Identities/MBR-013821
Gold, golden identity

Jerry K Hughes

6 source records from 3 feeds.

MBR-013821Verified6 records

Golden record

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

First nameENR
Jerry
Middle nameENR
K
Last nameENR
Hughes
Date of birthENR
1983-05-26
GenderENR
F
Member IDENR
UHC-35049-87
SSNENR
•••-••-5123
Phone—
—
EmailENR
jerry.hughes90@yahoo.com
AddressENR
1707 Hillcrest Rd
CityENR
Seattle
StateENR
WA
ZIPENR
98147
GroupENR
GRP-5996
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.98
Sources
TPA ×2CLM ×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

1.000.990.991.000.981.00TPATPA-57447CLMCLM-416888CLMCLM-416889TPATPA-57448CLMCLM-416887ENRENR-122186IDMBR-013821
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
TPA-57447TPA2026-02-17Jerry Hughesflagged1983-05-26——1707 Hillcrest Rd, Seattle, WAScored1.00—
CLM-416888CLM2026-04-09Hughes Jerryflagged1983-05-26UHC-35049-87—1707 Hillcrest Rd, Seattle, WARule0.99D1 member id + dob exact
CLM-416889CLM2026-04-09Hughes Jerryflagged1983-05-26UHC-35049-87—1707 Hillcrest Rd, Seattle, WARule0.99D1 member id + dob exact
TPA-57448TPA2026-04-11Jerry Hughesflagged1983-05-26——1707 Hillcrest Rd, Seattle, WAScored1.00—
CLM-416887CLM2026-04-24Jerry Huhesflagged1983-05-26——1707 Hillcrest Rd, Seattle, WAScored0.98—
ENR-122186ENR2026-07-20Jerry Hughesflagged1983-05-26UHC-35049-87—1707 Hillcrest Rd, Seattle, WAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-57447TPAENR-122186ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-57447TPATPA-57448TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-416888CLMCLM-416889CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-416888CLMENR-122186ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-416889CLMENR-122186ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-416888CLMTPA-57448TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-416889CLMTPA-57448TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-416888CLMCLM-416887 CLM0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.933swapped
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-416889CLMCLM-416887 CLM0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.933swapped
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-57448TPACLM-416887 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-57448TPAENR-122186ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-416887 CLMENR-122186ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-416887 → UHC-35049-87 (Jerry Hughes)
    ACT-007634, Claims processor
  • Care coordination outreachProposed
    Jerry Hughes: 3 claims, no attributed provider
    ACT-018763, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically232d03b151
    scoring_agent, ENR-122186, identity id MBR-013821, confidence 1, method probabilistic, matched record TPA-57447, policy version 1
  • 2026-10-19 19:54:38Record linked automatically365d918fec
    scoring_agent, CLM-416887, identity id MBR-013821, confidence 0.98, method probabilistic, matched record CLM-416888, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0cfebf7711
    scoring_agent, TPA-57448, identity id MBR-013821, confidence 1, method probabilistic, matched record TPA-57447, policy version 1
  • 2026-10-19 19:54:38Record linked automatically79988e47f3
    matching_agent, CLM-416889, identity id MBR-013821, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416888
  • 2026-10-19 19:54:38Record linked automatically191ff68346
    matching_agent, CLM-416888, identity id MBR-013821, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416889
  • 2026-10-19 19:54:38Record linked automaticallyb7f1015fbb
    scoring_agent, TPA-57447, identity id MBR-013821, confidence 1, method probabilistic, matched record TPA-57448, policy version 1
  • 2026-10-19 19:52:09Record linked automatically15b883e4ec
    scoring_agent, ENR-122186, identity id MBR-013821, confidence 1, method probabilistic, matched record TPA-57447, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2ddbe74aea
    scoring_agent, CLM-416887, identity id MBR-013821, confidence 0.98, method probabilistic, matched record CLM-416888, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1350f49606
    scoring_agent, TPA-57448, identity id MBR-013821, confidence 1, method probabilistic, matched record TPA-57447, policy version 1
  • 2026-10-19 19:52:09Record linked automatically892000963b
    matching_agent, CLM-416889, identity id MBR-013821, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416888
  • 2026-10-19 19:52:09Record linked automaticallya5e67d4803
    matching_agent, CLM-416888, identity id MBR-013821, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416889
  • 2026-10-19 19:52:09Record linked automatically209e14d576
    scoring_agent, TPA-57447, identity id MBR-013821, confidence 1, method probabilistic, matched record TPA-57448, policy version 1
  • 2026-10-19 19:45:42Record linked automatically876ef1bab4
    scoring_agent, ENR-122186, identity id MBR-013821, confidence 1, method probabilistic, matched record TPA-57447, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0672e58fa6
    scoring_agent, CLM-416887, identity id MBR-013821, confidence 0.98, method probabilistic, matched record CLM-416888, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye9802e3d47
    scoring_agent, TPA-57448, identity id MBR-013821, confidence 1, method probabilistic, matched record TPA-57447, policy version 1
  • 2026-10-19 19:45:42Record linked automatically288975434a
    matching_agent, CLM-416889, identity id MBR-013821, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416888
  • 2026-10-19 19:45:42Record linked automatically199f713e17
    matching_agent, CLM-416888, identity id MBR-013821, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416889
  • 2026-10-19 19:45:42Record linked automaticallyb94fe8ab48
    scoring_agent, TPA-57447, identity id MBR-013821, confidence 1, method probabilistic, matched record TPA-57448, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyeb3b3d013f
    scoring_agent, ENR-122186, identity id MBR-013821, confidence 1, method probabilistic, matched record TPA-57447, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd113847533
    scoring_agent, CLM-416887, identity id MBR-013821, confidence 0.98, method probabilistic, matched record CLM-416888, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc634ed0020
    scoring_agent, TPA-57448, identity id MBR-013821, confidence 1, method probabilistic, matched record TPA-57447, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf17d8d60c5
    matching_agent, CLM-416889, identity id MBR-013821, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416888
  • 2026-10-19 19:32:31Record linked automatically0be15ee464
    matching_agent, CLM-416888, identity id MBR-013821, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416889
  • 2026-10-19 19:32:31Record linked automatically9f4d5562d8
    scoring_agent, TPA-57447, identity id MBR-013821, confidence 1, method probabilistic, matched record TPA-57448, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyfeb1934689
    matching_agent, CLM-416888, identity id MBR-027328, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416889
  • 2026-10-19 19:31:28Record linked automaticallyc1e826d73e
    matching_agent, CLM-416889, identity id MBR-027328, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-57372
  • 2026-10-19 19:31:28Record linked automaticallyd7d76e657c
    matching_agent, CLM-416887, identity id MBR-005626, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416886
  • 2026-10-19 19:31:28Record linked automatically76b14f00d1
    scoring_agent, TPA-57448, identity id MBR-005180, confidence 1, method probabilistic, matched record CLM-417058, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd2dd5d9194
    matching_agent, TPA-57447, identity id MBR-003875, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-122302

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0238962026-04-11Northgate Internal Medicine Associates
in network
93000$80.00$19.60ApprovedApproved
CLM-2026-0110182026-04-07Meadow Heart Institute
in network
93015, 93306$1,868.00—Needs reviewNeeds review
CLM-2026-0039702026-03-07Meadow Cardiovascular Associates
in network
93224$297.00$124.14ApprovedApproved