Identities/MBR-007895
Gold, golden identity

Roy U James

4 source records from 3 feeds.

MBR-007895Verified4 records

Golden record

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

First nameENR
Roy
Middle nameENR
U
Last namePRV
James
Date of birthENR
2008-11-12
GenderPRV
M
Member IDENR
UHC-07344-39
SSNENR
•••-••-6659
PhoneENR
5557193929
EmailENR
roy.james@proton.me
AddressENR
6635 Park Pl
CityENR
Las Vegas
StateENR
NV
ZIPENR
89178
GroupENR
GRP-7736
PlanENR
CORE-HMO
Min confidence
0.99
Sources
CLM ×2ENR ×1PRV ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.990.991.00CLMCLM-431847CLMCLM-431848ENRENR-141792PRVPRV-29309IDMBR-007895
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-431847CLM2026-01-26Roy Jamesflagged2008-11-12——6635 Park Pl, Las Vegas, NVScored1.00—
CLM-431848CLM2026-05-29Roy Jamesflagged2008-11-12UHC-07344-395557193929—Rule0.99D1 member id + dob exact
ENR-141792ENR2026-07-05Roy Jmesflagged2008-11-12UHC-07344-3955571939296635 Park Pl, Las Vegas, NVRule0.99D1 member id + dob exact
PRV-29309PRV2026-09-23Roy Jamesflagged2008-11-12—55571939296635 Park Pl, Las Vegas, NVScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-431847CLMPRV-29309PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Email1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431848CLMENR-141792ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-431847CLMENR-141792ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Email1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431848CLMPRV-29309PRV0.97RuleD2 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
▶ENR-141792ENRPRV-29309PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-431847CLMCLM-431848CLM0.83Scoredweighted 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-431847 → UHC-07344-39 (Roy James)
    ACT-003144, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically8a152a220e
    scoring_agent, PRV-29309, identity id MBR-007895, confidence 1, method probabilistic, matched record CLM-431847, policy version 1
  • 2026-10-22 12:43:54Record linked automatically482dbca9b0
    matching_agent, ENR-141792, identity id MBR-007895, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431848
  • 2026-10-22 12:43:54Record linked automaticallybb14ae9875
    matching_agent, CLM-431848, identity id MBR-007895, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141792
  • 2026-10-22 12:43:54Record linked automatically8e9f3bb2d0
    scoring_agent, CLM-431847, identity id MBR-007895, confidence 1, method probabilistic, matched record PRV-29309, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallybdfaa2a61a
    scoring_agent, PRV-29309, identity id MBR-007895, confidence 1, method probabilistic, matched record CLM-431847, policy version 1
  • 2026-10-19 19:54:38Record linked automatically394275f764
    matching_agent, ENR-141792, identity id MBR-007895, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431848
  • 2026-10-19 19:54:38Record linked automatically5b2af9ad2c
    matching_agent, CLM-431848, identity id MBR-007895, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141792
  • 2026-10-19 19:54:38Record linked automaticallyb790e96563
    scoring_agent, CLM-431847, identity id MBR-007895, confidence 1, method probabilistic, matched record PRV-29309, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya44978ffb2
    scoring_agent, PRV-29309, identity id MBR-007895, confidence 1, method probabilistic, matched record CLM-431847, policy version 1
  • 2026-10-19 19:52:09Record linked automatically42b09e25e2
    matching_agent, ENR-141792, identity id MBR-007895, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431848
  • 2026-10-19 19:52:09Record linked automatically4abfd777a1
    matching_agent, CLM-431848, identity id MBR-007895, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141792
  • 2026-10-19 19:52:09Record linked automaticallyfa8a0813af
    scoring_agent, CLM-431847, identity id MBR-007895, confidence 1, method probabilistic, matched record PRV-29309, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6da771b491
    scoring_agent, PRV-29309, identity id MBR-007895, confidence 1, method probabilistic, matched record CLM-431847, policy version 1
  • 2026-10-19 19:45:42Record linked automatically132925fc6c
    matching_agent, ENR-141792, identity id MBR-007895, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431848
  • 2026-10-19 19:45:42Record linked automatically402b3b4baf
    matching_agent, CLM-431848, identity id MBR-007895, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141792
  • 2026-10-19 19:45:42Record linked automaticallyd071cf496c
    scoring_agent, CLM-431847, identity id MBR-007895, confidence 1, method probabilistic, matched record PRV-29309, policy version 1
  • 2026-10-19 19:32:31Record linked automatically72346a3eca
    scoring_agent, PRV-29309, identity id MBR-007895, confidence 1, method probabilistic, matched record CLM-431847, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc5c63cb267
    matching_agent, ENR-141792, identity id MBR-007895, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431848
  • 2026-10-19 19:32:31Record linked automatically63a76dc490
    matching_agent, CLM-431848, identity id MBR-007895, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141792
  • 2026-10-19 19:32:31Record linked automatically4278bf32e6
    scoring_agent, CLM-431847, identity id MBR-007895, confidence 1, method probabilistic, matched record PRV-29309, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd3264277c7
    scoring_agent, PRV-29309, identity id MBR-020053, confidence 1, method probabilistic, matched record CLM-431937, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye7e252d748
    scoring_agent, CLM-431847, identity id MBR-015769, confidence 1, method probabilistic, matched record CLM-431848, policy version 1
  • 2026-10-19 19:31:28Record linked automatically65bcb80d71
    scoring_agent, CLM-431848, identity id MBR-015769, confidence 1, method probabilistic, matched record CLM-431847, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf8143e08a1
    matching_agent, ENR-141792, identity id MBR-015720, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-431668

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0320012025-11-15Desert Reference Lab
in network
80053$81.00—DeniedDenied
CLM-2026-0068432026-01-09Valley Skin Care Associates
in network
99213, 11102, 17110$698.00—Needs reviewNeeds review
CLM-2026-0068422026-01-09Valley Skin Care Associates
in network
99213, 11102, 17110$698.00$392.76ApprovedApproved