Identities/MBR-008597

Gold, golden identity

Charles McDonald

6 source records from 3 feeds.

MBR-008597Verified6 records

Golden record

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

First namePRV: Charles
Middle name—: —
Last nameENR: McDonald
Date of birthENR: 1943-08-24
GenderENR: F
Member IDENR: UHC-75613-83
SSNENR: •••-••-9736
PhoneENR: 6962489850
EmailENR: charles.mcdonald76@proton.me
AddressENR: 841 Spring St
CityENR: Orlando
StateENR: FL
ZIPENR: 32851
GroupENR: GRP-1087
PlanENR: MEDICARE-ADV-A

Min confidence

0.96

Sources

PRV ×2ENR ×1CLM ×3

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
PRV-28691	PRV	2026-01-29	Charles McDonaldflagged	—	UHC-75613-83	—	—	Rule	0.96	D3 member id + name
ENR-138946	ENR	2026-02-02	Chales McDonaldflagged	1943-08-24	UHC-75613-83	6962489850	841 Spring St, Orlando, FL	Scored	1.00	—
CLM-429689	CLM	2026-05-05	McDonald Charlesflagged	1943-08-24	UHC-75613-83	—	841 Spring St, Orlando, FL	Rule	0.99	D1 member id + dob exact
CLM-429687	CLM	2026-07-02	Charles McDonaldflagged	1943-08-24	—	—	841 Spring St, Orlando, FL	Scored	1.00	—
CLM-429688	CLM	2026-08-20	Charlas McDonaldflagged	1943-08-24	UHC-75613-83	—	841 Spring St, Orlando, FL	Scored	0.99	—
PRV-28692	PRV	2026-10-06	Charles McDonaldflagged	1943-08-24	—	6962489850	841 Spring St, Orlando, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-429687CLMPRV-28692PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-138946ENRPRV-28692PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-138946ENRCLM-429687CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-429687CLMCLM-429688CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-429688CLMPRV-28692PRV0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-138946ENRCLM-429688CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-429689CLMCLM-429688CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.92	3	swapped
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-138946ENRCLM-429689CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3	swapped
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-28691PRVCLM-429688CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-28691PRVCLM-429689CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-28691PRVENR-138946ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-429687 → UHC-75613-83 (Charles McDonald)
ACT-005379, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyb8999f5899
scoring_agent, PRV-28692, identity id MBR-008597, confidence 1, method probabilistic, matched record CLM-429687, policy version 1
2026-10-19 19:54:38Record linked automatically9ee634aec2
scoring_agent, CLM-429688, identity id MBR-008597, confidence 0.99, method probabilistic, matched record CLM-429687, policy version 1
2026-10-19 19:54:38Record linked automatically8848c92a97
scoring_agent, CLM-429687, identity id MBR-008597, confidence 1, method probabilistic, matched record PRV-28692, policy version 1
2026-10-19 19:54:38Record linked automatically0ddc9fc4c0
matching_agent, CLM-429689, identity id MBR-008597, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138946
2026-10-19 19:54:38Record linked automatically589582a32a
scoring_agent, ENR-138946, identity id MBR-008597, confidence 1.00, method probabilistic, matched record PRV-28692, policy version 1
2026-10-19 19:54:38Record linked automatically44a4f0634a
matching_agent, PRV-28691, identity id MBR-008597, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-138946
2026-10-19 19:52:09Record linked automaticallydf21c32322
scoring_agent, PRV-28692, identity id MBR-008597, confidence 1, method probabilistic, matched record CLM-429687, policy version 1
2026-10-19 19:52:09Record linked automaticallydeed0c2da9
scoring_agent, CLM-429688, identity id MBR-008597, confidence 0.99, method probabilistic, matched record CLM-429687, policy version 1
2026-10-19 19:52:09Record linked automatically5f842fcdc4
scoring_agent, CLM-429687, identity id MBR-008597, confidence 1, method probabilistic, matched record PRV-28692, policy version 1
