Identities/MBR-012286

Gold, golden identity

Ray E Scott

5 source records from 3 feeds.

MBR-012286Verified5 records

Golden record

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

First nameCLM: Ray
Middle nameCLM: E
Last nameENR: Scott
Date of birthENR: 1988-07-05
GenderENR: M
Member IDENR: UHC-74464-51
SSNENR: •••-••-5569
PhoneENR: 2233122221
EmailENR: raymond.scott@gmail.com
AddressENR: 7866 Lincoln Way Apt 16
CityENR: Denver
StateENR: CO
ZIPENR: 80228
GroupENR: GRP-6057
PlanENR: MEDICARE-ADV-A

Min confidence

0.99

Sources

CLM ×3TPA ×1ENR ×1

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
CLM-402120	CLM	2026-02-11	Ray Scottflagged	1988-07-05	—	2233122221	—	Scored	1.00	—
CLM-402118	CLM	2026-03-28	Raymond Scttflagged	1988-07-05	—	—	7866 Lincoln Way, Denver, CO	Scored	0.99	—
TPA-50901	TPA	2026-04-13	Ray Scottflagged	1988-07-05	—	2233122221	7866 Lincoln Way, Denver, CO	Scored	1.00	—
CLM-402119	CLM	2026-06-17	Ray Scottflagged	1988-07-05	—	2233122221	7866 Lincoln Way, Denver, CO	Scored	1.00	—
ENR-102705	ENR	2026-08-04	Raymond Scottflagged	1988-07-05	UHC-74464-51	2233122221	7866 Lincoln Way Apt 16, Denver, CO	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-402120CLMCLM-402119CLM1.00Scoredweighted 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

▶TPA-50901TPACLM-402119CLM1.00Scoredweighted 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-402119CLMENR-102705ENR1.00Scoredweighted 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-402118CLMCLM-402119CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3	nickname
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-402118CLMENR-102705ENR0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-402118CLMTPA-50901TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3	nickname
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-402120CLMENR-102705ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-50901TPAENR-102705ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
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

▶CLM-402120CLMTPA-50901TPA0.97RuleD2 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-402120CLMCLM-402118CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.97	3	nickname
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-402118 → UHC-74464-51 (Ray Scott)
ACT-004201, Claims processor
Orphan claim re-pointedExecuted
CLM-402119 → UHC-74464-51 (Ray Scott)
ACT-004207, Claims processor
Orphan claim re-pointedExecuted
CLM-402120 → UHC-74464-51 (Ray Scott)
ACT-006686, Claims processor
Care coordination outreachProposed
Ray Scott: 3 claims, no attributed provider
ACT-018668, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallya0fa8f5ba3
scoring_agent, ENR-102705, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402119, policy version 1
2026-10-22 12:43:54Record linked automatically46ae2aa9d4
scoring_agent, CLM-402119, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402120, policy version 1
2026-10-22 12:43:54Record linked automatically1e654cdac2
scoring_agent, TPA-50901, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402119, policy version 1
2026-10-22 12:43:54Record linked automaticallyc3c66f6148
scoring_agent, CLM-402118, identity id MBR-012286, confidence 0.99, method probabilistic, matched record TPA-50901, policy version 1
2026-10-22 12:43:54Record linked automatically745595cd3a
scoring_agent, CLM-402120, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402119, policy version 1
2026-10-19 19:54:38Record linked automatically1f9d9e2efb
scoring_agent, ENR-102705, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402119, policy version 1
2026-10-19 19:54:38Record linked automatically0db60ec7b7
scoring_agent, CLM-402119, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402120, policy version 1
2026-10-19 19:54:38Record linked automatically4a80b67119
scoring_agent, TPA-50901, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402119, policy version 1
2026-10-19 19:54:38Record linked automaticallydcf295f6e8
scoring_agent, CLM-402118, identity id MBR-012286, confidence 0.99, method probabilistic, matched record TPA-50901, policy version 1
2026-10-19 19:54:38Record linked automatically4b7c26481e
scoring_agent, CLM-402120, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402119, policy version 1
2026-10-19 19:52:09Record linked automatically34a1b31b3b
scoring_agent, ENR-102705, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402119, policy version 1
2026-10-19 19:52:09Record linked automatically97f2febaee
scoring_agent, CLM-402119, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402120, policy version 1
2026-10-19 19:52:09Record linked automaticallyb88070d4c5
scoring_agent, TPA-50901, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402119, policy version 1
2026-10-19 19:52:09Record linked automatically0716c7cfc9
scoring_agent, CLM-402118, identity id MBR-012286, confidence 0.99, method probabilistic, matched record TPA-50901, policy version 1
2026-10-19 19:52:09Record linked automatically987b627ba0
scoring_agent, CLM-402120, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402119, policy version 1
2026-10-19 19:45:42Record linked automaticallyb192ca2e83
scoring_agent, ENR-102705, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402119, policy version 1
2026-10-19 19:45:42Record linked automatically8507229e46
scoring_agent, CLM-402119, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402120, policy version 1
2026-10-19 19:45:42Record linked automatically01c71a90fa
scoring_agent, TPA-50901, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402119, policy version 1
2026-10-19 19:45:42Record linked automatically1da455c688
scoring_agent, CLM-402118, identity id MBR-012286, confidence 0.99, method probabilistic, matched record TPA-50901, policy version 1
2026-10-19 19:45:42Record linked automatically7d1c01cf92
scoring_agent, CLM-402120, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402119, policy version 1
2026-10-19 19:32:31Record linked automatically6d6fc32197
scoring_agent, ENR-102705, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402119, policy version 1
2026-10-19 19:32:31Record linked automaticallyccb9f6b77f
scoring_agent, CLM-402119, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402120, policy version 1
2026-10-19 19:32:31Record linked automaticallye96b50d548
scoring_agent, TPA-50901, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402119, policy version 1
2026-10-19 19:32:31Record linked automatically68c8ea8a29
scoring_agent, CLM-402118, identity id MBR-012286, confidence 0.99, method probabilistic, matched record TPA-50901, policy version 1
2026-10-19 19:32:31Record linked automaticallye8a91c07fd
scoring_agent, CLM-402120, identity id MBR-012286, confidence 1, method probabilistic, matched record CLM-402119, policy version 1
2026-10-19 19:31:28Record linked automatically87d39d865e
matching_agent, ENR-102705, identity id MBR-028292, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-50935
2026-10-19 19:31:28Record linked automatically6f59dc9415
scoring_agent, TPA-50901, identity id MBR-021864, confidence 1, method probabilistic, matched record TPA-50902, policy version 1
2026-10-19 19:31:28Record linked automatically7e5545c2ac
matching_agent, CLM-402118, identity id MBR-019196, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102761
2026-10-19 19:31:28Record linked automatically9cfdda17c0
matching_agent, CLM-402119, identity id MBR-010767, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102762
2026-10-19 19:31:28Record linked automaticallyd857d149d7
matching_agent, CLM-402120, identity id MBR-003606, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102763

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-2026-010963	2026-05-23	Pinecrest Bone and Joint Center in network	29881	$10,059.00	$4,198.26	Approved	Approved
CLM-2026-010938	2026-03-17	Sunrise Diabetes Center in network	95251, 99215	$634.00	—	Needs review	Needs review
CLM-2026-020120	2026-02-04	Sunrise Medical Group in network	90471, 99213	$238.00	—	Needs review	Needs review