Identities/MBR-013320

Gold, golden identity

Gerald Hamilton

5 source records from 3 feeds.

MBR-013320Verified5 records

Golden record

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

First nameCLM: Gerald
Middle name—: —
Last nameENR: Hamilton
Date of birthENR: 1986-10-02
GenderENR: F
Member IDENR: UHC-33520-63
SSNENR: •••-••-8241
PhoneENR: 4428469240
EmailENR: gerald.hamilton66@outlook.com
AddressTPA: 6006 Spring St Apt 21
CityENR: San Antonio
StateENR: TX
ZIPCLM: 78237
GroupENR: GRP-2513
PlanENR: SELECT-EPO

Min confidence

0.87

Sources

CLM ×3ENR ×1TPA ×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-417027	CLM	2026-02-15	Gerald Hamiltonflagged	1986-10-02	UHC-33520-63	4428469240	6006 Spring St, San Antonio, TX	Scored	1.00	—
CLM-417026	CLM	2026-08-01	Gerald Hamiltonflagged	1986-10-02	—	—	6006 Spring St, San Antonio, TX	Scored	1.00	—
ENR-122400	ENR	2026-08-20	Greald Hamiltonflagged	1986-10-02	UHC-33520-63	4428469240	6006 Spring St, San Antonio, TX	Rule	0.99	D1 member id + dob exact
CLM-417025	CLM	2026-08-22	Gerald Hamiiltonflagged	1985-10-02	—	4428469240	6006 Spring St, San Antonio, TX	Scored	0.87	—
TPA-57507	TPA	2026-09-30	Gerald Hamiltonflagged	1986-10-02	—	—	6006 Spring St Apt 21, San Antonio, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-417027CLMCLM-417026CLM1.00Scoredweighted 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-417026CLMTPA-57507TPA1.00Scoredweighted 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-417027CLMENR-122400 ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-417027CLMTPA-57507TPA0.97RuleD2 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-122400 ENRTPA-57507TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-417026CLMENR-122400 ENR0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-417027CLMCLM-417025CLM0.87Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	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-417025CLMTPA-57507TPA0.85Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-122400 ENRCLM-417025CLM0.82Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-417026CLMCLM-417025CLM0.81Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	0.50	3	one_digit
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-417026 → UHC-33520-63 (Gerald Hamilton)
ACT-003086, Claims processor
Orphan claim re-pointedExecuted
CLM-417025 → UHC-33520-63 (Gerald Hamilton)
ACT-004917, Claims processor
Outreach address correctedProposed
Gerald Hamilton: 6006 Spring St, San Antonio → 6006 Spring St Apt 21, San Antonio
ACT-011706, Outreach
Care coordination outreachProposed
Gerald Hamilton: 3 claims, no attributed provider
ACT-018735, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyab397a2f10
scoring_agent, TPA-57507, identity id MBR-013320, confidence 1, method probabilistic, matched record CLM-417026, policy version 1
2026-10-19 19:54:38Record linked automatically6a45cbcfb7
scoring_agent, CLM-417025, identity id MBR-013320, confidence 0.87, method probabilistic, matched record CLM-417027, policy version 1
2026-10-19 19:54:38Record linked automatically7a435e00ad
matching_agent, ENR-122400, identity id MBR-013320, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417027
2026-10-19 19:54:38Record linked automatically586996f877
scoring_agent, CLM-417026, identity id MBR-013320, confidence 1, method probabilistic, matched record CLM-417027, policy version 1
2026-10-19 19:54:38Record linked automaticallydcd6ae897b
scoring_agent, CLM-417027, identity id MBR-013320, confidence 1, method probabilistic, matched record CLM-417026, policy version 1
2026-10-19 19:52:09Record linked automatically0078959cb6
scoring_agent, TPA-57507, identity id MBR-013320, confidence 1, method probabilistic, matched record CLM-417026, policy version 1
