Identities/MBR-008438

Gold, golden identity

Thomas X Luna

6 source records from 3 feeds.

MBR-008438Verified6 recordsOpen steward case

Golden record

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

First nameENR: Thomas
Middle namePRV: X
Last nameENR: Luna
Date of birthENR: 1986-04-10
GenderENR: M
Member IDENR: UHC-64102-71
SSNENR: •••-••-7200
PhoneENR: 8902543970
EmailPRV: thomas.luna93@icloud.com
AddressENR: 3916 Bayshore Dr
CityENR: Houston
StateENR: TX
ZIPENR: 77025
GroupENR: GRP-4137
PlanENR: MEDICARE-ADV-B

Min confidence

0.96

Sources

CLM ×4PRV ×1ENR ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

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-410873	CLM	2026-01-28	Thomas Lunaflagged	1987-04-10	UHC-64102-71	8902543970	3916 Bayshore Dr, Houston, TX	Rule	0.96	D3 member id + name
PRV-23143	PRV	2026-03-12	Tom Lunaflagged	1986-04-10	—	8902543970	3916 Bayshore Dr, Houston, TX	Scored	1.00	—
CLM-410872	CLM	2026-03-26	Thomas Lunaflagged	1986-04-10	UHC-64102-71	—	3916 Bayshore Dr, Houston, TX	Scored	1.00	—
ENR-114253	ENR	2026-05-19	Thomas Lunaflagged	1986-04-10	UHC-64102-71	8902543970	3916 Bayshore Dr, Houston, TX	Rule	0.99	D1 member id + dob exact
CLM-410875	CLM	2026-06-02	Tom Lunaflagged	1986-04-10	UHC-64102-71	8902543970	—	Scored	1.00	—
CLM-410874	CLM	2026-07-09	Thomas Lunaflagged	1986-04-10	UHC-64102-71	—	—	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶PRV-23143PRVCLM-410872CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-23143PRVCLM-410875CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-410872CLMCLM-410874CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-114253ENRCLM-410874CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-410875CLMCLM-410874CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-410872CLMCLM-410875CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-114253ENRCLM-410875CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-410872CLMENR-114253ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-23143PRVENR-114253ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
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-410873CLMCLM-410872CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-410873CLMCLM-410874CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-410873CLMCLM-410875CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-410873CLMENR-114253ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-410873CLMPRV-23143PRV0.84Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	0.50	3	one_digit
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-23143PRVCLM-410874CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically6de5bbe34a
matching_agent, CLM-410874, identity id MBR-008438, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410872
2026-10-19 19:54:38Record linked automatically43194a75e4
scoring_agent, CLM-410875, identity id MBR-008438, confidence 1, method probabilistic, matched record PRV-23143, policy version 1
2026-10-19 19:54:38Record linked automaticallya8a4a837c7
matching_agent, ENR-114253, identity id MBR-008438, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410872
2026-10-19 19:54:38Record linked automatically5d56ccee8c
scoring_agent, CLM-410872, identity id MBR-008438, confidence 1, method probabilistic, matched record PRV-23143, policy version 1
2026-10-19 19:54:38Record linked automatically37ea083cb1
scoring_agent, PRV-23143, identity id MBR-008438, confidence 1, method probabilistic, matched record CLM-410872, policy version 1
2026-10-19 19:54:38Record linked automatically935e78dffb
matching_agent, CLM-410873, identity id MBR-008438, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-410872
2026-10-19 19:52:09Record linked automatically5a24293fdc
matching_agent, CLM-410874, identity id MBR-008438, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410872
2026-10-19 19:52:09Record linked automatically22468c36c8
scoring_agent, CLM-410875, identity id MBR-008438, confidence 1, method probabilistic, matched record PRV-23143, policy version 1
2026-10-19 19:52:09Record linked automatically5e8a17073d
matching_agent, ENR-114253, identity id MBR-008438, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410872
