Identities/MBR-009446

Gold, golden identity

Gregory F James

5 source records from 2 feeds.

MBR-009446Verified5 records

Golden record

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

First namePRV: Gregory
Middle nameCLM: F
Last namePRV: James
Date of birthPRV: 1971-03-22
GenderCLM: F
Member IDCLM: UHC-64701-90
SSNCLM: •••-••-9335
PhonePRV: 2062741907
EmailPRV: gregory.james@gmail.com
AddressPRV: 669 Desert Sky Blvd
CityPRV: San Antonio
StatePRV: TX
ZIPPRV: 78294
GroupCLM: GRP-7365
PlanPRV: MEDICARE-ADV-B

Min confidence

1.00

Sources

CLM ×4PRV ×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-419334	CLM	2026-02-01	Gregory Jamesflagged	1971-03-22	—	—	8867 Hillcrest Rd # 519, Charlotte, NC	Scored	1.00	—
CLM-419335	CLM	2026-06-23	Gregory Jamesflagged	1971-03-22	UHC-64701-90	2062741907	8867 Hillcrest Rd, Charlotte, NC	Scored	1.00	—
CLM-419333	CLM	2026-07-16	Gregory Jamesflagged	1971-03-22	—	2062741907	669 Desert Sky Blvd, San Antonio, TX	Scored	1.00	—
CLM-419332	CLM	2026-08-13	Gregory Jamesflagged	1971-03-22	UHC-64701-90	—	669 Desert Sky Blvd, San Antonio, TX	Scored	1.00	—
PRV-25749	PRV	2026-09-30	Gregory Jamesflagged	1971-03-22	—	2062741907	669 Desert Sky Blvd, San Antonio, TX	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-419333CLMCLM-419332CLM1.00Scoredweighted 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-419334CLMCLM-419335CLM1.00Scoredweighted 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-419333CLMPRV-25749 PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-419332CLMPRV-25749 PRV1.00Scoredweighted 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-419335CLMCLM-419332CLM0.99RuleD1 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	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-419335CLMPRV-25749 PRV0.82Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-419335CLMCLM-419333CLM0.79Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-419334CLMCLM-419332CLM0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶CLM-419334CLMCLM-419333CLM0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶CLM-419334CLMPRV-25749 PRV0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-419333 → UHC-64701-90 (Gregory James)
ACT-005758, Claims processor
Orphan claim re-pointedExecuted
CLM-419334 → UHC-64701-90 (Gregory James)
ACT-006543, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallybebe3bf5f2
scoring_agent, PRV-25749, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419333, policy version 1
2026-10-19 19:54:38Record linked automatically2895b9d4b6
scoring_agent, CLM-419332, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419333, policy version 1
2026-10-19 19:54:38Record linked automaticallyc92fe79b03
scoring_agent, CLM-419333, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419332, policy version 1
2026-10-19 19:54:38Record linked automatically5fa4598eef
scoring_agent, CLM-419335, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419334, policy version 1
2026-10-19 19:54:38Record linked automatically8d1f01980c
scoring_agent, CLM-419334, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419335, policy version 1
2026-10-19 19:52:09Record linked automaticallyb84f966229
scoring_agent, PRV-25749, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419333, policy version 1
2026-10-19 19:52:09Record linked automatically22e9cc885c
scoring_agent, CLM-419332, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419333, policy version 1
2026-10-19 19:52:09Record linked automatically0105e52c0e
scoring_agent, CLM-419333, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419332, policy version 1
2026-10-19 19:52:09Record linked automatically4b1fb89232
scoring_agent, CLM-419335, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419334, policy version 1
2026-10-19 19:52:09Record linked automaticallydaf2eee288
scoring_agent, CLM-419334, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419335, policy version 1
2026-10-19 19:45:42Record linked automaticallyb0dbfe4f33
scoring_agent, PRV-25749, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419333, policy version 1
2026-10-19 19:45:42Record linked automatically5447dd1b2f
scoring_agent, CLM-419332, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419333, policy version 1
2026-10-19 19:45:42Record linked automatically560f836cff
scoring_agent, CLM-419333, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419332, policy version 1
2026-10-19 19:45:42Record linked automatically363d9b5f1e
scoring_agent, CLM-419335, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419334, policy version 1
2026-10-19 19:45:42Record linked automatically4c9f5da7d7
scoring_agent, CLM-419334, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419335, policy version 1
2026-10-19 19:32:31Record linked automatically24d6c59e7e
scoring_agent, PRV-25749, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419333, policy version 1
2026-10-19 19:32:31Record linked automatically32ee55334d
scoring_agent, CLM-419332, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419333, policy version 1
2026-10-19 19:32:31Record linked automaticallyff094d6790
scoring_agent, CLM-419333, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419332, policy version 1
2026-10-19 19:32:31Record linked automaticallya9e15fa2cc
scoring_agent, CLM-419335, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419334, policy version 1
2026-10-19 19:32:31Record linked automaticallyf452228bd4
scoring_agent, CLM-419334, identity id MBR-009446, confidence 1, method probabilistic, matched record CLM-419335, policy version 1
2026-10-19 19:31:28Record linked automaticallya51161a7f7
matching_agent, CLM-419335, identity id MBR-041080, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125319
2026-10-19 19:31:28Record linked automatically1c460aa4b9
matching_agent, CLM-419333, identity id MBR-025892, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-25653
2026-10-19 19:31:28Record linked automaticallyc08545e2e6
matching_agent, PRV-25749, identity id MBR-020472, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419647
2026-10-19 19:31:28Record linked automaticallye7963b0d51
scoring_agent, CLM-419332, identity id MBR-006406, confidence 1, method probabilistic, matched record ENR-125311, policy version 1
2026-10-19 19:31:28Record linked automatically9c962296e8
matching_agent, CLM-419334, identity id MBR-000748, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-125316

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-004765	2026-07-15	Pinecrest Regional Medical Center in network	96374, 99284	$1,636.00	$770.00	Approved	Approved
CLM-2026-016662	2026-06-17	Riverside Regional Medical Center out of network	96374, 99283	$1,319.00	$484.20	Approved	Approved
CLM-2026-019466	2026-06-16	Lakeside Dermatology Clinic in network	99213	$187.00	$75.94	Approved	Approved
CLM-2026-019615	2025-12-25	Sunrise Dermatology Clinic in network	11403, 11102	$880.00	$505.60	Approved	Approved