Identities/MBR-012300

Gold, golden identity

Ryan O Evans

6 source records from 3 feeds.

MBR-012300Verified6 recordsOpen steward case

Golden record

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

First nameENR: Ryan
Middle nameENR: O
Last nameENR: Evans
Date of birthENR: 1974-02-07
GenderCLM: M
Member IDENR: UHC-88185-60
SSNENR: •••-••-9491
PhoneENR: 6479882680
Email—: —
AddressENR: 1580 Sunset Blvd
CityENR: San Diego
StateENR: CA
ZIPENR: 92191
GroupENR: GRP-2487
PlanENR: NAVIGATE-HMO

Min confidence

0.96

Sources

CLM ×3TPA ×2ENR ×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-409604	CLM	2026-02-11	Ryan Evansflagged	1975-02-07	UHC-88185-60	6479882680	1580 Sunset Blvd, San Diego, CA	Rule	0.96	D3 member id + name
TPA-54177	TPA	2026-02-22	Ryan Evansflagged	1974-02-07	—	6479882680	1580 Sunset Blvd, San Diego, CA	Scored	1.00	—
CLM-409603	CLM	2026-05-09	Ryan Evansflagged	1974-02-07	—	6479882680	—	Scored	1.00	—
CLM-409602	CLM	2026-08-03	Ryan Evansflagged	1974-02-07	UHC-88185-60	—	1580 Sunset Blvd, San Diego, CA	Scored	1.00	—
ENR-112644	ENR	2026-10-12	Ryan Evansflagged	1974-02-07	UHC-88185-60	6479882680	1580 Sunset Blvd, San Diego, CA	Scored	1.00	—
TPA-54176	TPA	2026-10-16	Ryan Evansflagged	1974-02-07	—	—	—	Rule	0.97	D2 ssn4 + dob + last name

Evidence

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

Score

Method

Rule

Decision

▶TPA-54177TPACLM-409602CLM1.00Scoredweighted 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-54177TPACLM-409603CLM1.00Scoredweighted 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-409603CLMENR-112644 ENR1.00Scoredweighted 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-409602CLMENR-112644 ENR0.99RuleD1 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

▶TPA-54177TPAENR-112644 ENR0.97RuleD2 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

▶TPA-54177TPATPA-54176TPA0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-112644 ENRTPA-54176TPA0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-409604CLMCLM-409602CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-409604CLMENR-112644 ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-409604CLMTPA-54177TPA0.88Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-409603CLMCLM-409602CLM0.83Scoredweighted 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

▶CLM-409603CLMTPA-54176TPA0.83Scoredweighted 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

▶CLM-409602CLMTPA-54176TPA0.83Scoredweighted 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