2026-10-19 19:52:09Record linked automatically36a6e01fc2
matching_agent, CLM-429689, identity id MBR-008597, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138946
2026-10-19 19:52:09Record linked automatically773f8e6842
scoring_agent, ENR-138946, identity id MBR-008597, confidence 1.00, method probabilistic, matched record PRV-28692, policy version 1
2026-10-19 19:52:09Record linked automaticallydaf1d539e2
matching_agent, PRV-28691, identity id MBR-008597, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-138946
2026-10-19 19:45:42Record linked automaticallye8b64ee656
scoring_agent, PRV-28692, identity id MBR-008597, confidence 1, method probabilistic, matched record CLM-429687, policy version 1
2026-10-19 19:45:42Record linked automatically557ecf498b
scoring_agent, CLM-429688, identity id MBR-008597, confidence 0.99, method probabilistic, matched record CLM-429687, policy version 1
2026-10-19 19:45:42Record linked automaticallye8366213c8
scoring_agent, CLM-429687, identity id MBR-008597, confidence 1, method probabilistic, matched record PRV-28692, policy version 1
2026-10-19 19:45:42Record linked automatically9707b068b6
matching_agent, CLM-429689, identity id MBR-008597, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138946
2026-10-19 19:45:42Record linked automatically37655b7b1f
scoring_agent, ENR-138946, identity id MBR-008597, confidence 1.00, method probabilistic, matched record PRV-28692, policy version 1
2026-10-19 19:45:42Record linked automatically09c70d90db
matching_agent, PRV-28691, identity id MBR-008597, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-138946
2026-10-19 19:32:31Record linked automatically0d57839ca5
scoring_agent, PRV-28692, identity id MBR-008597, confidence 1, method probabilistic, matched record CLM-429687, policy version 1
2026-10-19 19:32:31Record linked automaticallydd4262d4ce
scoring_agent, CLM-429688, identity id MBR-008597, confidence 0.99, method probabilistic, matched record CLM-429687, policy version 1
2026-10-19 19:32:31Record linked automaticallyccadecb3ae
scoring_agent, CLM-429687, identity id MBR-008597, confidence 1, method probabilistic, matched record PRV-28692, policy version 1
2026-10-19 19:32:31Record linked automatically26d480a47e
matching_agent, CLM-429689, identity id MBR-008597, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138946
2026-10-19 19:32:31Record linked automatically6731b6a3be
scoring_agent, ENR-138946, identity id MBR-008597, confidence 1.00, method probabilistic, matched record PRV-28692, policy version 1
2026-10-19 19:32:31Record linked automatically84c885c0fc
matching_agent, PRV-28691, identity id MBR-008597, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-138946
2026-10-19 19:31:28Record linked automaticallyc1991487dd
matching_agent, CLM-429689, identity id MBR-025713, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-139216
2026-10-19 19:31:28Record linked automaticallyf1e2c960e5
scoring_agent, CLM-429688, identity id MBR-012342, confidence 1, method probabilistic, matched record ENR-139215, policy version 1
2026-10-19 19:31:28Record linked automatically5c399df294
scoring_agent, CLM-429687, identity id MBR-012342, confidence 1, method probabilistic, matched record CLM-429688, policy version 1
2026-10-19 19:31:28Record linked automatically102251abc8
scoring_agent, PRV-28692, identity id MBR-010397, confidence 0.99, method probabilistic, matched record TPA-62984, policy version 1
2026-10-19 19:31:28Record linked automatically96c36742e8
matching_agent, PRV-28691, identity id MBR-005205, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139050

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-2026-033616	2026-08-04	Mesa Medical Group in network	99232	$229.00	$0.00	Approved	Approved
CLM-2026-015341	2026-06-28	Northgate Counseling Center in network	90837	$237.00	$71.94	Approved	Approved
CLM-2026-022899	2026-04-18	Lakeside Internal Medicine Associates in network	80053, 99215, 99214	$712.00	$421.44	Approved	Approved