Identities/MBR-011954

Gold, golden identity

Douglas Edwards

5 source records from 3 feeds.

MBR-011954Verified5 records

Golden record

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

First namePRV: Douglas
Middle name—: —
Last namePRV: Edwards
Date of birthPRV: 1962-05-28
GenderPRV: M
Member IDCLM: UHC-96258-72
SSN—: —
PhonePRV: 6676298303
EmailPRV: douglas.edwards60@proton.me
AddressPRV: 6463 Palm Dr
CityPRV: Denver
StatePRV: CO
ZIPPRV: 80246
GroupCLM: GRP-6568
PlanCLM: NAVIGATE-HMO

Min confidence

1.00

Sources

CLM ×3TPA ×1PRV ×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-425590	CLM	2026-02-10	Douglas Edwardsflagged	1962-05-28	UHC-96258-72	—	3224 Desert Sky Blvd, Sacramento, CA	Scored	1.00	—
TPA-61284	TPA	2026-02-21	Douglas Edwardsflagged	1962-05-28	—	—	3224 Desert Sky Blvd # 150, Sacramento, CA	Scored	1.00	—
CLM-425588	CLM	2026-05-15	Douglas Edwardsflagged	1962-05-28	UHC-96258-72	6676298303	6463 Palm Dr, Denver, CO	Scored	1.00	—
PRV-27534	PRV	2026-06-16	Douglas Edwardsflagged	1962-05-28	—	6676298303	6463 Palm Dr, Denver, CO	Scored	1.00	—
CLM-425589	CLM	2026-08-27	Douglas Edwardsflagged	1962-05-28	UHC-96258-72	6676298303	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-27534PRVCLM-425589CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-425588CLMPRV-27534PRV1.00Scoredweighted 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-425590CLMTPA-61284TPA1.00Scoredweighted 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-425590CLMCLM-425588CLM0.99RuleD1 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-425590CLMCLM-425589CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-425588CLMCLM-425589CLM0.99RuleD1 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
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-61284TPACLM-425589CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶TPA-61284TPAPRV-27534PRV0.79Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61284TPACLM-425588CLM0.75Scoredweighted 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-425590CLMPRV-27534PRV0.75Scoredweighted 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

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically4ef8772005
scoring_agent, CLM-425589, identity id MBR-011954, confidence 1, method probabilistic, matched record PRV-27534, policy version 1
2026-10-19 19:54:38Record linked automatically18a47d763b
scoring_agent, PRV-27534, identity id MBR-011954, confidence 1, method probabilistic, matched record CLM-425588, policy version 1
2026-10-19 19:54:38Record linked automaticallycd1f586f81
scoring_agent, CLM-425588, identity id MBR-011954, confidence 1, method probabilistic, matched record PRV-27534, policy version 1
2026-10-19 19:54:38Record linked automaticallyc410c17087
scoring_agent, TPA-61284, identity id MBR-011954, confidence 1, method probabilistic, matched record CLM-425590, policy version 1
2026-10-19 19:54:38Record linked automatically7e5a2318db
scoring_agent, CLM-425590, identity id MBR-011954, confidence 1, method probabilistic, matched record TPA-61284, policy version 1
2026-10-19 19:52:09Record linked automatically1ca0a092b9
scoring_agent, CLM-425589, identity id MBR-011954, confidence 1, method probabilistic, matched record PRV-27534, policy version 1
2026-10-19 19:52:09Record linked automatically1a6c1e0c4f
scoring_agent, PRV-27534, identity id MBR-011954, confidence 1, method probabilistic, matched record CLM-425588, policy version 1
2026-10-19 19:52:09Record linked automatically9e2aa15afd
scoring_agent, CLM-425588, identity id MBR-011954, confidence 1, method probabilistic, matched record PRV-27534, policy version 1
2026-10-19 19:52:09Record linked automatically8583863487
scoring_agent, TPA-61284, identity id MBR-011954, confidence 1, method probabilistic, matched record CLM-425590, policy version 1
2026-10-19 19:52:09Record linked automaticallyb57f7d6e9f
scoring_agent, CLM-425590, identity id MBR-011954, confidence 1, method probabilistic, matched record TPA-61284, policy version 1
2026-10-19 19:45:42Record linked automatically2a3cd2b045
scoring_agent, CLM-425589, identity id MBR-011954, confidence 1, method probabilistic, matched record PRV-27534, policy version 1
2026-10-19 19:45:42Record linked automaticallyc3360a1ef3
scoring_agent, PRV-27534, identity id MBR-011954, confidence 1, method probabilistic, matched record CLM-425588, policy version 1
2026-10-19 19:45:42Record linked automatically26906ec564
scoring_agent, CLM-425588, identity id MBR-011954, confidence 1, method probabilistic, matched record PRV-27534, policy version 1
2026-10-19 19:45:42Record linked automatically4a70c1a509
scoring_agent, TPA-61284, identity id MBR-011954, confidence 1, method probabilistic, matched record CLM-425590, policy version 1
2026-10-19 19:45:42Record linked automaticallya53f9437b5
scoring_agent, CLM-425590, identity id MBR-011954, confidence 1, method probabilistic, matched record TPA-61284, policy version 1
2026-10-19 19:32:31Record linked automatically85e22eee08
scoring_agent, CLM-425589, identity id MBR-011954, confidence 1, method probabilistic, matched record PRV-27534, policy version 1
2026-10-19 19:32:31Record linked automaticallyf56e9fa5df
scoring_agent, PRV-27534, identity id MBR-011954, confidence 1, method probabilistic, matched record CLM-425588, policy version 1
2026-10-19 19:32:31Record linked automatically9401abb6a9
scoring_agent, CLM-425588, identity id MBR-011954, confidence 1, method probabilistic, matched record PRV-27534, policy version 1
2026-10-19 19:32:31Record linked automatically405b352a94
scoring_agent, TPA-61284, identity id MBR-011954, confidence 1, method probabilistic, matched record CLM-425590, policy version 1
2026-10-19 19:32:31Record linked automatically52a78d939f
scoring_agent, CLM-425590, identity id MBR-011954, confidence 1, method probabilistic, matched record TPA-61284, policy version 1
2026-10-19 19:31:28Record linked automatically2212434a25
matching_agent, CLM-425589, identity id MBR-029360, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133762
2026-10-19 19:31:28Record linked automatically902e9010be
matching_agent, CLM-425590, identity id MBR-015600, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133765
2026-10-19 19:31:28Record linked automatically5061cfcdc6
matching_agent, CLM-425588, identity id MBR-007111, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133761
2026-10-19 19:31:28Record linked automaticallyaaf21736f1
scoring_agent, TPA-61284, identity id MBR-004491, confidence 1, method probabilistic, matched record PRV-27564, policy version 1
2026-10-19 19:31:28Record linked automaticallyc1e3e66368
scoring_agent, PRV-27534, identity id MBR-000778, confidence 1, method probabilistic, matched record PRV-27535, policy version 1

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-2026-008081	2026-07-13	Harbor Primary Care Associates in network	99203	$239.00	$108.18	Approved	Approved
CLM-2026-020770	2026-05-08	Harbor Primary Care Associates out of network	36415	$24.00	—	Denied	Denied
CLM-2026-017593	2026-02-07	Canyon Medical Group in network	93000, 99215	$368.00	$188.16	Approved	Approved