Robert Ross

4 source records from 2 feeds.

MBR-008813Verified4 records

Golden record

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

First nameCLM: Robert
Middle name—: —
Last nameCLM: Ross
Date of birthCLM: 1997-08-18
GenderCLM: F
Member IDCLM: UHC-39201-16
SSNCLM: •••-••-2371
PhoneCLM: 3817295403
EmailTPA: robert.ross@proton.me
AddressCLM: 6404 Central Ave
CityCLM: Gilbert
StateCLM: AZ
ZIPCLM: 85224
GroupCLM: GRP-0126
PlanCLM: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

TPA ×2CLM ×2

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
TPA-52294	TPA	2026-01-30	Robert Rossflagged	1997-08-18	—	—	6404 Central Ave, Gilbert, AZ	Scored	1.00	—
CLM-405237	CLM	2026-03-13	Robert Rossflagged	1997-08-18	UHC-39201-16	3817295403	6404 Central Ave, Gilbert, AZ	Scored	1.00	—
CLM-405236	CLM	2026-09-17	Robert Rossflagged	1997-08-18	—	—	6404 Central Ave, Gilbert, AZ	Scored	1.00	—
TPA-52295	TPA	2026-10-15	Robert Rossflagged	1997-08-18	—	—	6404 Central Ave, Gilbert, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-52294TPACLM-405236CLM1.00Scoredweighted 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

▶CLM-405237 CLMCLM-405236CLM1.00Scoredweighted 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

▶TPA-52294TPATPA-52295TPA1.00Scoredweighted 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

▶CLM-405237 CLMTPA-52295TPA1.00Scoredweighted 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

▶CLM-405236CLMTPA-52295TPA1.00Scoredweighted 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

▶TPA-52294TPACLM-405237 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-405236 → UHC-39201-16 (Robert Ross)
ACT-002836, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyc5320ebef0
scoring_agent, TPA-52295, identity id MBR-008813, confidence 1, method probabilistic, matched record TPA-52294, policy version 1
2026-10-19 19:54:38Record linked automatically63a5d3378a
scoring_agent, CLM-405236, identity id MBR-008813, confidence 1, method probabilistic, matched record TPA-52294, policy version 1
2026-10-19 19:54:38Record linked automaticallya9b59848b2
scoring_agent, CLM-405237, identity id MBR-008813, confidence 1, method probabilistic, matched record CLM-405236, policy version 1
2026-10-19 19:54:38Record linked automatically93a8272092
scoring_agent, TPA-52294, identity id MBR-008813, confidence 1, method probabilistic, matched record CLM-405236, policy version 1
2026-10-19 19:52:09Record linked automatically7a574b673b
scoring_agent, TPA-52295, identity id MBR-008813, confidence 1, method probabilistic, matched record TPA-52294, policy version 1
2026-10-19 19:52:09Record linked automaticallye4dd56ca6c
scoring_agent, CLM-405236, identity id MBR-008813, confidence 1, method probabilistic, matched record TPA-52294, policy version 1
2026-10-19 19:52:09Record linked automatically51655031ac
scoring_agent, CLM-405237, identity id MBR-008813, confidence 1, method probabilistic, matched record CLM-405236, policy version 1
2026-10-19 19:52:09Record linked automatically11b8b27d2f
scoring_agent, TPA-52294, identity id MBR-008813, confidence 1, method probabilistic, matched record CLM-405236, policy version 1
2026-10-19 19:45:42Record linked automatically7f059a014a
scoring_agent, TPA-52295, identity id MBR-008813, confidence 1, method probabilistic, matched record TPA-52294, policy version 1
2026-10-19 19:45:42Record linked automaticallye3eb560912
scoring_agent, CLM-405236, identity id MBR-008813, confidence 1, method probabilistic, matched record TPA-52294, policy version 1
2026-10-19 19:45:42Record linked automaticallyd2596bb1e4
scoring_agent, CLM-405237, identity id MBR-008813, confidence 1, method probabilistic, matched record CLM-405236, policy version 1
2026-10-19 19:45:42Record linked automatically7786122d5c
scoring_agent, TPA-52294, identity id MBR-008813, confidence 1, method probabilistic, matched record CLM-405236, policy version 1
2026-10-19 19:32:31Record linked automaticallyb65c728869
scoring_agent, TPA-52295, identity id MBR-008813, confidence 1, method probabilistic, matched record TPA-52294, policy version 1
2026-10-19 19:32:31Record linked automaticallyfb3a63e936
scoring_agent, CLM-405236, identity id MBR-008813, confidence 1, method probabilistic, matched record TPA-52294, policy version 1
2026-10-19 19:32:31Record linked automaticallyb5eae276ed
scoring_agent, CLM-405237, identity id MBR-008813, confidence 1, method probabilistic, matched record CLM-405236, policy version 1
2026-10-19 19:32:31Record linked automatically2bb8a539e2
scoring_agent, TPA-52294, identity id MBR-008813, confidence 1, method probabilistic, matched record CLM-405236, policy version 1
2026-10-19 19:31:28Record linked automaticallyfdb04543fb
matching_agent, CLM-405236, identity id MBR-028715, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106862
2026-10-19 19:31:28Record linked automaticallya233940b68
matching_agent, TPA-52295, identity id MBR-023453, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-106713
2026-10-19 19:31:28Record linked automatically0f975d81e6
matching_agent, CLM-405237, identity id MBR-022492, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106866

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-2026-005683	2026-09-12	Summit Cardiovascular Associates in network	93224	$379.00	—	Denied	Denied
CLM-2026-005682	2026-09-12	Summit Cardiovascular Associates in network	93224	$379.00	$174.98	Approved	Approved
CLM-2026-026967	2026-01-27	Lakeside Reference Lab in network	80053, 80061, 85025	$162.00	$0.00	Approved	Approved