Identities/MBR-011727

Gold, golden identity

Matthew E Jones

5 source records from 3 feeds.

MBR-011727Verified5 records

Golden record

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

First nameENR: Matthew
Middle nameENR: E
Last nameENR: Jones
Date of birthENR: 2002-04-11
GenderENR: M
Member IDENR: UHC-71563-08
SSNENR: •••-••-3916
PhoneCLM: 9375954075
EmailENR: matthew.jones14@hotmail.com
AddressENR: 9898 Valley View Dr
CityENR: Los Angeles
StateENR: CA
ZIPENR: 90044
GroupENR: GRP-3681
PlanENR: CORE-HMO

Min confidence

0.99

Sources

TPA ×2ENR ×1CLM ×2

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
TPA-54271	TPA	2026-02-09	Matthew Jonesflagged	2002-04-11	UHC-71563-08	—	5855 Broadway, Austin, TX	Scored	1.00	—
ENR-112937	ENR	2026-06-15	Matthew Jonesflagged	2002-04-11	UHC-71563-08	—	9898 Valley View Dr, Los Angeles, CA	Scored	1.00	—
CLM-409815	CLM	2026-07-05	Matthew Jonesflagged	2002-04-11	—	9375954075	5855 Broadway, Austin, TX	Scored	1.00	—
CLM-409814	CLM	2026-07-12	Matthew Jonesflagged	2002-04-11	UHC-71563-08	9375954075	5855 Broadway, Austin, TX	Rule	0.99	D1 member id + dob exact
TPA-54272	TPA	2026-10-06	Matthew Jonesflagged	2002-04-11	—	—	9898 Valley View Dr, Los Angeles, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-54271TPACLM-409815 CLM1.00Scoredweighted 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

