Identities/MBR-013809
Gold, golden identity

Alan P Gilbert

4 source records from 2 feeds.

MBR-013809Verified4 records

Golden record

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

First nameENR
Alan
Middle nameENR
P
Last nameENR
Gilbert
Date of birthCLM
1965-01-14
GenderENR
F
Member IDCLM
UHC-63930-87
SSNENR
•••-••-4015
Phone—
—
EmailENR
alan.gilbert@hotmail.com
AddressENR
7071 Union St
CityENR
Columbus
StateENR
OH
ZIPENR
43298
GroupENR
GRP-0285
PlanENR
CHOICE-PLUS-PPO
Min confidence
1.00
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.00CLMCLM-430210CLMCLM-430209CLMCLM-430211ENRENR-139633IDMBR-013809
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-430210CLM2026-02-17Alan Gilbertflagged1965-01-14——7071 Union St, Columbus, OHScored1.00—
CLM-430209CLM2026-03-11Alan Gilbertflagged1965-01-14UHC-63930-87—7071 Union St, Columbus, OHScored1.00—
CLM-430211CLM2026-05-11Alan Gilbertflagged1965-01-14——7071 Union St, Columbus, OHScored1.00—
ENR-139633ENR2026-07-06Alan Gilbertflagged———7071 Union St, Columbus, OHScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-430210CLMCLM-430209CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-430210CLMCLM-430211CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-430209CLMCLM-430211CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-430209CLMENR-139633ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-430210CLMENR-139633ENR0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare
▶CLM-430211CLMENR-139633ENR0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-430210 → UHC-63930-87 (Alan Gilbert)
    ACT-002782, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-430211 → UHC-63930-87 (Alan Gilbert)
    ACT-008151, Claims processor
  • Care coordination outreachProposed
    Alan Gilbert: 3 claims, no attributed provider
    ACT-018762, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically9964987fa9
    scoring_agent, ENR-139633, identity id MBR-013809, confidence 1, method probabilistic, matched record CLM-430209, policy version 1
  • 2026-10-19 19:54:38Record linked automatically3f0bf8bae0
    scoring_agent, CLM-430211, identity id MBR-013809, confidence 1, method probabilistic, matched record CLM-430210, policy version 1
  • 2026-10-19 19:54:38Record linked automatically57f46fa369
    scoring_agent, CLM-430209, identity id MBR-013809, confidence 1, method probabilistic, matched record CLM-430210, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc6cb979c6c
    scoring_agent, CLM-430210, identity id MBR-013809, confidence 1, method probabilistic, matched record CLM-430209, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7314743749
    scoring_agent, ENR-139633, identity id MBR-013809, confidence 1, method probabilistic, matched record CLM-430209, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0b6400e60e
    scoring_agent, CLM-430211, identity id MBR-013809, confidence 1, method probabilistic, matched record CLM-430210, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallycb3d2c8428
    scoring_agent, CLM-430209, identity id MBR-013809, confidence 1, method probabilistic, matched record CLM-430210, policy version 1
  • 2026-10-19 19:52:09Record linked automatically45a47147fc
    scoring_agent, CLM-430210, identity id MBR-013809, confidence 1, method probabilistic, matched record CLM-430209, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyfcf5f7337d
    scoring_agent, ENR-139633, identity id MBR-013809, confidence 1, method probabilistic, matched record CLM-430209, policy version 1
  • 2026-10-19 19:45:42Record linked automatically17118fcca7
    scoring_agent, CLM-430211, identity id MBR-013809, confidence 1, method probabilistic, matched record CLM-430210, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyadfb67116e
    scoring_agent, CLM-430209, identity id MBR-013809, confidence 1, method probabilistic, matched record CLM-430210, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd92ad2da4b
    scoring_agent, CLM-430210, identity id MBR-013809, confidence 1, method probabilistic, matched record CLM-430209, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd64c0712bf
    scoring_agent, ENR-139633, identity id MBR-013809, confidence 1, method probabilistic, matched record CLM-430209, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybdb5be08e8
    scoring_agent, CLM-430211, identity id MBR-013809, confidence 1, method probabilistic, matched record CLM-430210, policy version 1
  • 2026-10-19 19:32:31Record linked automatically898d2737a7
    scoring_agent, CLM-430209, identity id MBR-013809, confidence 1, method probabilistic, matched record CLM-430210, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd93cf56643
    scoring_agent, CLM-430210, identity id MBR-013809, confidence 1, method probabilistic, matched record CLM-430209, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8e2cd8f629
    matching_agent, CLM-430211, identity id MBR-031203, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-139845
  • 2026-10-19 19:31:28Record linked automaticallyf28b8ec8c7
    scoring_agent, CLM-430210, identity id MBR-022030, confidence 1, method probabilistic, matched record ENR-139843, policy version 1
  • 2026-10-19 19:31:28Record linked automatically53c33a827f
    scoring_agent, CLM-430209, identity id MBR-009648, confidence 0.94, method probabilistic, matched record TPA-63262, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd34dd27ac3
    scoring_agent, ENR-139633, identity id MBR-000871, confidence 1, method probabilistic, matched record PRV-28804, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0258552026-03-31Unity Medical Group
in network
93000, 80053$160.00$74.20ApprovedApproved
CLM-2026-0193442026-01-28Unity Counseling Center
in network
90837$253.00$96.86ApprovedApproved
CLM-2026-0054752026-02-13Northgate Cardiovascular Associates
in network
93224$415.00$197.30ApprovedApproved