Identities/MBR-013323
Gold, golden identity

Billy X Fisher

4 source records from 2 feeds.

MBR-013323Verified4 records

Golden record

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

First nameENR
Billy
Middle nameENR
X
Last nameENR
Fisher
Date of birthENR
1981-08-20
GenderCLM
M
Member IDENR
UHC-80053-21
SSNENR
•••-••-6154
PhoneENR
9354351554
EmailENR
billy.fisher@icloud.com
AddressENR
696 Union St
CityENR
Nashville
StateENR
TN
ZIPENR
37259
GroupENR
GRP-2072
PlanENR
CORE-HMO
Min confidence
0.97
Sources
CLM ×3ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

Source records linked to this identity and the confidence of each link

0.971.001.000.97CLMCLM-423358CLMCLM-423359CLMCLM-423357ENRENR-130537IDMBR-013323
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
CLM-423358CLM2026-02-15Billy Fisherflagged1981-08-20——696 Union St, Nashville, TNRule0.97D2 ssn4 + dob + last name
CLM-423359CLM2026-07-01Billy Fisherflagged1981-08-20—9354351554696 Union St, Nashville, TNScored1.00—
CLM-423357CLM2026-07-01Billy Fisherflagged—UHC-80053-219354351554—Scored1.00—
ENR-130537ENR2026-09-04Billy Fisherflagged1981-08-20UHC-80053-219354351554696 Union St, Nashville, TNRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-423359 CLMCLM-423357CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-423358CLMCLM-423359 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-423358CLMENR-130537ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-423359 CLMENR-130537ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-423357CLMENR-130537ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-423359 → UHC-80053-21 (Billy Fisher)
    ACT-004472, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-423358 → UHC-80053-21 (Billy Fisher)
    ACT-008332, Claims processor
  • Care coordination outreachProposed
    Billy Fisher: 3 claims, no attributed provider
    ACT-018736, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyd2455fef95
    matching_agent, ENR-130537, identity id MBR-013323, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423358
  • 2026-10-22 12:43:54Record linked automaticallyfa3406fd39
    scoring_agent, CLM-423357, identity id MBR-013323, confidence 1, method probabilistic, matched record CLM-423359, policy version 1
  • 2026-10-22 12:43:54Record linked automatically2e3b55c54d
    scoring_agent, CLM-423359, identity id MBR-013323, confidence 1, method probabilistic, matched record CLM-423357, policy version 1
  • 2026-10-22 12:43:54Record linked automatically56333d58c0
    matching_agent, CLM-423358, identity id MBR-013323, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423359
  • 2026-10-19 19:54:38Record linked automatically815fdafaee
    matching_agent, ENR-130537, identity id MBR-013323, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423358
  • 2026-10-19 19:54:38Record linked automatically66cd9ab236
    scoring_agent, CLM-423357, identity id MBR-013323, confidence 1, method probabilistic, matched record CLM-423359, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyfa72609a2e
    scoring_agent, CLM-423359, identity id MBR-013323, confidence 1, method probabilistic, matched record CLM-423357, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya4024165b2
    matching_agent, CLM-423358, identity id MBR-013323, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423359
  • 2026-10-19 19:52:09Record linked automatically38bf6a3f14
    matching_agent, ENR-130537, identity id MBR-013323, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423358
  • 2026-10-19 19:52:09Record linked automatically0334229ab0
    scoring_agent, CLM-423357, identity id MBR-013323, confidence 1, method probabilistic, matched record CLM-423359, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallycceab7a521
    scoring_agent, CLM-423359, identity id MBR-013323, confidence 1, method probabilistic, matched record CLM-423357, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7c5d0c8ef5
    matching_agent, CLM-423358, identity id MBR-013323, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423359
  • 2026-10-19 19:45:42Record linked automatically7e7eebceb5
    matching_agent, ENR-130537, identity id MBR-013323, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423358
  • 2026-10-19 19:45:42Record linked automatically008a4f0355
    scoring_agent, CLM-423357, identity id MBR-013323, confidence 1, method probabilistic, matched record CLM-423359, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0b725f6853
    scoring_agent, CLM-423359, identity id MBR-013323, confidence 1, method probabilistic, matched record CLM-423357, policy version 1
  • 2026-10-19 19:45:42Record linked automatically53db464e5b
    matching_agent, CLM-423358, identity id MBR-013323, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423359
  • 2026-10-19 19:32:31Record linked automaticallyc454f7f6a6
    matching_agent, ENR-130537, identity id MBR-013323, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423358
  • 2026-10-19 19:32:31Record linked automatically1377926ab9
    scoring_agent, CLM-423357, identity id MBR-013323, confidence 1, method probabilistic, matched record CLM-423359, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybe71a9fbb2
    scoring_agent, CLM-423359, identity id MBR-013323, confidence 1, method probabilistic, matched record CLM-423357, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye9e8e5f520
    matching_agent, CLM-423358, identity id MBR-013323, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423359
  • 2026-10-19 19:31:28Record linked automatically855428ddfe
    matching_agent, CLM-423357, identity id MBR-022870, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-26880
  • 2026-10-19 19:31:28Record linked automatically56bd90a3e8
    matching_agent, CLM-423359, identity id MBR-015527, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130766
  • 2026-10-19 19:31:28Record linked automatically57f103e3ba
    scoring_agent, ENR-130537, identity id MBR-007952, confidence 0.99, method probabilistic, matched record TPA-60192, policy version 1

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0119402026-06-01Mesa Dermatology Clinic
in network
11102, 11403$898.00$506.76ApprovedApproved
CLM-2026-0040422026-06-16Meadow Physical Therapy
out of network
97110$174.00$58.30ApprovedApproved
CLM-2026-0265072026-01-30Riverside Regional Medical Center
out of network
99284$1,750.00$437.50ApprovedApproved