Identities/MBR-013990
Gold, golden identity

Roy Howell

5 source records from 2 feeds.

MBR-013990Verified5 records

Golden record

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

First nameENR
Roy
Middle name—
—
Last nameENR
Howell
Date of birthENR
1951-03-05
GenderENR
M
Member IDENR
UHC-50013-23
SSNENR
•••-••-4115
PhoneENR
4359597506
EmailENR
roy.howell70@icloud.com
AddressENR
8604 Lake View Rd
CityENR
San Diego
StateENR
CA
ZIPENR
92194
GroupENR
GRP-3035
PlanENR
OPTIONS-PPO
Min confidence
0.96
Sources
CLM ×4ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.961.001.001.000.99CLMCLM-403078CLMCLM-403080CLMCLM-403079ENRENR-103978CLMCLM-403077IDMBR-013990
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-403078CLM2026-02-18Roy Howellflagged—UHC-50013-23—8604 Lake View Rd, San Diego, CARule0.96D3 member id + name
CLM-403080CLM2026-03-25Roy Howellflagged1951-03-05—4359597506—Scored1.00—
CLM-403079CLM2026-03-25Roy Howellflagged1951-03-05—4359597506—Scored1.00—
ENR-103978ENR2026-04-15Roy Howellflagged1951-03-05UHC-50013-2343595975068604 Lake View Rd, San Diego, CAScored1.00—
CLM-403077CLM2026-05-06Roy Howellflagged1951-03-05UHC-50013-23——Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-403080CLMCLM-403079CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-403080CLMENR-103978ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-403079CLMENR-103978ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-103978ENRCLM-403077CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-403078CLMCLM-403077CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-403078CLMENR-103978ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-403080CLMCLM-403077CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-403079CLMCLM-403077CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-403080 → UHC-50013-23 (Roy Howell)
    ACT-002812, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-403079 → UHC-50013-23 (Roy Howell)
    ACT-006237, Claims processor
  • Care coordination outreachProposed
    Roy Howell: 4 claims, no attributed provider
    ACT-018776, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically5f3c61e09e
    matching_agent, CLM-403077, identity id MBR-013990, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103978
  • 2026-10-22 12:43:54Record linked automatically366f2a6d47
    scoring_agent, ENR-103978, identity id MBR-013990, confidence 1, method probabilistic, matched record CLM-403080, policy version 1
  • 2026-10-22 12:43:54Record linked automatically78bba02052
    scoring_agent, CLM-403079, identity id MBR-013990, confidence 1, method probabilistic, matched record CLM-403080, policy version 1
  • 2026-10-22 12:43:54Record linked automatically09b3c974cd
    scoring_agent, CLM-403080, identity id MBR-013990, confidence 1, method probabilistic, matched record CLM-403079, policy version 1
  • 2026-10-22 12:43:54Record linked automatically17d08f92eb
    matching_agent, CLM-403078, identity id MBR-013990, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-103978
  • 2026-10-19 19:54:38Record linked automatically2adcbc22b6
    matching_agent, CLM-403077, identity id MBR-013990, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103978
  • 2026-10-19 19:54:38Record linked automaticallyeb92a7f190
    scoring_agent, ENR-103978, identity id MBR-013990, confidence 1, method probabilistic, matched record CLM-403080, policy version 1
  • 2026-10-19 19:54:38Record linked automatically23e3f8fc73
    scoring_agent, CLM-403079, identity id MBR-013990, confidence 1, method probabilistic, matched record CLM-403080, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6462b34ba7
    scoring_agent, CLM-403080, identity id MBR-013990, confidence 1, method probabilistic, matched record CLM-403079, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6d5e5293a2
    matching_agent, CLM-403078, identity id MBR-013990, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-103978
  • 2026-10-19 19:52:09Record linked automaticallydbec73e83a
    matching_agent, CLM-403077, identity id MBR-013990, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103978
  • 2026-10-19 19:52:09Record linked automaticallyea833416f7
    scoring_agent, ENR-103978, identity id MBR-013990, confidence 1, method probabilistic, matched record CLM-403080, policy version 1
  • 2026-10-19 19:52:09Record linked automatically27272894de
    scoring_agent, CLM-403079, identity id MBR-013990, confidence 1, method probabilistic, matched record CLM-403080, policy version 1
  • 2026-10-19 19:52:09Record linked automatically56c8a1da49
    scoring_agent, CLM-403080, identity id MBR-013990, confidence 1, method probabilistic, matched record CLM-403079, policy version 1
  • 2026-10-19 19:52:09Record linked automatically852f005b98
    matching_agent, CLM-403078, identity id MBR-013990, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-103978
  • 2026-10-19 19:45:42Record linked automaticallya2f7433620
    matching_agent, CLM-403077, identity id MBR-013990, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103978
  • 2026-10-19 19:45:42Record linked automatically41f0f80076
    scoring_agent, ENR-103978, identity id MBR-013990, confidence 1, method probabilistic, matched record CLM-403080, policy version 1
  • 2026-10-19 19:45:42Record linked automatically471ec4a3a4
    scoring_agent, CLM-403079, identity id MBR-013990, confidence 1, method probabilistic, matched record CLM-403080, policy version 1
  • 2026-10-19 19:45:42Record linked automatically99f4b2010d
    scoring_agent, CLM-403080, identity id MBR-013990, confidence 1, method probabilistic, matched record CLM-403079, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5d5a350b87
    matching_agent, CLM-403078, identity id MBR-013990, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-103978
  • 2026-10-19 19:32:31Record linked automatically90a05cd98d
    matching_agent, CLM-403077, identity id MBR-013990, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103978
  • 2026-10-19 19:32:31Record linked automatically738a50fcbd
    scoring_agent, ENR-103978, identity id MBR-013990, confidence 1, method probabilistic, matched record CLM-403080, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf1547d98b1
    scoring_agent, CLM-403079, identity id MBR-013990, confidence 1, method probabilistic, matched record CLM-403080, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0a087ba385
    scoring_agent, CLM-403080, identity id MBR-013990, confidence 1, method probabilistic, matched record CLM-403079, policy version 1
  • 2026-10-19 19:32:31Record linked automatically82c48734b7
    matching_agent, CLM-403078, identity id MBR-013990, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-103978
  • 2026-10-19 19:31:28Record linked automaticallyf0fd593222
    scoring_agent, CLM-403077, identity id MBR-022659, confidence 1, method probabilistic, matched record PRV-20932, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2409861111
    matching_agent, ENR-103978, identity id MBR-017453, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-403034
  • 2026-10-19 19:31:28Record linked automatically98c7e6ec63
    matching_agent, CLM-403078, identity id MBR-004695, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20933
  • 2026-10-19 19:31:28Record linked automaticallydab504c740
    matching_agent, CLM-403079, identity id MBR-004695, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-51404
  • 2026-10-19 19:31:28Record linked automatically6a66801e3c
    matching_agent, CLM-403080, identity id MBR-004695, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20933

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0207642026-04-03Riverside Regional Medical Center
out of network
99284$1,284.00$227.80ApprovedApproved
CLM-2026-0184332026-03-04Evergreen Family Practice
in network
99395$271.00$148.02ApprovedApproved
CLM-2026-0055942026-03-10Riverside Community Hospital
in network
99284, 71046, 99285$2,946.00$1,270.30ApprovedApproved
CLM-2026-0156832026-02-12Summit Counseling Center
in network
90834$141.00$12.42ApprovedApproved