Identities/MBR-009533

Gold, golden identity

Benjamin I Jones

5 source records from 4 feeds.

MBR-009533Verified5 records

Golden record

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

First namePRV: Benjamin
Middle nameENR: I
Last nameENR: Jones
Date of birthENR: 1989-02-11
GenderENR: F
Member IDENR: UHC-75457-98
SSNENR: •••-••-2543
PhoneENR: 7936477754
EmailENR: benjamin.jones47@gmail.com
AddressENR: 5630 Baseline Rd
CityENR: Plano
StateENR: TX
ZIPENR: 75019
GroupENR: GRP-5352
PlanENR: CORE-HMO

Min confidence

0.96

Sources

TPA ×1PRV ×1CLM ×2ENR ×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
TPA-63708	TPA	2026-02-01	Benjamin Jonesflagged	1989-02-11	—	7936477754	5630 Baseline Rd, Plano, TX	Scored	1.00	—
PRV-29064	PRV	2026-03-15	Benjamin Jonesflagged	—	UHC-75457-98	7936477754	5630 Baseline Rd, Plano, TX	Scored	1.00	—
CLM-431017	CLM	2026-07-16	Benjamin Jonesflagged	1988-02-11	UHC-75457-98	7936477754	5630 Baseline Rd, Plano, TX	Rule	0.96	D3 member id + name
ENR-140738	ENR	2026-08-28	Ben Jonesflagged	1989-02-11	UHC-75457-98	7936477754	5630 Baseline Rd, Plano, TX	Scored	1.00	—
CLM-431018	CLM	2026-08-29	Benjamin Jonesflagged	1989-02-11	UHC-75457-98	—	5630 Baseline Rd, Plano, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-63708TPACLM-431018CLM1.00Scoredweighted 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-63708TPAENR-140738ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-63708TPAPRV-29064PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-140738ENRCLM-431018CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-29064PRVCLM-431017CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-29064PRVCLM-431018CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431017CLMCLM-431018CLM0.96RuleD3 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

▶PRV-29064PRVENR-140738ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-431017CLMENR-140738ENR0.96RuleD3 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-63708TPACLM-431017CLM0.84Scoredweighted similaritySent to steward

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

Identifiers agreeing: 2Conflicts: noneGuard: none

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 automaticallyed6c9cbc2f
scoring_agent, CLM-431018, identity id MBR-009533, confidence 1, method probabilistic, matched record TPA-63708, policy version 1
2026-10-19 19:54:38Record linked automaticallyce074d102a
scoring_agent, ENR-140738, identity id MBR-009533, confidence 1, method probabilistic, matched record TPA-63708, policy version 1
2026-10-19 19:54:38Record linked automatically0e550e053a
matching_agent, CLM-431017, identity id MBR-009533, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-29064
2026-10-19 19:54:38Record linked automaticallyc3a2c9bf4d
scoring_agent, PRV-29064, identity id MBR-009533, confidence 1, method probabilistic, matched record TPA-63708, policy version 1
2026-10-19 19:54:38Record linked automatically4339802439
scoring_agent, TPA-63708, identity id MBR-009533, confidence 1, method probabilistic, matched record ENR-140738, policy version 1
2026-10-19 19:52:09Record linked automatically207bb5c6ca
scoring_agent, CLM-431018, identity id MBR-009533, confidence 1, method probabilistic, matched record TPA-63708, policy version 1
2026-10-19 19:52:09Record linked automatically15b57c1443
scoring_agent, ENR-140738, identity id MBR-009533, confidence 1, method probabilistic, matched record TPA-63708, policy version 1
2026-10-19 19:52:09Record linked automatically3f68ade895
matching_agent, CLM-431017, identity id MBR-009533, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-29064
2026-10-19 19:52:09Record linked automaticallyc289721cfa
scoring_agent, PRV-29064, identity id MBR-009533, confidence 1, method probabilistic, matched record TPA-63708, policy version 1
2026-10-19 19:52:09Record linked automaticallya617149dd0
scoring_agent, TPA-63708, identity id MBR-009533, confidence 1, method probabilistic, matched record ENR-140738, policy version 1
2026-10-19 19:45:42Record linked automatically9bc576beff
scoring_agent, CLM-431018, identity id MBR-009533, confidence 1, method probabilistic, matched record TPA-63708, policy version 1
2026-10-19 19:45:42Record linked automatically4a5c0fbbc3
scoring_agent, ENR-140738, identity id MBR-009533, confidence 1, method probabilistic, matched record TPA-63708, policy version 1
2026-10-19 19:45:42Record linked automaticallyd350b54a01
matching_agent, CLM-431017, identity id MBR-009533, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-29064
2026-10-19 19:45:42Record linked automatically19832e6558
scoring_agent, PRV-29064, identity id MBR-009533, confidence 1, method probabilistic, matched record TPA-63708, policy version 1
2026-10-19 19:45:42Record linked automaticallyb886964077
scoring_agent, TPA-63708, identity id MBR-009533, confidence 1, method probabilistic, matched record ENR-140738, policy version 1
2026-10-19 19:32:31Record linked automatically35c780d6fc
scoring_agent, CLM-431018, identity id MBR-009533, confidence 1, method probabilistic, matched record TPA-63708, policy version 1
2026-10-19 19:32:31Record linked automaticallyd25224b9d4
scoring_agent, ENR-140738, identity id MBR-009533, confidence 1, method probabilistic, matched record TPA-63708, policy version 1
2026-10-19 19:32:31Record linked automatically32b2dd3c48
matching_agent, CLM-431017, identity id MBR-009533, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-29064
2026-10-19 19:32:31Record linked automatically092a99a2e6
scoring_agent, PRV-29064, identity id MBR-009533, confidence 1, method probabilistic, matched record TPA-63708, policy version 1
2026-10-19 19:32:31Record linked automatically2bfba9aa98
scoring_agent, TPA-63708, identity id MBR-009533, confidence 1, method probabilistic, matched record ENR-140738, policy version 1
2026-10-19 19:31:28Record linked automatically3e3340684b
scoring_agent, CLM-431018, identity id MBR-036886, confidence 1, method probabilistic, matched record CLM-431019, policy version 1
2026-10-19 19:31:28Record linked automatically6b7505a2a6
scoring_agent, CLM-431017, identity id MBR-035393, confidence 1, method probabilistic, matched record PRV-29073, policy version 1
2026-10-19 19:31:28Record linked automatically4698cc4692
scoring_agent, PRV-29064, identity id MBR-018072, confidence 1, method probabilistic, matched record ENR-140893, policy version 1
2026-10-19 19:31:28Record linked automatically3954dc9c55
matching_agent, ENR-140738, identity id MBR-016796, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29033
2026-10-19 19:31:28Record linked automatically68dd482f43
scoring_agent, TPA-63708, identity id MBR-007257, confidence 0.90, method probabilistic, matched record ENR-141270, 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-2026-024935	2026-08-04	Canyon Regional Medical Center in network	99285, 99283	$3,406.00	$1,623.30	Approved	Approved
CLM-2026-006674	2026-07-11	Unity Dermatology Clinic in network	99213, 17110	$437.00	$210.94	Approved	Approved