Identities/MBR-010389

Gold, golden identity

John C Hughes

6 source records from 3 feeds.

MBR-010389Verified6 records

Golden record

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

First nameCLM: John
Middle nameENR: C
Last nameENR: Hughes
Date of birthENR: 1947-09-08
GenderCLM: F
Member IDENR: UHC-46207-33
SSNENR: •••-••-7397
PhoneENR: 3283352963
Email—: —
AddressENR: 1769 Mesa Dr
CityENR: Tempe
StateENR: AZ
ZIPENR: 85216
GroupENR: GRP-6416
PlanENR: CORE-HMO

Min confidence

0.99

Sources

CLM ×3TPA ×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
CLM-422584	CLM	2026-02-04	John Hughesflagged	1947-09-08	UHC-46207-33	—	1769 Mesa Dr, Tempe, AZ	Rule	0.99	D1 member id + dob exact
CLM-422582	CLM	2026-04-04	John Hughesflagged	1947-09-08	UHC-46207-33	3283352963	1769 Mesa Dr, Tempe, AZ	Scored	1.00	—
TPA-59924	TPA	2026-04-23	John Hughesflagged	1947-09-08	—	3283352963	1769 Mesa Dr, Tempe, AZ	Scored	1.00	—
CLM-422583	CLM	2026-10-11	John Hughesflagged	1947-09-08	—	3283352963	1769 Mesa Dr, Tempe, AZ	Scored	1.00	—
TPA-59925	TPA	2026-10-15	John Hughesflagged	1947-09-08	—	—	1769 Mesa Dr, Tempe, AZ	Scored	1.00	—
ENR-129599	ENR	2026-10-15	Jack Hughesflagged	1947-09-08	UHC-46207-33	3283352963	1769 Mesa Dr, Tempe, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-422582CLMCLM-422583CLM1.00Scoredweighted 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

▶TPA-59924TPACLM-422583CLM1.00Scoredweighted 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

▶TPA-59924TPAENR-129599ENR1.00Scoredweighted 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

