Identities/MBR-010242
Gold, golden identity

Paul Bailey

6 source records from 3 feeds.

MBR-010242Verified6 records

Golden record

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

First nameENR
Paul
Middle name—
—
Last nameENR
Bailey
Date of birthENR
1947-01-06
GenderENR
F
Member IDENR
UHC-74026-83
SSNENR
•••-••-4668
PhoneENR
3434219269
Email—
—
AddressENR
2994 Pine Dr
CityENR
Las Vegas
StateENR
NV
ZIPENR
89146
GroupENR
GRP-5576
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
CLM ×4PRV ×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

1.001.000.991.000.991.00CLMCLM-410601CLMCLM-410599PRVPRV-23057CLMCLM-410602CLMCLM-410600ENRENR-113907IDMBR-010242
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
CLM-410601CLM2026-02-04Paul Baileyflagged1947-01-06—34342192692994 Pine Dr, Las Vegas, NVScored1.00—
CLM-410599CLM2026-03-01Paul Baileyflagged1947-01-06——2994 Pine Dr, Las Vegas, NVScored1.00—
PRV-23057PRV2026-03-01Paul Baileyflagged1947-01-06UHC-74026-8334342192692994 Pine Dr, Las Vegas, NVRule0.99D1 member id + dob exact
CLM-410602CLM2026-03-21Paul Baileyflagged1947-01-06UHC-74026-83—2994 Pine Dr # 188, Las Vegas, NVScored1.00—
CLM-410600CLM2026-08-10Paul Baileyflagged1947-01-06UHC-74026-83——Rule0.99D1 member id + dob exact
ENR-113907ENR2026-08-27Paul Baileyflagged1947-01-06UHC-74026-8334342192692994 Pine Dr, Las Vegas, NVScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-410601 CLMCLM-410599CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410599CLMCLM-410602 CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410599CLMENR-113907ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-23057PRVCLM-410600CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410602 CLMCLM-410600CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-23057PRVCLM-410602 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-23057PRVENR-113907ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-410602 CLMENR-113907ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-410600CLMENR-113907ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410601 CLMCLM-410602 CLM0.97RuleD2 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
▶CLM-410601 CLMENR-113907ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-410601 CLMPRV-23057PRV0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-410599CLMPRV-23057PRV0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410601 CLMCLM-410600CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-410599CLMCLM-410600CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-410599 → UHC-74026-83 (Paul Bailey)
    ACT-004618, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-410601 → UHC-74026-83 (Paul Bailey)
    ACT-006326, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically45572c475e
    scoring_agent, ENR-113907, identity id MBR-010242, confidence 1, method probabilistic, matched record CLM-410599, policy version 1
  • 2026-10-19 19:54:38Record linked automatically21900eb565
    matching_agent, CLM-410600, identity id MBR-010242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23057
  • 2026-10-19 19:54:38Record linked automaticallyb6caa67e4f
    scoring_agent, CLM-410602, identity id MBR-010242, confidence 1, method probabilistic, matched record CLM-410599, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd27e12cbc7
    matching_agent, PRV-23057, identity id MBR-010242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410602
  • 2026-10-19 19:54:38Record linked automatically082ad5c199
    scoring_agent, CLM-410599, identity id MBR-010242, confidence 1, method probabilistic, matched record CLM-410601, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb2b0d8ccd3
    scoring_agent, CLM-410601, identity id MBR-010242, confidence 1, method probabilistic, matched record CLM-410599, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6552c32290
    scoring_agent, ENR-113907, identity id MBR-010242, confidence 1, method probabilistic, matched record CLM-410599, policy version 1
  • 2026-10-19 19:52:09Record linked automatically838b2f1574
    matching_agent, CLM-410600, identity id MBR-010242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23057
  • 2026-10-19 19:52:09Record linked automatically6f3a500a63
    scoring_agent, CLM-410602, identity id MBR-010242, confidence 1, method probabilistic, matched record CLM-410599, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7334717019
