Identities/MBR-008227
Gold, golden identity

Terry Edwards

5 source records from 2 feeds.

MBR-008227Verified5 records

Golden record

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

First nameENR
Terry
Middle name—
—
Last nameENR
Edwards
Date of birthENR
1951-05-18
GenderENR
M
Member IDENR
UHC-82887-97
SSNENR
•••-••-1529
PhoneENR
9146355492
EmailENR
terry.edwards@aol.com
AddressENR
1429 Desert Sky Blvd
CityENR
Miami
StateENR
FL
ZIPENR
33169
GroupENR
GRP-4954
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×4ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.000.991.00CLMCLM-400335CLMCLM-400332CLMCLM-400334CLMCLM-400333ENRENR-100462IDMBR-008227
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-400335CLM2026-01-27Terry Edwardsflagged1951-05-18—91463554921429 Desert Sky Blvd Apt 15, Miami, FLScored1.00—
CLM-400332CLM2026-01-29Terry Edwardsflagged1951-05-18——1429 Desert Sky Blvd, Miami, FLScored1.00—
CLM-400334CLM2026-02-28Terry Edwardsflagged—UHC-82887-9791463554921429 Desert Sky Blvd, Miami, FLScored1.00—
CLM-400333CLM2026-05-10Teerry Edwardsflagged1951-05-18UHC-82887-97——Rule0.99D1 member id + dob exact
ENR-100462ENR2026-10-01Terry Edwardsflagged1951-05-18UHC-82887-9791463554921429 Desert Sky Blvd, Miami, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-400335CLMCLM-400332CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-400335CLMCLM-400334CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-400332CLMENR-100462ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-400333CLMENR-100462ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-400335CLMCLM-400333CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-400335CLMENR-100462ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-400334CLMCLM-400333CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-400334CLMENR-100462ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-400332CLMCLM-400333CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-400332CLMCLM-400334CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-400332 → UHC-82887-97 (Terry Edwards)
    ACT-002497, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-400335 → UHC-82887-97 (Terry Edwards)
    ACT-009040, Claims processor
  • Care coordination outreachProposed
    Terry Edwards: 4 claims, no attributed provider
    ACT-018423, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically558d604da2
    scoring_agent, ENR-100462, identity id MBR-008227, confidence 1, method probabilistic, matched record CLM-400332, policy version 1
  • 2026-10-19 19:54:38Record linked automatically171ced030c
    matching_agent, CLM-400333, identity id MBR-008227, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100462
  • 2026-10-19 19:54:38Record linked automaticallyf668afb56f
    scoring_agent, CLM-400334, identity id MBR-008227, confidence 1, method probabilistic, matched record CLM-400335, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycf3d0b23cb
    scoring_agent, CLM-400332, identity id MBR-008227, confidence 1, method probabilistic, matched record CLM-400335, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyfc9be22856
    scoring_agent, CLM-400335, identity id MBR-008227, confidence 1, method probabilistic, matched record CLM-400332, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallydd5ee0c39c
    scoring_agent, ENR-100462, identity id MBR-008227, confidence 1, method probabilistic, matched record CLM-400332, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyde28044733
    matching_agent, CLM-400333, identity id MBR-008227, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100462
  • 2026-10-19 19:52:09Record linked automatically39903136c7
    scoring_agent, CLM-400334, identity id MBR-008227, confidence 1, method probabilistic, matched record CLM-400335, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd631fd0431
    scoring_agent, CLM-400332, identity id MBR-008227, confidence 1, method probabilistic, matched record CLM-400335, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyfaa68c8abc
    scoring_agent, CLM-400335, identity id MBR-008227, confidence 1, method probabilistic, matched record CLM-400332, policy version 1
  • 2026-10-19 19:45:42Record linked automatically296634b24c
    scoring_agent, ENR-100462, identity id MBR-008227, confidence 1, method probabilistic, matched record CLM-400332, policy version 1
  • 2026-10-19 19:45:42Record linked automatically14fe6140c3
    matching_agent, CLM-400333, identity id MBR-008227, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100462
  • 2026-10-19 19:45:42Record linked automatically2e8e9a2037
    scoring_agent, CLM-400334, identity id MBR-008227, confidence 1, method probabilistic, matched record CLM-400335, policy version 1
  • 2026-10-19 19:45:42Record linked automatically01a57e7922
    scoring_agent, CLM-400332, identity id MBR-008227, confidence 1, method probabilistic, matched record CLM-400335, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye0e6c0976e
    scoring_agent, CLM-400335, identity id MBR-008227, confidence 1, method probabilistic, matched record CLM-400332, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf876e2fa3f
    scoring_agent, ENR-100462, identity id MBR-008227, confidence 1, method probabilistic, matched record CLM-400332, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4019778a5c
    matching_agent, CLM-400333, identity id MBR-008227, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100462
  • 2026-10-19 19:32:31Record linked automatically9e87a47ff4
    scoring_agent, CLM-400334, identity id MBR-008227, confidence 1, method probabilistic, matched record CLM-400335, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5b119e6a3e
    scoring_agent, CLM-400332, identity id MBR-008227, confidence 1, method probabilistic, matched record CLM-400335, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd263131a8e
    scoring_agent, CLM-400335, identity id MBR-008227, confidence 1, method probabilistic, matched record CLM-400332, policy version 1
  • 2026-10-19 19:31:28Record linked automatically749f283f41
    matching_agent, CLM-400335, identity id MBR-030150, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400336
  • 2026-10-19 19:31:28Record linked automatically50124939f2
    scoring_agent, CLM-400333, identity id MBR-029748, confidence 1, method probabilistic, matched record ENR-100481, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd52f2d8f73
    scoring_agent, CLM-400332, identity id MBR-004722, confidence 1, method probabilistic, matched record TPA-50144, policy version 1
  • 2026-10-19 19:31:28Record linked automatically4372befea1
    matching_agent, CLM-400334, identity id MBR-002630, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20098

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0153242026-03-29Mesa Primary Care Associates
in network
99214$264.00$143.68ApprovedApproved
CLM-2026-0009282026-01-15Cornerstone Digestive Health Center
in network
99214$242.00$100.04ApprovedApproved
CLM-2026-0043532025-12-27Harbor Digestive Health Center
in network
99214$325.00$151.50ApprovedApproved
CLM-2026-0292142026-01-06Cornerstone Clinical Laboratories
in network
80053, 80061$86.00$0.00ApprovedApproved