Identities/MBR-010098
Gold, golden identity

Roy N Duncan

3 source records from 3 feeds.

MBR-010098Verified3 records

Golden record

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

First nameENR
Roy
Middle nameENR
N
Last nameENR
Duncan
Date of birthENR
1974-12-12
GenderENR
M
Member IDENR
UHC-19828-47
SSNENR
•••-••-0325
PhoneENR
7528507158
Email—
—
AddressENR
6138 Grand Ave # 573
CityENR
Sacramento
StateENR
CA
ZIPENR
95879
GroupENR
GRP-2953
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
TPA ×1CLM ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

0.990.990.99TPATPA-61766CLMCLM-426638ENRENR-134935IDMBR-010098
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
TPA-61766TPA2026-02-03Roy Duncanflagged1974-12-12——6138 Grand Ave, Sacramento, CAScored0.99—
CLM-426638CLM2026-07-11Roy Dnucanflagged1974-12-12——6138 Grand Ave, Sacramento, CAScored0.99—
ENR-134935ENR2026-10-02Roy Duncanflagged1974-12-12UHC-19828-4775285071586138 Grand Ave # 573, Sacramento, CAScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-61766TPACLM-426638CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-426638CLMENR-134935ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-61766TPAENR-134935ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-426638 → UHC-19828-47 (Roy Duncan)
    ACT-008086, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically0a47bb03c9
    scoring_agent, ENR-134935, identity id MBR-010098, confidence 0.99, method probabilistic, matched record CLM-426638, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb204688843
    scoring_agent, CLM-426638, identity id MBR-010098, confidence 0.99, method probabilistic, matched record TPA-61766, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyad45b88516
    scoring_agent, TPA-61766, identity id MBR-010098, confidence 0.99, method probabilistic, matched record CLM-426638, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd289fef1bf
    scoring_agent, ENR-134935, identity id MBR-010098, confidence 0.99, method probabilistic, matched record CLM-426638, policy version 1
  • 2026-10-19 19:52:09Record linked automatically43df1e3eb0
    scoring_agent, CLM-426638, identity id MBR-010098, confidence 0.99, method probabilistic, matched record TPA-61766, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyab850edfd3
    scoring_agent, TPA-61766, identity id MBR-010098, confidence 0.99, method probabilistic, matched record CLM-426638, policy version 1
  • 2026-10-19 19:45:42Record linked automatically36c673c0de
    scoring_agent, ENR-134935, identity id MBR-010098, confidence 0.99, method probabilistic, matched record CLM-426638, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2c7c6d5564
    scoring_agent, CLM-426638, identity id MBR-010098, confidence 0.99, method probabilistic, matched record TPA-61766, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf546f51f99
    scoring_agent, TPA-61766, identity id MBR-010098, confidence 0.99, method probabilistic, matched record CLM-426638, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0e1fc181b8
    scoring_agent, ENR-134935, identity id MBR-010098, confidence 0.99, method probabilistic, matched record CLM-426638, policy version 1
  • 2026-10-19 19:32:31Record linked automatically10c3690bfb
    scoring_agent, CLM-426638, identity id MBR-010098, confidence 0.99, method probabilistic, matched record TPA-61766, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0a6367c7cc
    scoring_agent, TPA-61766, identity id MBR-010098, confidence 0.99, method probabilistic, matched record CLM-426638, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallybe7e843b15
    scoring_agent, CLM-426638, identity id MBR-008944, confidence 1, method probabilistic, matched record ENR-135233, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0c13fdeec6
    matching_agent, ENR-134935, identity id MBR-007155, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-426414

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0255512026-07-07Meadow Reference Lab
out of network
87086$31.00—Needs reviewNeeds review
CLM-2026-0255502026-07-07Meadow Reference Lab
out of network
87086$31.00$0.00ApprovedApproved