2026-10-19 19:52:09Record linked automaticallyd4731d852b
scoring_agent, CLM-410872, identity id MBR-008438, confidence 1, method probabilistic, matched record PRV-23143, policy version 1
2026-10-19 19:52:09Record linked automatically7a1e4f656a
scoring_agent, PRV-23143, identity id MBR-008438, confidence 1, method probabilistic, matched record CLM-410872, policy version 1
2026-10-19 19:52:09Record linked automatically5f953258b7
matching_agent, CLM-410873, identity id MBR-008438, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-410872
2026-10-19 19:45:42Record linked automaticallyfdb853b765
matching_agent, CLM-410874, identity id MBR-008438, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410872
2026-10-19 19:45:42Record linked automatically958c6ae5f4
scoring_agent, CLM-410875, identity id MBR-008438, confidence 1, method probabilistic, matched record PRV-23143, policy version 1
2026-10-19 19:45:42Record linked automatically28fb12c20b
matching_agent, ENR-114253, identity id MBR-008438, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410872
2026-10-19 19:45:42Record linked automatically6e8f5bb740
scoring_agent, CLM-410872, identity id MBR-008438, confidence 1, method probabilistic, matched record PRV-23143, policy version 1
2026-10-19 19:45:42Record linked automatically6be38bac5b
scoring_agent, PRV-23143, identity id MBR-008438, confidence 1, method probabilistic, matched record CLM-410872, policy version 1
2026-10-19 19:45:42Record linked automatically4dcb9c89b0
matching_agent, CLM-410873, identity id MBR-008438, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-410872
2026-10-19 19:32:31Record linked automaticallyb3100a4c0c
matching_agent, CLM-410874, identity id MBR-008438, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410872
2026-10-19 19:32:31Record linked automatically3fe1b4851f
scoring_agent, CLM-410875, identity id MBR-008438, confidence 1, method probabilistic, matched record PRV-23143, policy version 1
2026-10-19 19:32:31Record linked automaticallycbbbb2a623
matching_agent, ENR-114253, identity id MBR-008438, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410872
2026-10-19 19:32:31Record linked automaticallyf124ea13a2
scoring_agent, CLM-410872, identity id MBR-008438, confidence 1, method probabilistic, matched record PRV-23143, policy version 1
2026-10-19 19:32:31Record linked automatically7adc8b3240
scoring_agent, PRV-23143, identity id MBR-008438, confidence 1, method probabilistic, matched record CLM-410872, policy version 1
2026-10-19 19:32:31Record linked automatically4ef89564e5
matching_agent, CLM-410873, identity id MBR-008438, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-410872
2026-10-19 19:31:28Record linked automatically4f4ba84090
matching_agent, PRV-23143, identity id MBR-027943, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410554
2026-10-19 19:31:28Record linked automaticallyea63c8470a
matching_agent, CLM-410873, identity id MBR-017864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114386
2026-10-19 19:31:28Record linked automatically728bfa4381
scoring_agent, CLM-410872, identity id MBR-017864, confidence 1, method probabilistic, matched record ENR-114386, policy version 1
2026-10-19 19:31:28Record linked automatically3748a270e0
scoring_agent, CLM-410874, identity id MBR-010526, confidence 1, method probabilistic, matched record CLM-410875, policy version 1
2026-10-19 19:31:28Record linked automaticallydb2a86de55
scoring_agent, CLM-410875, identity id MBR-010526, confidence 1, method probabilistic, matched record CLM-410874, policy version 1
2026-10-19 19:31:28Record linked automatically136f45f25b
matching_agent, ENR-114253, identity id MBR-004683, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410763

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-2026-018326	2026-06-20	Sunrise Heart Institute in network	93015	$401.00	$0.00	Approved	Approved
CLM-2026-005504	2025-12-03	Canyon Reference Lab in network	85025	$69.00	—	Denied	Denied
CLM-2026-034181	2026-03-03	Pinecrest Bone and Joint Center in network	20610	$232.00	$83.84	Approved	Approved
CLM-2026-032957	2026-01-16	Lakeside Regional Medical Center in network	71046, 99284	$1,460.00	$725.45	Approved	Approved