Identities/MBR-008230
Gold, golden identity

James S Banks

5 source records from 2 feeds.

MBR-008230Verified5 records

Golden record

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

First nameENR
James
Middle nameENR
S
Last nameENR
Banks
Date of birthENR
1999-03-22
GenderENR
M
Member IDENR
UHC-39366-98
SSNENR
•••-••-7160
PhoneENR
8353343174
EmailCLM
james.banks@aol.com
AddressENR
2151 Ocean Ave Apt 1
CityENR
Nashville
StateENR
TN
ZIPENR
37280
GroupENR
GRP-0107
PlanENR
SELECT-EPO
Min confidence
0.99
Sources
CLM ×4ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.991.001.001.00CLMCLM-427090CLMCLM-427091ENRENR-135524CLMCLM-427089CLMCLM-427088IDMBR-008230
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-427090CLM2026-01-27Jim Banksflagged1999-03-22UHC-39366-98—5022 Baseline Rd, Atlanta, GARule0.99D1 member id + dob exact
CLM-427091CLM2026-01-27Jim Banksflagged1999-03-22UHC-39366-98—5022 Baseline Rd, Atlanta, GARule0.99D1 member id + dob exact
ENR-135524ENR2026-02-15James Banksflagged1999-03-22UHC-39366-9883533431742151 Ocean Ave Apt 1, Nashville, TNScored1.00—
CLM-427089CLM2026-05-22James Banksflagged1999-03-22UHC-39366-988353343174—Scored1.00—
CLM-427088CLM2026-06-15James Banksflagged1999-03-22—8353343174—Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-135524ENRCLM-427088CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-427089CLMCLM-427088CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-427090CLMCLM-427089CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-427091CLMCLM-427089CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-135524ENRCLM-427089CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-427090CLMCLM-427091CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-427090CLMENR-135524ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-427091CLMENR-135524ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-427090CLMCLM-427088CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-427091CLMCLM-427088CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-427088 → UHC-39366-98 (James Banks)
    ACT-004770, Claims processor
  • Care coordination outreachProposed
    James Banks: 4 claims, no attributed provider
    ACT-018424, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically805ae3b394
    scoring_agent, CLM-427088, identity id MBR-008230, confidence 1, method probabilistic, matched record ENR-135524, policy version 1
  • 2026-10-22 12:43:54Record linked automatically8172a80322
    scoring_agent, CLM-427089, identity id MBR-008230, confidence 1, method probabilistic, matched record CLM-427088, policy version 1
  • 2026-10-22 12:43:54Record linked automatically3a88acf66e
    scoring_agent, ENR-135524, identity id MBR-008230, confidence 1, method probabilistic, matched record CLM-427088, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyd13c39b221
    matching_agent, CLM-427091, identity id MBR-008230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427090
  • 2026-10-22 12:43:54Record linked automatically91f8a3ea00
    matching_agent, CLM-427090, identity id MBR-008230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427091
  • 2026-10-19 19:54:38Record linked automaticallyabcdd184dc
    scoring_agent, CLM-427088, identity id MBR-008230, confidence 1, method probabilistic, matched record ENR-135524, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8d805369b4
    scoring_agent, CLM-427089, identity id MBR-008230, confidence 1, method probabilistic, matched record CLM-427088, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb1c60a2a8d
    scoring_agent, ENR-135524, identity id MBR-008230, confidence 1, method probabilistic, matched record CLM-427088, policy version 1
  • 2026-10-19 19:54:38Record linked automatically746d4b11f6
    matching_agent, CLM-427091, identity id MBR-008230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427090
  • 2026-10-19 19:54:38Record linked automaticallyd08244350e
    matching_agent, CLM-427090, identity id MBR-008230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427091
  • 2026-10-19 19:52:09Record linked automaticallye15d5fcad6
    scoring_agent, CLM-427088, identity id MBR-008230, confidence 1, method probabilistic, matched record ENR-135524, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5bcf24a29e
    scoring_agent, CLM-427089, identity id MBR-008230, confidence 1, method probabilistic, matched record CLM-427088, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9845363cc6
    scoring_agent, ENR-135524, identity id MBR-008230, confidence 1, method probabilistic, matched record CLM-427088, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1cbb2598ee
    matching_agent, CLM-427091, identity id MBR-008230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427090
  • 2026-10-19 19:52:09Record linked automatically85c71a397c
    matching_agent, CLM-427090, identity id MBR-008230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427091
  • 2026-10-19 19:45:42Record linked automatically401760c615
    scoring_agent, CLM-427088, identity id MBR-008230, confidence 1, method probabilistic, matched record ENR-135524, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye2d3210789
    scoring_agent, CLM-427089, identity id MBR-008230, confidence 1, method probabilistic, matched record CLM-427088, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyaf8ee60ed6
    scoring_agent, ENR-135524, identity id MBR-008230, confidence 1, method probabilistic, matched record CLM-427088, policy version 1
  • 2026-10-19 19:45:42Record linked automatically449f1366d3
    matching_agent, CLM-427091, identity id MBR-008230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427090
  • 2026-10-19 19:45:42Record linked automaticallyc123dbcfaf
    matching_agent, CLM-427090, identity id MBR-008230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427091
  • 2026-10-19 19:32:31Record linked automaticallyf1aadea4f0
    scoring_agent, CLM-427088, identity id MBR-008230, confidence 1, method probabilistic, matched record ENR-135524, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd2658f9b3f
    scoring_agent, CLM-427089, identity id MBR-008230, confidence 1, method probabilistic, matched record CLM-427088, policy version 1
  • 2026-10-19 19:32:31Record linked automatically66f9453c81
    scoring_agent, ENR-135524, identity id MBR-008230, confidence 1, method probabilistic, matched record CLM-427088, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2a59841957
    matching_agent, CLM-427091, identity id MBR-008230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427090
  • 2026-10-19 19:32:31Record linked automatically476a103683
    matching_agent, CLM-427090, identity id MBR-008230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427091
  • 2026-10-19 19:31:28Record linked automaticallya3630cdc7f
    matching_agent, CLM-427089, identity id MBR-030514, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-135847
  • 2026-10-19 19:31:28Record linked automatically3d13c13454
    matching_agent, ENR-135524, identity id MBR-028918, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426863
  • 2026-10-19 19:31:28Record linked automaticallya7c9848384
    scoring_agent, CLM-427090, identity id MBR-023684, confidence 1, method probabilistic, matched record ENR-135851, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf2116e7734
    scoring_agent, CLM-427091, identity id MBR-023684, confidence 1, method probabilistic, matched record CLM-427090, policy version 1
  • 2026-10-19 19:31:28Record linked automatically75e3248fd8
    scoring_agent, CLM-427088, identity id MBR-006234, confidence 1, method probabilistic, matched record ENR-135842, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0130532026-06-01Mesa Dermatology Clinic
in network
99213$155.00$36.10ApprovedApproved
CLM-2026-0339152026-05-10Sunrise Cardiovascular Associates
out of network
99214, 93224$794.00—DeniedDenied
CLM-2026-0330892026-01-11Riverside Imaging Center
in network
76700$373.00$0.00ApprovedApproved
CLM-2026-0234022025-12-18Evergreen Family Practice
in network
99214, 99213$409.00$233.58ApprovedApproved