Identities/MBR-008627

Gold, golden identity

Ronald R Fuller

5 source records from 3 feeds.

MBR-008627Verified5 records

Golden record

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

First nameENR: Ronald
Middle nameENR: R
Last nameENR: Fuller
Date of birthENR: 1939-02-12
GenderENR: M
Member IDENR: UHC-85530-87
SSNENR: •••-••-9824
PhoneENR: 4367727375
EmailENR: ronald.fuller@gmail.com
AddressENR: 7629 Hillcrest Rd
CityENR: Plano
StateENR: TX
ZIPENR: 75086
GroupENR: GRP-6030
PlanENR: SELECT-EPO

Min confidence

0.96

Sources

PRV ×1ENR ×2CLM ×2

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-24625	PRV	2026-01-29	Ronald Fullerflagged	1939-02-12	UHC-85530-87	4367727375	—	Scored	1.00	—
ENR-120612	ENR	2026-05-09	Ronalld Fullerflagged	1939-02-12	UHC-85530-87	4367727375	7629 Hillcrest Rd, Plano, TX	Scored	1.00	—
CLM-415641	CLM	2026-05-11	Ronald Fullerflagged	1939-02-12	—	4367727375	7629 Hillcrest Rd, Plano, TX	Scored	1.00	—
CLM-415640	CLM	2026-06-11	Ronald Fullerflagged	1939-02-12	—	—	7629 Hillcrest Rd, Plano, TX	Scored	1.00	—
ENR-120613	ENR	2026-08-12	Ronald Fullerflagged	1940-02-12	UHC-85530-87	4367727375	7629 Hillcrest Rd, Plano, TX	Rule	0.96	D3 member id + name

Evidence

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

Score

Method

Rule

Decision

▶CLM-415641CLMCLM-415640 CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-24625PRVCLM-415641CLM1.00Scoredweighted 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