    matching_agent, PRV-23057, identity id MBR-010242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410602
  • 2026-10-19 19:52:09Record linked automatically19875d8f52
    scoring_agent, CLM-410599, identity id MBR-010242, confidence 1, method probabilistic, matched record CLM-410601, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd7208dbf65
    scoring_agent, CLM-410601, identity id MBR-010242, confidence 1, method probabilistic, matched record CLM-410599, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7abb4ccaa6
    scoring_agent, ENR-113907, identity id MBR-010242, confidence 1, method probabilistic, matched record CLM-410599, policy version 1
  • 2026-10-19 19:45:42Record linked automatically65acc4251d
    matching_agent, CLM-410600, identity id MBR-010242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23057
  • 2026-10-19 19:45:42Record linked automatically6436e311fa
    scoring_agent, CLM-410602, identity id MBR-010242, confidence 1, method probabilistic, matched record CLM-410599, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4630680c8f
    matching_agent, PRV-23057, identity id MBR-010242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410602
  • 2026-10-19 19:45:42Record linked automatically258a9f9a06
    scoring_agent, CLM-410599, identity id MBR-010242, confidence 1, method probabilistic, matched record CLM-410601, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8c8de3aa4b
    scoring_agent, CLM-410601, identity id MBR-010242, confidence 1, method probabilistic, matched record CLM-410599, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc4db42bac0
    scoring_agent, ENR-113907, identity id MBR-010242, confidence 1, method probabilistic, matched record CLM-410599, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5681b01fe0
    matching_agent, CLM-410600, identity id MBR-010242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23057
  • 2026-10-19 19:32:31Record linked automaticallyd81c3d9fd4
    scoring_agent, CLM-410602, identity id MBR-010242, confidence 1, method probabilistic, matched record CLM-410599, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2df8dcfc62
    matching_agent, PRV-23057, identity id MBR-010242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410602
  • 2026-10-19 19:32:31Record linked automatically4f7ca6692d
    scoring_agent, CLM-410599, identity id MBR-010242, confidence 1, method probabilistic, matched record CLM-410601, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9944bdf5a0
    scoring_agent, CLM-410601, identity id MBR-010242, confidence 1, method probabilistic, matched record CLM-410599, policy version 1
  • 2026-10-19 19:31:28Record linked automatically04e5c211c7
    matching_agent, CLM-410599, identity id MBR-028121, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-114022
  • 2026-10-19 19:31:28Record linked automatically5ef7258608
    matching_agent, CLM-410602, identity id MBR-026787, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-114024
  • 2026-10-19 19:31:28Record linked automaticallyf4ea268315
    matching_agent, ENR-113907, identity id MBR-020202, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113906
  • 2026-10-19 19:31:28Record linked automaticallya5bc3f9df1
    matching_agent, CLM-410601, identity id MBR-013102, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114023
  • 2026-10-19 19:31:28Record linked automatically0d85564507
    matching_agent, CLM-410600, identity id MBR-013102, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114023
  • 2026-10-19 19:31:28Record linked automatically0fee3a0d92
    matching_agent, PRV-23057, identity id MBR-003715, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113560

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0314772026-07-08Mesa Primary Care Associates
in network
70553$3,180.00—Needs reviewNeeds review
CLM-2026-0159032026-02-24Sunrise Community Hospital
in network
99285, 71046, 96374$2,549.00$1,251.95ApprovedApproved
CLM-2026-0124582026-02-01Sunrise Medical Group
in network
99203, 90471$250.00$130.00ApprovedApproved
CLM-2026-0187942026-01-24Canyon Regional Medical Center
in network
96374, 99283$1,021.00—Needs reviewNeeds review
CLM-2026-0187932026-01-24Unity Community Hospital
in network
96374, 99283$1,021.00$457.05ApprovedApproved