Identities/MBR-013522

Gold, golden identity

Randy B Edwards

6 source records from 2 feeds.

MBR-013522Verified6 records

Golden record

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

First nameCLM: Randy
Middle nameCLM: B
Last nameCLM: Edwards
Date of birthCLM: 1967-04-07
GenderCLM: M
Member IDCLM: UHC-90277-38
SSNCLM: •••-••-6114
PhoneCLM: 9118890062
Email—: —
AddressCLM: 1054 Washington St
CityCLM: Miami
StateCLM: FL
ZIPCLM: 33128
GroupCLM: GRP-3470
PlanCLM: CHOICE-PLUS-PPO

Min confidence

0.85

Sources

CLM ×4TPA ×2

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-425891	CLM	2026-02-16	Randy Edwardsflagged	1967-04-07	—	—	1054 Washington St, Miami, FL	Scored	1.00	—
CLM-425890	CLM	2026-04-18	Randy Edwardsflagged	1967-04-07	UHC-90277-38	9118890062	1054 Washington St, Miami, FL	Scored	1.00	—
TPA-61438	TPA	2026-05-30	Randy Edwardsflagged	1976-04-07	—	—	1054 Washington St # 580, Miami, FL	Scored	0.85	—
TPA-61439	TPA	2026-06-11	Randy Edwardsflagged	1967-04-07	—	—	1054 Washington St, Miami, FL	Scored	1.00	—
CLM-425888	CLM	2026-08-12	Randy Edwardsflagged	1967-04-07	—	9118890062	1054 Washington St, Miami, FL	Scored	1.00	—
CLM-425889	CLM	2026-08-21	Randy Edwwardsflagged	1967-04-07	—	—	1054 Washington St, Miami, FL	Scored	0.99	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-425891CLMCLM-425888CLM1.00Scoredweighted 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-425890CLMCLM-425888CLM1.00Scoredweighted 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

