Identities/MBR-007745
Gold, golden identity

Raymond X Banks

6 source records from 2 feeds.

MBR-007745Verified6 records

Golden record

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

First namePRV
Raymond
Middle nameCLM
X
Last namePRV
Banks
Date of birthPRV
1966-04-28
GenderPRV
F
Member IDCLM
UHC-72994-01
SSNCLM
•••-••-4260
PhoneCLM
6528102518
EmailPRV
raymond.banks@hotmail.com
AddressPRV
3219 Grand Ave
CityPRV
Eden Prairie
StatePRV
MN
ZIPPRV
55344
GroupCLM
GRP-5869
PlanCLM
SELECT-EPO
Min confidence
0.99
Sources
CLM ×5PRV ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.991.001.001.001.00CLMCLM-414140CLMCLM-414139CLMCLM-414142CLMCLM-414141CLMCLM-414138PRVPRV-24117IDMBR-007745
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-414140CLM2026-01-26Raymond Banksflagged1966-04-28UHC-72994-01—3219 Grand Ave, Eden Prairie, MNRule0.99D1 member id + dob exact
CLM-414139CLM2026-03-23Raymond Banksflagged1966-04-28UHC-72994-016528102518—Rule0.99D1 member id + dob exact
CLM-414142CLM2026-04-21Raymond Banksflagged1966-04-28——3219 Grand Ave, Eden Prairie, MNScored1.00—
CLM-414141CLM2026-06-09Ray Banksflagged1966-04-28UHC-72994-01—3219 Grand Ave, Eden Prairie, MNScored1.00—
CLM-414138CLM2026-10-04Raymond Banksflagged1966-04-28—65281025183219 Grand Ave Apt 8, Eden Prairie, MNScored1.00—
PRV-24117PRV2026-10-08Raymond Banksflagged1966-04-28——3219 Grand Ave, Eden Prairie, MNScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-414142CLMCLM-414138CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414141CLMCLM-414138CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414142CLMCLM-414141CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414142CLMPRV-24117PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414141CLMPRV-24117PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414138CLMPRV-24117PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414140 CLMCLM-414139CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414140 CLMCLM-414141CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414139CLMCLM-414141CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414140 CLMCLM-414138CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414139CLMCLM-414138CLM0.97RuleD2 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
▶CLM-414140 CLMCLM-414142CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414140 CLMPRV-24117PRV0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414139CLMCLM-414142CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-414139CLMPRV-24117PRV0.83Scoredweighted 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

