Identities/MBR-011247
Gold, golden identity

Roger K Lewis

5 source records from 3 feeds.

MBR-011247Verified5 records

Golden record

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

First nameENR
Roger
Middle nameENR
K
Last nameENR
Lewis
Date of birthENR
1952-04-16
GenderENR
M
Member IDENR
UHC-89460-83
SSNENR
•••-••-1417
PhoneENR
9448445964
EmailENR
roger.lewis@gmail.com
AddressENR
9404 Highland Ave
CityENR
Miami
StateENR
FL
ZIPENR
33115
GroupENR
GRP-9621
PlanENR
MEDICARE-ADV-A
Min confidence
1.00
Sources
CLM ×3TPA ×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

1.001.001.001.001.00CLMCLM-409828CLMCLM-409829TPATPA-54280ENRENR-112954CLMCLM-409830IDMBR-011247
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-409828CLM2026-02-07Roger Lewisflagged1952-04-16UHC-89460-83—9404 Highland Ave, Miami, FLScored1.00—
CLM-409829CLM2026-03-08Roger Lewisflagged1952-04-16—9448445964—Scored1.00—
TPA-54280TPA2026-03-18Roger Lewisflagged1952-04-16—94484459649404 Highland Ave, Miami, FLScored1.00—
ENR-112954ENR2026-04-10Roger Lewisflagged1952-04-16UHC-89460-8394484459649404 Highland Ave, Miami, FLScored1.00—
CLM-409830CLM2026-09-26Roger Lewisflagged1952-04-16UHC-89460-83—9404 Highland Ave, Miami, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-54280TPACLM-409830CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409829CLMENR-112954ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-54280TPAENR-112954ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-409828CLMTPA-54280TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409829CLMTPA-54280TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409828CLMCLM-409830CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-112954ENRCLM-409830CLM0.99RuleD1 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-409828CLMENR-112954ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409828CLMCLM-409829CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-409829CLMCLM-409830CLM0.83Scoredweighted 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-409829 → UHC-89460-83 (Roger Lewis)
    ACT-001630, Claims processor
  • Care coordination outreachProposed
    Roger Lewis: 3 claims, no attributed provider
    ACT-018607, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically68cbbac81c
    scoring_agent, CLM-409830, identity id MBR-011247, confidence 1, method probabilistic, matched record TPA-54280, policy version 1
  • 2026-10-19 19:54:38Record linked automatically933453f232
    scoring_agent, ENR-112954, identity id MBR-011247, confidence 1, method probabilistic, matched record CLM-409829, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycd14aaa4b4
    scoring_agent, TPA-54280, identity id MBR-011247, confidence 1, method probabilistic, matched record CLM-409828, policy version 1
  • 2026-10-19 19:54:38Record linked automatically938fbaf5ab
    scoring_agent, CLM-409829, identity id MBR-011247, confidence 1, method probabilistic, matched record TPA-54280, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8bd507df05
    scoring_agent, CLM-409828, identity id MBR-011247, confidence 1, method probabilistic, matched record TPA-54280, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6b14f23fec
    scoring_agent, CLM-409830, identity id MBR-011247, confidence 1, method probabilistic, matched record TPA-54280, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc9ef07208b
    scoring_agent, ENR-112954, identity id MBR-011247, confidence 1, method probabilistic, matched record CLM-409829, policy version 1
  • 2026-10-19 19:52:09Record linked automatically123addb357
    scoring_agent, TPA-54280, identity id MBR-011247, confidence 1, method probabilistic, matched record CLM-409828, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya4e89b5728
    scoring_agent, CLM-409829, identity id MBR-011247, confidence 1, method probabilistic, matched record TPA-54280, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye455298e00
    scoring_agent, CLM-409828, identity id MBR-011247, confidence 1, method probabilistic, matched record TPA-54280, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyae250bdb90
    scoring_agent, CLM-409830, identity id MBR-011247, confidence 1, method probabilistic, matched record TPA-54280, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb4a48cf59c
    scoring_agent, ENR-112954, identity id MBR-011247, confidence 1, method probabilistic, matched record CLM-409829, policy version 1
  • 2026-10-19 19:45:42Record linked automatically40363fc64a
    scoring_agent, TPA-54280, identity id MBR-011247, confidence 1, method probabilistic, matched record CLM-409828, policy version 1
  • 2026-10-19 19:45:42Record linked automatically25912b668c
    scoring_agent, CLM-409829, identity id MBR-011247, confidence 1, method probabilistic, matched record TPA-54280, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0bb0d7a972
    scoring_agent, CLM-409828, identity id MBR-011247, confidence 1, method probabilistic, matched record TPA-54280, policy version 1
  • 2026-10-19 19:32:31Record linked automatically74fd0a7b08
    scoring_agent, CLM-409830, identity id MBR-011247, confidence 1, method probabilistic, matched record TPA-54280, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye6055588b8
    scoring_agent, ENR-112954, identity id MBR-011247, confidence 1, method probabilistic, matched record CLM-409829, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd939537645
    scoring_agent, TPA-54280, identity id MBR-011247, confidence 1, method probabilistic, matched record CLM-409828, policy version 1
  • 2026-10-19 19:32:31Record linked automatically233fc647c1
    scoring_agent, CLM-409829, identity id MBR-011247, confidence 1, method probabilistic, matched record TPA-54280, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3af7e406f8
    scoring_agent, CLM-409828, identity id MBR-011247, confidence 1, method probabilistic, matched record TPA-54280, policy version 1
  • 2026-10-19 19:31:28Record linked automatically170916cdd3
    scoring_agent, CLM-409830, identity id MBR-009818, confidence 1, method probabilistic, matched record ENR-112957, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7fc4514296
    scoring_agent, CLM-409829, identity id MBR-009818, confidence 1, method probabilistic, matched record TPA-54375, policy version 1
  • 2026-10-19 19:31:28Record linked automatically5daf177d7f
    scoring_agent, CLM-409828, identity id MBR-009818, confidence 1, method probabilistic, matched record ENR-112957, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7de4e55bef
    scoring_agent, TPA-54280, identity id MBR-006156, confidence 1, method probabilistic, matched record ENR-112703, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0185042026-09-23Lakeside Reference Lab
in network
80061, 87086, 80053$209.00$0.00ApprovedApproved
CLM-2026-0011862026-02-20Northgate Heart Institute
in network
93458, 93015$9,842.00—DeniedDenied
CLM-2026-0116482026-02-02Mesa Physical Therapy
in network
97110, 97140$311.00$167.82ApprovedApproved