▶ENR-120612ENRCLM-415641CLM1.00Scoredweighted 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-120612ENRCLM-415640 CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-24625PRVENR-120612ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-24625PRVENR-120613ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.25	3	month_day
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-120612ENRENR-120613ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	0.25	3	month_day
Member ID	1.00	4
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶PRV-24625PRVCLM-415640 CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-415641CLMENR-120613ENR0.80Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.25	3	month_day
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-415640 CLMENR-120613ENR0.76Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.25	3	month_day
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-415640 → UHC-85530-87 (Ronald Fuller)
ACT-002314, Claims processor
Orphan claim re-pointedExecuted
CLM-415641 → UHC-85530-87 (Ronald Fuller)
ACT-010303, Claims processor
Duplicate member record retiredExecuted
Ronald Fuller: 2 enrollment records collapsed into UHC-85530-87
ACT-023032, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically880076a893
matching_agent, ENR-120613, identity id MBR-008627, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-24625
2026-10-22 12:43:54Record linked automatically97a2cdf62e
scoring_agent, CLM-415640, identity id MBR-008627, confidence 1, method probabilistic, matched record CLM-415641, policy version 1
2026-10-22 12:43:54Record linked automaticallyb259ca190e
scoring_agent, CLM-415641, identity id MBR-008627, confidence 1, method probabilistic, matched record PRV-24625, policy version 1
2026-10-22 12:43:54Record linked automatically3a2b7834e3
scoring_agent, ENR-120612, identity id MBR-008627, confidence 1.00, method probabilistic, matched record CLM-415641, policy version 1
2026-10-22 12:43:54Record linked automatically97c68cc921
scoring_agent, PRV-24625, identity id MBR-008627, confidence 1, method probabilistic, matched record CLM-415641, policy version 1
2026-10-19 19:54:38Record linked automatically47d2eda2d1
matching_agent, ENR-120613, identity id MBR-008627, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-24625
2026-10-19 19:54:38Record linked automatically6adc342969
scoring_agent, CLM-415640, identity id MBR-008627, confidence 1, method probabilistic, matched record CLM-415641, policy version 1
2026-10-19 19:54:38Record linked automatically59ba912158
scoring_agent, CLM-415641, identity id MBR-008627, confidence 1, method probabilistic, matched record PRV-24625, policy version 1
2026-10-19 19:54:38Record linked automaticallyd2b2da3bdc
scoring_agent, ENR-120612, identity id MBR-008627, confidence 1.00, method probabilistic, matched record CLM-415641, policy version 1
2026-10-19 19:54:38Record linked automatically4f99983a1d
scoring_agent, PRV-24625, identity id MBR-008627, confidence 1, method probabilistic, matched record CLM-415641, policy version 1
2026-10-19 19:52:09Record linked automatically3fcc9a6290
matching_agent, ENR-120613, identity id MBR-008627, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-24625
2026-10-19 19:52:09Record linked automatically9632f307b1
scoring_agent, CLM-415640, identity id MBR-008627, confidence 1, method probabilistic, matched record CLM-415641, policy version 1
2026-10-19 19:52:09Record linked automatically76c4f05203
scoring_agent, CLM-415641, identity id MBR-008627, confidence 1, method probabilistic, matched record PRV-24625, policy version 1
2026-10-19 19:52:09Record linked automatically8b0314280a
scoring_agent, ENR-120612, identity id MBR-008627, confidence 1.00, method probabilistic, matched record CLM-415641, policy version 1
2026-10-19 19:52:09Record linked automatically2c1f619b85
scoring_agent, PRV-24625, identity id MBR-008627, confidence 1, method probabilistic, matched record CLM-415641, policy version 1
2026-10-19 19:45:42Record linked automaticallyc93c2def5a
matching_agent, ENR-120613, identity id MBR-008627, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-24625
2026-10-19 19:45:42Record linked automatically5e142d6d82
scoring_agent, CLM-415640, identity id MBR-008627, confidence 1, method probabilistic, matched record CLM-415641, policy version 1
2026-10-19 19:45:42Record linked automaticallyccafac5c83
scoring_agent, CLM-415641, identity id MBR-008627, confidence 1, method probabilistic, matched record PRV-24625, policy version 1
2026-10-19 19:45:42Record linked automatically86326e3fbc
scoring_agent, ENR-120612, identity id MBR-008627, confidence 1.00, method probabilistic, matched record CLM-415641, policy version 1
2026-10-19 19:45:42Record linked automatically5a5a0dc83d
scoring_agent, PRV-24625, identity id MBR-008627, confidence 1, method probabilistic, matched record CLM-415641, policy version 1
2026-10-19 19:32:31Record linked automatically49852a412e
matching_agent, ENR-120613, identity id MBR-008627, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-24625
2026-10-19 19:32:31Record linked automatically2da320f13d
scoring_agent, CLM-415640, identity id MBR-008627, confidence 1, method probabilistic, matched record CLM-415641, policy version 1
2026-10-19 19:32:31Record linked automatically9db03e2182
scoring_agent, CLM-415641, identity id MBR-008627, confidence 1, method probabilistic, matched record PRV-24625, policy version 1
2026-10-19 19:32:31Record linked automatically0a360585c0
scoring_agent, ENR-120612, identity id MBR-008627, confidence 1.00, method probabilistic, matched record CLM-415641, policy version 1
2026-10-19 19:32:31Record linked automatically351079661a
scoring_agent, PRV-24625, identity id MBR-008627, confidence 1, method probabilistic, matched record CLM-415641, policy version 1
2026-10-19 19:31:28Record linked automatically341c6cd930
scoring_agent, PRV-24625, identity id MBR-037778, confidence 1, method probabilistic, matched record ENR-120648, policy version 1
2026-10-19 19:31:28Record linked automaticallyae4ed9ccf0
matching_agent, ENR-120613, identity id MBR-015520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415741
2026-10-19 19:31:28Record linked automaticallyaec3f752f6
scoring_agent, CLM-415641, identity id MBR-009875, confidence 0.99, method probabilistic, matched record CLM-415640, policy version 1
2026-10-19 19:31:28Record linked automatically7d79d3d3bf
scoring_agent, CLM-415640, identity id MBR-009875, confidence 0.99, method probabilistic, matched record CLM-415641, policy version 1

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-2026-003664	2026-06-08	Evergreen Orthopedic Specialists in network	73721	$1,585.00	$0.00	Approved	Approved
CLM-2026-034107	2026-04-06	Riverside Regional Medical Center out of network	71046, 99285	$1,899.00	—	Needs review	Needs review
CLM-2026-034106	2026-04-06	Riverside Community Hospital in network	71046, 99285	$1,899.00	$914.10	Approved	Approved