  • Eligibility conflict resolvedProposed
    Raymond Banks: 2 plan codes across sources → canonical SELECT-EPO
    ACT-000362, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-414142 → UHC-72994-01 (Raymond Banks)
    ACT-002522, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-414138 → UHC-72994-01 (Raymond Banks)
    ACT-008189, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically74ce7ca54d
    scoring_agent, PRV-24117, identity id MBR-007745, confidence 1, method probabilistic, matched record CLM-414142, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5204cf5b98
    scoring_agent, CLM-414138, identity id MBR-007745, confidence 1, method probabilistic, matched record CLM-414142, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4efa70476d
    scoring_agent, CLM-414141, identity id MBR-007745, confidence 1, method probabilistic, matched record CLM-414142, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyded280993b
    scoring_agent, CLM-414142, identity id MBR-007745, confidence 1, method probabilistic, matched record CLM-414141, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6305f08965
    matching_agent, CLM-414139, identity id MBR-007745, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414140
  • 2026-10-19 19:54:38Record linked automatically3ede37d4b3
    matching_agent, CLM-414140, identity id MBR-007745, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414139
  • 2026-10-19 19:52:09Record linked automatically769136ba7b
    scoring_agent, PRV-24117, identity id MBR-007745, confidence 1, method probabilistic, matched record CLM-414142, policy version 1
  • 2026-10-19 19:52:09Record linked automatically411fab9acd
    scoring_agent, CLM-414138, identity id MBR-007745, confidence 1, method probabilistic, matched record CLM-414142, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7a09b66379
    scoring_agent, CLM-414141, identity id MBR-007745, confidence 1, method probabilistic, matched record CLM-414142, policy version 1
  • 2026-10-19 19:52:09Record linked automatically802546f302
    scoring_agent, CLM-414142, identity id MBR-007745, confidence 1, method probabilistic, matched record CLM-414141, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5de33165cd
    matching_agent, CLM-414139, identity id MBR-007745, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414140
  • 2026-10-19 19:52:09Record linked automaticallya7f3e51918
    matching_agent, CLM-414140, identity id MBR-007745, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414139
  • 2026-10-19 19:45:42Record linked automaticallyb45712ff08
    scoring_agent, PRV-24117, identity id MBR-007745, confidence 1, method probabilistic, matched record CLM-414142, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya78f06f0d6
    scoring_agent, CLM-414138, identity id MBR-007745, confidence 1, method probabilistic, matched record CLM-414142, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyfeceb84784
    scoring_agent, CLM-414141, identity id MBR-007745, confidence 1, method probabilistic, matched record CLM-414142, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2cd2cae460
    scoring_agent, CLM-414142, identity id MBR-007745, confidence 1, method probabilistic, matched record CLM-414141, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0efc592cdc
    matching_agent, CLM-414139, identity id MBR-007745, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414140
  • 2026-10-19 19:45:42Record linked automatically96a724a3ba
    matching_agent, CLM-414140, identity id MBR-007745, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414139
  • 2026-10-19 19:32:31Record linked automatically12948dd581
    scoring_agent, PRV-24117, identity id MBR-007745, confidence 1, method probabilistic, matched record CLM-414142, policy version 1
  • 2026-10-19 19:32:31Record linked automatically53e2446b8a
    scoring_agent, CLM-414138, identity id MBR-007745, confidence 1, method probabilistic, matched record CLM-414142, policy version 1
  • 2026-10-19 19:32:31Record linked automatically97905a7d16
    scoring_agent, CLM-414141, identity id MBR-007745, confidence 1, method probabilistic, matched record CLM-414142, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7763a98ae4
    scoring_agent, CLM-414142, identity id MBR-007745, confidence 1, method probabilistic, matched record CLM-414141, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7e7bd6f502
    matching_agent, CLM-414139, identity id MBR-007745, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414140
  • 2026-10-19 19:32:31Record linked automatically010c1d74cf
    matching_agent, CLM-414140, identity id MBR-007745, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414139
  • 2026-10-19 19:31:28Record linked automaticallye525889c06
    matching_agent, CLM-414139, identity id MBR-024592, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118573
  • 2026-10-19 19:31:28Record linked automaticallya3d850a275
    matching_agent, PRV-24117, identity id MBR-016557, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-24116
  • 2026-10-19 19:31:28Record linked automatically7fcf373c01
    matching_agent, CLM-414138, identity id MBR-014953, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118572
  • 2026-10-19 19:31:28Record linked automatically3c46cf6839
    matching_agent, CLM-414141, identity id MBR-006071, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118575
  • 2026-10-19 19:31:28Record linked automatically17f968443d
    matching_agent, CLM-414140, identity id MBR-006071, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118575
  • 2026-10-19 19:31:28Record linked automaticallyb16f5df6cd
    scoring_agent, CLM-414142, identity id MBR-006025, confidence 1, method probabilistic, matched record CLM-414143, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0259922026-09-29Pinecrest Diagnostic Imaging
in network
76700, 71046$706.00—DeniedDenied
CLM-2026-0189182026-05-29Lakeside Internal Medicine Associates
in network
80053, 93000$149.00$72.38ApprovedApproved
CLM-2026-0044632026-03-14Northgate Clinical Laboratories
in network
87086, 80061, 83036, 80053$249.00—Needs reviewNeeds review
CLM-2026-0044622026-03-14Northgate Clinical Laboratories
in network
87086, 80061, 83036, 80053$249.00$0.00ApprovedApproved
CLM-2026-0067652026-02-14Sunrise Dermatology Clinic
in network
17110, 99213$470.00$231.40ApprovedApproved
CLM-2026-0009212025-12-17Lakeside Reference Lab
in network
80061$64.00$0.00ApprovedApproved