▶TPA-61439TPACLM-425888CLM1.00Scoredweighted 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-425891CLMCLM-425890CLM1.00Scoredweighted 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-425891CLMTPA-61439TPA1.00Scoredweighted 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-425890CLMTPA-61439TPA1.00Scoredweighted 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-425891CLMCLM-425889CLM0.99Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-425890CLMCLM-425889CLM0.99Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61439TPACLM-425889CLM0.99Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-425888CLMCLM-425889CLM0.99Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61438TPACLM-425888CLM0.85Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.60	3	transposition
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-425891CLMTPA-61438TPA0.85Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.60	3	transposition
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-425890CLMTPA-61438TPA0.85Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.60	3	transposition
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61438TPATPA-61439TPA0.85Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.60	3	transposition
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61438TPACLM-425889CLM0.84Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	0.60	3	transposition
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-425889 → UHC-90277-38 (Randy Edwards)
ACT-002093, Claims processor
Orphan claim re-pointedExecuted
CLM-425891 → UHC-90277-38 (Randy Edwards)
ACT-003196, Claims processor
Orphan claim re-pointedExecuted
CLM-425888 → UHC-90277-38 (Randy Edwards)
ACT-009644, Claims processor
Care coordination outreachProposed
Randy Edwards: 4 claims, no attributed provider
ACT-018747, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyef1e458b0c
scoring_agent, CLM-425889, identity id MBR-013522, confidence 0.99, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:54:38Record linked automaticallyfcf45bbbdf
scoring_agent, CLM-425888, identity id MBR-013522, confidence 1, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:54:38Record linked automaticallydc82388e13
scoring_agent, TPA-61439, identity id MBR-013522, confidence 1, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:54:38Record linked automatically7d8318561a
scoring_agent, TPA-61438, identity id MBR-013522, confidence 0.85, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:54:38Record linked automatically8dd65a51fe
scoring_agent, CLM-425890, identity id MBR-013522, confidence 1, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:54:38Record linked automatically65e6f56445
scoring_agent, CLM-425891, identity id MBR-013522, confidence 1, method probabilistic, matched record CLM-425890, policy version 1
2026-10-19 19:52:09Record linked automatically15ace96b71
scoring_agent, CLM-425889, identity id MBR-013522, confidence 0.99, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:52:09Record linked automatically967de4030e
scoring_agent, CLM-425888, identity id MBR-013522, confidence 1, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:52:09Record linked automatically9f90083029
scoring_agent, TPA-61439, identity id MBR-013522, confidence 1, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:52:09Record linked automaticallya755f7863e
scoring_agent, TPA-61438, identity id MBR-013522, confidence 0.85, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:52:09Record linked automaticallyf7a234317f
scoring_agent, CLM-425890, identity id MBR-013522, confidence 1, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:52:09Record linked automaticallye60883b924
scoring_agent, CLM-425891, identity id MBR-013522, confidence 1, method probabilistic, matched record CLM-425890, policy version 1
2026-10-19 19:45:42Record linked automatically2b8cb9e685
scoring_agent, CLM-425889, identity id MBR-013522, confidence 0.99, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:45:42Record linked automatically8ec82e4aa8
scoring_agent, CLM-425888, identity id MBR-013522, confidence 1, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:45:42Record linked automatically3712154678
scoring_agent, TPA-61439, identity id MBR-013522, confidence 1, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:45:42Record linked automatically3061f78333
scoring_agent, TPA-61438, identity id MBR-013522, confidence 0.85, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:45:42Record linked automaticallyb653281215
scoring_agent, CLM-425890, identity id MBR-013522, confidence 1, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:45:42Record linked automatically585701a582
scoring_agent, CLM-425891, identity id MBR-013522, confidence 1, method probabilistic, matched record CLM-425890, policy version 1
2026-10-19 19:32:31Record linked automatically3dd71be546
scoring_agent, CLM-425889, identity id MBR-013522, confidence 0.99, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:32:31Record linked automaticallyd34de9c98a
scoring_agent, CLM-425888, identity id MBR-013522, confidence 1, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:32:31Record linked automatically3c3952dff3
scoring_agent, TPA-61439, identity id MBR-013522, confidence 1, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:32:31Record linked automatically9478387223
scoring_agent, TPA-61438, identity id MBR-013522, confidence 0.85, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:32:31Record linked automaticallyd93eab595a
scoring_agent, CLM-425890, identity id MBR-013522, confidence 1, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:32:31Record linked automaticallyfbb37c18ed
scoring_agent, CLM-425891, identity id MBR-013522, confidence 1, method probabilistic, matched record CLM-425890, policy version 1
2026-10-19 19:31:28Record linked automaticallyab0cfa4541
matching_agent, CLM-425888, identity id MBR-032213, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-134177
2026-10-19 19:31:28Record linked automaticallyea874cbffe
scoring_agent, TPA-61438, identity id MBR-022818, confidence 0.99, method probabilistic, matched record CLM-425985, policy version 1
2026-10-19 19:31:28Record linked automaticallyd128e022b0
scoring_agent, CLM-425891, identity id MBR-015667, confidence 1, method probabilistic, matched record CLM-425890, policy version 1
2026-10-19 19:31:28Record linked automatically699ef97f7f
scoring_agent, CLM-425890, identity id MBR-015667, confidence 1, method probabilistic, matched record CLM-425891, policy version 1
2026-10-19 19:31:28Record linked automaticallydfe23a7370
scoring_agent, TPA-61439, identity id MBR-009305, confidence 1, method probabilistic, matched record CLM-425988, policy version 1
2026-10-19 19:31:28Record linked automaticallyb7b959bfd8
scoring_agent, CLM-425889, identity id MBR-002573, confidence 1, method probabilistic, matched record TPA-61405, policy version 1

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-002910	2026-08-13	Evergreen Family Practice in network	99395, 99213	$469.00	—	Needs review	Needs review
CLM-2026-031606	2026-07-04	Cornerstone Cardiovascular Associates in network	93306	$1,206.00	$412.34	Approved	Approved
CLM-2026-010029	2026-04-02	Sunrise Dermatology Clinic in network	11403	$618.00	$323.16	Approved	Approved
CLM-2026-007055	2026-01-20	Sunrise Medical Group in network	36415, 99213	$190.00	$106.02	Approved	Approved