Identities/MBR-010455
Gold, golden identity

Luis W Wallace

5 source records from 2 feeds.

MBR-010455Verified5 recordsOpen steward case

Golden record

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

First namePRV
Luis
Middle nameCLM
W
Last namePRV
Wallace
Date of birthPRV
1939-02-04
GenderPRV
F
Member IDPRV
UHC-03439-03
SSN—
—
PhonePRV
4455931112
EmailCLM
luis.wallace88@outlook.com
AddressPRV
6713 Main St
CityPRV
Columbus
StatePRV
OH
ZIPPRV
43232
GroupCLM
GRP-1558
PlanCLM
CHOICE-PLUS-PPO
Min confidence
0.99
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

1.001.001.000.990.99CLMCLM-402786CLMCLM-402787PRVPRV-20797CLMCLM-402788CLMCLM-402789IDMBR-010455
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-402786CLM2026-02-04Luis Wallaceflagged1939-02-04UHC-03439-0344559311126713 Main St, Columbus, OHScored1.00—
CLM-402787CLM2026-03-13Luis Wallaceflagged1939-02-04——6713 Main St, Columbus, OHScored1.00—
PRV-20797PRV2026-05-06Luis Wallaceflagged1939-02-04UHC-03439-0344559311126713 Main St, Columbus, OHScored1.00—
CLM-402788CLM2026-08-10Luis Wallaceflagged1939-02-04UHC-03439-03——Rule0.99D1 member id + dob exact
CLM-402789CLM2026-08-10Luis Wallaceflagged1939-02-04UHC-03439-03——Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-402786CLMCLM-402787CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402787CLMPRV-20797PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402786CLMCLM-402788CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-20797PRVCLM-402788CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402786CLMCLM-402789CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-20797PRVCLM-402789CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402788CLMCLM-402789CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402786CLMPRV-20797PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-402787CLMCLM-402788CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-402787CLMCLM-402789CLM0.83Scoredweighted 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-402787 → UHC-03439-03 (Luis Wallace)
    ACT-007040, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically6986b278da
    matching_agent, CLM-402789, identity id MBR-010455, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402786
  • 2026-10-19 19:54:38Record linked automatically1e7836921b
    matching_agent, CLM-402788, identity id MBR-010455, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402786
  • 2026-10-19 19:54:38Record linked automaticallybdd9202984
    scoring_agent, PRV-20797, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402787, policy version 1
  • 2026-10-19 19:54:38Record linked automatically25585eca58
    scoring_agent, CLM-402787, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402786, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4fb8010110
    scoring_agent, CLM-402786, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402787, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd68b62ede1
    matching_agent, CLM-402789, identity id MBR-010455, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402786
  • 2026-10-19 19:52:09Record linked automaticallya147acbf58
    matching_agent, CLM-402788, identity id MBR-010455, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402786
  • 2026-10-19 19:52:09Record linked automaticallyf41e537ec9
    scoring_agent, PRV-20797, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402787, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6e32ce508c
    scoring_agent, CLM-402787, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402786, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2216cb7a81
    scoring_agent, CLM-402786, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402787, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1028c9410f
    matching_agent, CLM-402789, identity id MBR-010455, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402786
  • 2026-10-19 19:45:42Record linked automatically1f48444468
    matching_agent, CLM-402788, identity id MBR-010455, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402786
  • 2026-10-19 19:45:42Record linked automaticallyda6e13aebd
    scoring_agent, PRV-20797, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402787, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2e99410afa
    scoring_agent, CLM-402787, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402786, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyaad8cec1ab
    scoring_agent, CLM-402786, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402787, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4bb7a1a3c5
    matching_agent, CLM-402789, identity id MBR-010455, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402786
  • 2026-10-19 19:32:31Record linked automaticallyd911de6871
    matching_agent, CLM-402788, identity id MBR-010455, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402786
  • 2026-10-19 19:32:31Record linked automatically4f9b5d4d1a
    scoring_agent, PRV-20797, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402787, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9e5fc79438
    scoring_agent, CLM-402787, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402786, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc00c7805e3
    scoring_agent, CLM-402786, identity id MBR-010455, confidence 1, method probabilistic, matched record CLM-402787, policy version 1
  • 2026-10-19 19:31:28Record linked automatically91e94e6393
    matching_agent, CLM-402789, identity id MBR-025533, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103650
  • 2026-10-19 19:31:28Record linked automatically964618ded9
    scoring_agent, CLM-402786, identity id MBR-019505, confidence 1, method probabilistic, matched record CLM-402785, policy version 1
  • 2026-10-19 19:31:28Record linked automatically4799e14805
    scoring_agent, PRV-20797, identity id MBR-005514, confidence 1, method probabilistic, matched record ENR-103405, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9a2b1843bd
    matching_agent, CLM-402788, identity id MBR-000686, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-103648
  • 2026-10-19 19:31:28Record linked automatically894052a6a3
    matching_agent, CLM-402787, identity id MBR-000686, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-103648

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0199892026-07-03Mesa Dermatology Clinic
in network
17110$220.00$96.40ApprovedApproved
CLM-2026-0189282026-07-10Meadow Family Practice
in network
99395, 36415$326.00$162.12ApprovedApproved
CLM-2026-0214682026-02-27Sunrise Community Hospital
out of network
71046, 99283$778.00—Needs reviewNeeds review
CLM-2026-0229932025-12-25Evergreen Medical Group
in network
99214, 99213, 36415$512.00$277.44ApprovedApproved