2026-10-19 19:52:09Record linked automatically5e67b1018e
scoring_agent, CLM-417025, identity id MBR-013320, confidence 0.87, method probabilistic, matched record CLM-417027, policy version 1
2026-10-19 19:52:09Record linked automatically3d345fa0ae
matching_agent, ENR-122400, identity id MBR-013320, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417027
2026-10-19 19:52:09Record linked automatically4540b4bdd9
scoring_agent, CLM-417026, identity id MBR-013320, confidence 1, method probabilistic, matched record CLM-417027, policy version 1
2026-10-19 19:52:09Record linked automatically36cc581996
scoring_agent, CLM-417027, identity id MBR-013320, confidence 1, method probabilistic, matched record CLM-417026, policy version 1
2026-10-19 19:45:42Record linked automatically3ab57aca51
scoring_agent, TPA-57507, identity id MBR-013320, confidence 1, method probabilistic, matched record CLM-417026, policy version 1
2026-10-19 19:45:42Record linked automatically358e2164df
scoring_agent, CLM-417025, identity id MBR-013320, confidence 0.87, method probabilistic, matched record CLM-417027, policy version 1
2026-10-19 19:45:42Record linked automaticallyc038f3e172
matching_agent, ENR-122400, identity id MBR-013320, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417027
2026-10-19 19:45:42Record linked automatically24a267a2ec
scoring_agent, CLM-417026, identity id MBR-013320, confidence 1, method probabilistic, matched record CLM-417027, policy version 1
2026-10-19 19:45:42Record linked automatically504a2c214e
scoring_agent, CLM-417027, identity id MBR-013320, confidence 1, method probabilistic, matched record CLM-417026, policy version 1
2026-10-19 19:32:31Record linked automaticallyc1c8232047
scoring_agent, TPA-57507, identity id MBR-013320, confidence 1, method probabilistic, matched record CLM-417026, policy version 1
2026-10-19 19:32:31Record linked automatically5ee55f1d73
scoring_agent, CLM-417025, identity id MBR-013320, confidence 0.87, method probabilistic, matched record CLM-417027, policy version 1
2026-10-19 19:32:31Record linked automaticallycc6fbb821c
matching_agent, ENR-122400, identity id MBR-013320, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417027
2026-10-19 19:32:31Record linked automatically79be181a63
scoring_agent, CLM-417026, identity id MBR-013320, confidence 1, method probabilistic, matched record CLM-417027, policy version 1
2026-10-19 19:32:31Record linked automatically467a654a92
scoring_agent, CLM-417027, identity id MBR-013320, confidence 1, method probabilistic, matched record CLM-417026, policy version 1
2026-10-19 19:31:28Record linked automatically5a9bfd4b4d
scoring_agent, CLM-417027, identity id MBR-027776, confidence 1, method probabilistic, matched record PRV-24978, policy version 1
2026-10-19 19:31:28Record linked automaticallyce1cbb56a1
matching_agent, CLM-417026, identity id MBR-017712, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24975
2026-10-19 19:31:28Record linked automatically9e1c50ea1b
scoring_agent, CLM-417025, identity id MBR-017712, confidence 1, method probabilistic, matched record PRV-24975, policy version 1
2026-10-19 19:31:28Record linked automatically5760d65445
matching_agent, ENR-122400, identity id MBR-013535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122401
2026-10-19 19:31:28Record linked automatically0dee5b0fd5
scoring_agent, TPA-57507, identity id MBR-007080, confidence 1, method probabilistic, matched record CLM-417186, 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-2026-013547	2026-08-01	Lakeside Medical Group in network	99203	$212.00	$91.44	Approved	Approved
CLM-2026-006661	2026-07-24	Evergreen Digestive Health Center in network	43239	$1,911.00	$663.33	Approved	Approved
CLM-2026-008747	2026-02-03	Heritage Medical Group out of network	36415	$21.00	—	Denied	Denied