▶CLM-409604CLMTPA-54176TPA0.82Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-409604CLMCLM-409603CLM0.80Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-409603 → UHC-88185-60 (Ryan Evans)
ACT-009302, Claims processor
Care coordination outreachProposed
Ryan Evans: 3 claims, no attributed provider
ACT-018670, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallydcc842bace
matching_agent, TPA-54176, identity id MBR-012300, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-54177
2026-10-19 19:54:38Record linked automatically932c11f831
scoring_agent, ENR-112644, identity id MBR-012300, confidence 1, method probabilistic, matched record CLM-409603, policy version 1
2026-10-19 19:54:38Record linked automatically5b16e92a48
scoring_agent, CLM-409602, identity id MBR-012300, confidence 1, method probabilistic, matched record TPA-54177, policy version 1
2026-10-19 19:54:38Record linked automatically357f0db2cd
scoring_agent, CLM-409603, identity id MBR-012300, confidence 1, method probabilistic, matched record TPA-54177, policy version 1
2026-10-19 19:54:38Record linked automatically5911cf7b38
scoring_agent, TPA-54177, identity id MBR-012300, confidence 1, method probabilistic, matched record CLM-409603, policy version 1
2026-10-19 19:54:38Record linked automaticallyfb7ce37c22
matching_agent, CLM-409604, identity id MBR-012300, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-409602
2026-10-19 19:52:09Record linked automaticallyc4b117dee7
matching_agent, TPA-54176, identity id MBR-012300, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-54177
2026-10-19 19:52:09Record linked automaticallya6d8eca238
scoring_agent, ENR-112644, identity id MBR-012300, confidence 1, method probabilistic, matched record CLM-409603, policy version 1
2026-10-19 19:52:09Record linked automaticallyc9b4ced7bb
scoring_agent, CLM-409602, identity id MBR-012300, confidence 1, method probabilistic, matched record TPA-54177, policy version 1
2026-10-19 19:52:09Record linked automatically1940528f66
scoring_agent, CLM-409603, identity id MBR-012300, confidence 1, method probabilistic, matched record TPA-54177, policy version 1
2026-10-19 19:52:09Record linked automaticallyff8c0b0cdc
scoring_agent, TPA-54177, identity id MBR-012300, confidence 1, method probabilistic, matched record CLM-409603, policy version 1
2026-10-19 19:52:09Record linked automatically9d32eec813
matching_agent, CLM-409604, identity id MBR-012300, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-409602
2026-10-19 19:45:42Record linked automatically5f4ab49bae
matching_agent, TPA-54176, identity id MBR-012300, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-54177
2026-10-19 19:45:42Record linked automaticallyb68a8db8e3
scoring_agent, ENR-112644, identity id MBR-012300, confidence 1, method probabilistic, matched record CLM-409603, policy version 1
2026-10-19 19:45:42Record linked automaticallyb83fc38953
scoring_agent, CLM-409602, identity id MBR-012300, confidence 1, method probabilistic, matched record TPA-54177, policy version 1
2026-10-19 19:45:42Record linked automatically0064568b6a
scoring_agent, CLM-409603, identity id MBR-012300, confidence 1, method probabilistic, matched record TPA-54177, policy version 1
2026-10-19 19:45:42Record linked automaticallyc3e33e3cff
scoring_agent, TPA-54177, identity id MBR-012300, confidence 1, method probabilistic, matched record CLM-409603, policy version 1
2026-10-19 19:45:42Record linked automatically20d97dbe0a
matching_agent, CLM-409604, identity id MBR-012300, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-409602
2026-10-19 19:32:31Record linked automaticallydc736d8eb9
matching_agent, TPA-54176, identity id MBR-012300, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-54177
2026-10-19 19:32:31Record linked automatically8414fe48ef
scoring_agent, ENR-112644, identity id MBR-012300, confidence 1, method probabilistic, matched record CLM-409603, policy version 1
2026-10-19 19:32:31Record linked automatically4d88edb654
scoring_agent, CLM-409602, identity id MBR-012300, confidence 1, method probabilistic, matched record TPA-54177, policy version 1
2026-10-19 19:32:31Record linked automatically0722456eda
scoring_agent, CLM-409603, identity id MBR-012300, confidence 1, method probabilistic, matched record TPA-54177, policy version 1
2026-10-19 19:32:31Record linked automaticallyb5a36e1c77
scoring_agent, TPA-54177, identity id MBR-012300, confidence 1, method probabilistic, matched record CLM-409603, policy version 1
2026-10-19 19:32:31Record linked automatically76840a97d8
matching_agent, CLM-409604, identity id MBR-012300, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-409602
2026-10-19 19:31:28Record linked automaticallyd268f9c712
scoring_agent, CLM-409603, identity id MBR-033575, confidence 1, method probabilistic, matched record ENR-112666, policy version 1
2026-10-19 19:31:28Record linked automaticallybf2f3907fa
matching_agent, CLM-409604, identity id MBR-031158, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112667
2026-10-19 19:31:28Record linked automaticallydb2f4f91e6
matching_agent, TPA-54176, identity id MBR-015423, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-112363
2026-10-19 19:31:28Record linked automatically98f8353c9a
scoring_agent, CLM-409602, identity id MBR-014907, confidence 1.00, method probabilistic, matched record TPA-54266, policy version 1
2026-10-19 19:31:28Record linked automatically2b2184f299
matching_agent, TPA-54177, identity id MBR-012568, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409367
2026-10-19 19:31:28Record linked automaticallyc1d04c0bfa
matching_agent, ENR-112644, identity id MBR-010835, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409582

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-2026-011261	2026-07-08	Pinecrest Cardiovascular Associates in network	93306	$1,183.00	$262.66	Approved	Approved
CLM-2026-030324	2026-03-28	Lakeside Physical Therapy in network	97110	$138.00	$60.56	Approved	Approved
CLM-2026-018588	2026-01-02	Sunrise Medical Group in network	99203, 99214	$519.00	$296.78	Approved	Approved