▶CLM-422583CLMENR-129599ENR1.00Scoredweighted 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-59925TPAENR-129599ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-422582CLMTPA-59924TPA1.00Scoredweighted 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-422582CLMTPA-59925TPA1.00Scoredweighted 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-59924TPATPA-59925TPA1.00Scoredweighted 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-422583CLMTPA-59925TPA1.00Scoredweighted 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-422584CLMCLM-422582CLM0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-422584CLMENR-129599ENR0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-422582CLMENR-129599ENR0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-422584CLMCLM-422583CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-422584CLMTPA-59924TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-422584CLMTPA-59925TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-422583 → UHC-46207-33 (John Hughes)
ACT-006908, Claims processor
Care coordination outreachProposed
John Hughes: 3 claims, no attributed provider
ACT-018557, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically47aef763ab
scoring_agent, ENR-129599, identity id MBR-010389, confidence 1, method probabilistic, matched record TPA-59924, policy version 1
2026-10-19 19:54:38Record linked automatically3e67757ea5
scoring_agent, TPA-59925, identity id MBR-010389, confidence 1, method probabilistic, matched record CLM-422582, policy version 1
2026-10-19 19:54:38Record linked automaticallyfea73d7331
scoring_agent, CLM-422583, identity id MBR-010389, confidence 1, method probabilistic, matched record CLM-422582, policy version 1
2026-10-19 19:54:38Record linked automatically190f609f45
scoring_agent, TPA-59924, identity id MBR-010389, confidence 1, method probabilistic, matched record CLM-422582, policy version 1
2026-10-19 19:54:38Record linked automatically595988dabf
scoring_agent, CLM-422582, identity id MBR-010389, confidence 1, method probabilistic, matched record TPA-59924, policy version 1
2026-10-19 19:54:38Record linked automaticallyd7e798aa71
matching_agent, CLM-422584, identity id MBR-010389, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422582
2026-10-19 19:52:09Record linked automatically24f52e2968
scoring_agent, ENR-129599, identity id MBR-010389, confidence 1, method probabilistic, matched record TPA-59924, policy version 1
2026-10-19 19:52:09Record linked automaticallyeae46bafc2
scoring_agent, TPA-59925, identity id MBR-010389, confidence 1, method probabilistic, matched record CLM-422582, policy version 1
2026-10-19 19:52:09Record linked automatically954a96e77b
scoring_agent, CLM-422583, identity id MBR-010389, confidence 1, method probabilistic, matched record CLM-422582, policy version 1
2026-10-19 19:52:09Record linked automatically5ebb6bbb06
scoring_agent, TPA-59924, identity id MBR-010389, confidence 1, method probabilistic, matched record CLM-422582, policy version 1
2026-10-19 19:52:09Record linked automatically069cb4441d
scoring_agent, CLM-422582, identity id MBR-010389, confidence 1, method probabilistic, matched record TPA-59924, policy version 1
2026-10-19 19:52:09Record linked automatically8d91c29fde
matching_agent, CLM-422584, identity id MBR-010389, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422582
2026-10-19 19:45:42Record linked automatically5dc06b6581
scoring_agent, ENR-129599, identity id MBR-010389, confidence 1, method probabilistic, matched record TPA-59924, policy version 1
2026-10-19 19:45:42Record linked automatically9723143c62
scoring_agent, TPA-59925, identity id MBR-010389, confidence 1, method probabilistic, matched record CLM-422582, policy version 1
2026-10-19 19:45:42Record linked automatically4b339944bc
scoring_agent, CLM-422583, identity id MBR-010389, confidence 1, method probabilistic, matched record CLM-422582, policy version 1
2026-10-19 19:45:42Record linked automaticallybe312c9e7a
scoring_agent, TPA-59924, identity id MBR-010389, confidence 1, method probabilistic, matched record CLM-422582, policy version 1
2026-10-19 19:45:42Record linked automatically3f7d4316f7
scoring_agent, CLM-422582, identity id MBR-010389, confidence 1, method probabilistic, matched record TPA-59924, policy version 1
2026-10-19 19:45:42Record linked automaticallyb49b8bf1de
matching_agent, CLM-422584, identity id MBR-010389, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422582
2026-10-19 19:32:31Record linked automaticallyb58c0a4ee4
scoring_agent, ENR-129599, identity id MBR-010389, confidence 1, method probabilistic, matched record TPA-59924, policy version 1
2026-10-19 19:32:31Record linked automatically6226ef7201
scoring_agent, TPA-59925, identity id MBR-010389, confidence 1, method probabilistic, matched record CLM-422582, policy version 1
2026-10-19 19:32:31Record linked automaticallyae8c788314
scoring_agent, CLM-422583, identity id MBR-010389, confidence 1, method probabilistic, matched record CLM-422582, policy version 1
2026-10-19 19:32:31Record linked automaticallyffed353db7
scoring_agent, TPA-59924, identity id MBR-010389, confidence 1, method probabilistic, matched record CLM-422582, policy version 1
2026-10-19 19:32:31Record linked automatically30deace383
scoring_agent, CLM-422582, identity id MBR-010389, confidence 1, method probabilistic, matched record TPA-59924, policy version 1
2026-10-19 19:32:31Record linked automatically650c8c32f3
matching_agent, CLM-422584, identity id MBR-010389, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422582
2026-10-19 19:31:28Record linked automaticallyc9f25c8e9e
scoring_agent, ENR-129599, identity id MBR-036298, confidence 1, method probabilistic, matched record CLM-422493, policy version 1
2026-10-19 19:31:28Record linked automaticallyea2658f615
scoring_agent, CLM-422583, identity id MBR-030395, confidence 0.99, method probabilistic, matched record CLM-422584, policy version 1
2026-10-19 19:31:28Record linked automatically79b5ed25c2
scoring_agent, CLM-422584, identity id MBR-030395, confidence 1, method probabilistic, matched record ENR-129726, policy version 1
2026-10-19 19:31:28Record linked automatically71dc79b4ca
scoring_agent, TPA-59924, identity id MBR-027373, confidence 1, method probabilistic, matched record ENR-129705, policy version 1
2026-10-19 19:31:28Record linked automatically63940505a4
matching_agent, CLM-422582, identity id MBR-001239, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422581

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-2026-020961	2026-10-05	Summit Diagnostic Imaging in network	77067, 70553	$2,609.00	$828.34	Approved	Approved
CLM-2026-002022	2026-02-23	Lakeside Internal Medicine Associates in network	99215, 93000	$464.00	$262.68	Approved	Approved
CLM-2026-021105	2026-01-18	Mesa Family Practice in network	36415	$21.00	$0.00	Approved	Approved