR-007642, confidence 1, method probabilistic, matched record TPA-62994, policy version 1
2026-10-19 19:32:31Record linked automaticallya26276b1cb
scoring_agent, TPA-62995, identity id MBR-007642, confidence 1, method probabilistic, matched record CLM-429396, policy version 1
2026-10-19 19:32:31Record linked automatically55241254d7
scoring_agent, TPA-62994, identity id MBR-007642, confidence 1, method probabilistic, matched record TPA-62995, policy version 1
2026-10-19 19:32:31Record linked automatically6a6f621ac4
matching_agent, CLM-429394, identity id MBR-007642, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429396
2026-10-19 19:32:31Record linked automatically5e570037f3
scoring_agent, CLM-429396, identity id MBR-007642, confidence 1, method probabilistic, matched record TPA-62995, policy version 1
2026-10-19 19:31:28Record linked automatically1b4348fb76
scoring_agent, TPA-62995, identity id MBR-012328, confidence 1, method probabilistic, matched record ENR-139094, policy version 1
2026-10-19 19:31:28Record linked automatically9aa8eb18b2
matching_agent, CLM-429395, identity id MBR-004628, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138816
2026-10-19 19:31:28Record linked automatically61d85a343d
scoring_agent, CLM-429396, identity id MBR-004628, confidence 0.98, method probabilistic, matched record ENR-138816, policy version 1
2026-10-19 19:31:28Record linked automaticallye9570e51b6
matching_agent, CLM-429394, identity id MBR-001976, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429392
2026-10-19 19:31:28Record linked automaticallyea2d08494e
scoring_agent, TPA-62994, identity id MBR-000797, confidence 1, method probabilistic, matched record ENR-139093, 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-2026-010636	2026-08-19	Riverside Cardiovascular Associates in network	93458, 93015	$8,643.00	$3,925.25	Approved	Approved
CLM-2026-025101	2026-01-19	Cornerstone Family Practice out of network	99214	$268.00	—	Denied	Denied
CLM-2026-020692	2025-12-23	Summit Medical Group in network	99214	$283.00	$135.46	Approved	Approved