▶ENR-112937ENRTPA-54272TPA1.00Scoredweighted 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-54271TPACLM-409814CLM0.99RuleD1 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-112937ENRCLM-409814CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54271TPAENR-112937ENR0.99RuleD1 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	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-409815 CLMCLM-409814CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-112937ENRCLM-409815 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-54271TPATPA-54272TPA0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶CLM-409815 CLMTPA-54272TPA0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶CLM-409814CLMTPA-54272TPA0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-409815 → UHC-71563-08 (Matthew Jones)
ACT-006669, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically80f4dbd567
scoring_agent, TPA-54272, identity id MBR-011727, confidence 1, method probabilistic, matched record ENR-112937, policy version 1
2026-10-22 12:43:54Record linked automatically846b181d6a
matching_agent, CLM-409814, identity id MBR-011727, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54271
2026-10-22 12:43:54Record linked automatically5101d20652
scoring_agent, CLM-409815, identity id MBR-011727, confidence 1, method probabilistic, matched record TPA-54271, policy version 1
2026-10-22 12:43:54Record linked automaticallye4716b9008
scoring_agent, ENR-112937, identity id MBR-011727, confidence 1, method probabilistic, matched record TPA-54272, policy version 1
2026-10-22 12:43:54Record linked automatically895bcb8dfc
scoring_agent, TPA-54271, identity id MBR-011727, confidence 1, method probabilistic, matched record CLM-409815, policy version 1
2026-10-19 19:54:38Record linked automatically1fda8fdbe5
scoring_agent, TPA-54272, identity id MBR-011727, confidence 1, method probabilistic, matched record ENR-112937, policy version 1
2026-10-19 19:54:38Record linked automatically8789fa72be
matching_agent, CLM-409814, identity id MBR-011727, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54271
2026-10-19 19:54:38Record linked automaticallydea8467564
scoring_agent, CLM-409815, identity id MBR-011727, confidence 1, method probabilistic, matched record TPA-54271, policy version 1
2026-10-19 19:54:38Record linked automaticallyc928bf978d
scoring_agent, ENR-112937, identity id MBR-011727, confidence 1, method probabilistic, matched record TPA-54272, policy version 1
2026-10-19 19:54:38Record linked automatically148d09a48a
scoring_agent, TPA-54271, identity id MBR-011727, confidence 1, method probabilistic, matched record CLM-409815, policy version 1
2026-10-19 19:52:09Record linked automatically618cb71206
scoring_agent, TPA-54272, identity id MBR-011727, confidence 1, method probabilistic, matched record ENR-112937, policy version 1
2026-10-19 19:52:09Record linked automatically830ce56b63
matching_agent, CLM-409814, identity id MBR-011727, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54271
2026-10-19 19:52:09Record linked automaticallyd4ecfbcc05
scoring_agent, CLM-409815, identity id MBR-011727, confidence 1, method probabilistic, matched record TPA-54271, policy version 1
2026-10-19 19:52:09Record linked automatically533f8f3729
scoring_agent, ENR-112937, identity id MBR-011727, confidence 1, method probabilistic, matched record TPA-54272, policy version 1
2026-10-19 19:52:09Record linked automatically557c8a1806
scoring_agent, TPA-54271, identity id MBR-011727, confidence 1, method probabilistic, matched record CLM-409815, policy version 1
2026-10-19 19:45:42Record linked automaticallyf1bb0ce300
scoring_agent, TPA-54272, identity id MBR-011727, confidence 1, method probabilistic, matched record ENR-112937, policy version 1
2026-10-19 19:45:42Record linked automatically55e5703980
matching_agent, CLM-409814, identity id MBR-011727, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54271
2026-10-19 19:45:42Record linked automatically51fcd2c776
scoring_agent, CLM-409815, identity id MBR-011727, confidence 1, method probabilistic, matched record TPA-54271, policy version 1
2026-10-19 19:45:42Record linked automatically2915e66999
scoring_agent, ENR-112937, identity id MBR-011727, confidence 1, method probabilistic, matched record TPA-54272, policy version 1
2026-10-19 19:45:42Record linked automaticallyead0256b5a
scoring_agent, TPA-54271, identity id MBR-011727, confidence 1, method probabilistic, matched record CLM-409815, policy version 1
2026-10-19 19:32:31Record linked automaticallyada93e72dc
scoring_agent, TPA-54272, identity id MBR-011727, confidence 1, method probabilistic, matched record ENR-112937, policy version 1
2026-10-19 19:32:31Record linked automaticallye971d8be5f
matching_agent, CLM-409814, identity id MBR-011727, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54271
2026-10-19 19:32:31Record linked automatically10cca3f7c9
scoring_agent, CLM-409815, identity id MBR-011727, confidence 1, method probabilistic, matched record TPA-54271, policy version 1
2026-10-19 19:32:31Record linked automatically4d6b69c57a
scoring_agent, ENR-112937, identity id MBR-011727, confidence 1, method probabilistic, matched record TPA-54272, policy version 1
2026-10-19 19:32:31Record linked automatically611ca7c6c1
scoring_agent, TPA-54271, identity id MBR-011727, confidence 1, method probabilistic, matched record CLM-409815, policy version 1
2026-10-19 19:31:28Record linked automaticallyad87f6dc16
scoring_agent, TPA-54271, identity id MBR-031158, confidence 0.99, method probabilistic, matched record TPA-54270, policy version 1
2026-10-19 19:31:28Record linked automatically0ed3830f6e
scoring_agent, TPA-54272, identity id MBR-026580, confidence 1, method probabilistic, matched record CLM-409606, policy version 1
2026-10-19 19:31:28Record linked automatically29eed92346
scoring_agent, CLM-409814, identity id MBR-015133, confidence 1, method probabilistic, matched record CLM-409813, policy version 1
2026-10-19 19:31:28Record linked automatically615bc13f44
scoring_agent, CLM-409815, identity id MBR-011187, confidence 1, method probabilistic, matched record TPA-54368, policy version 1
2026-10-19 19:31:28Record linked automatically0a33628e56
matching_agent, ENR-112937, identity id MBR-006057, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409818

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-2026-019360	2026-06-24	Summit Medical Group in network	99215	$371.00	$210.02	Approved	Approved
CLM-2026-020075	2026-06-11	Harbor Regional Medical Center in network	99285	$2,900.00	$1,245.00	Approved	Approved