Identities/MBR-014096

Gold, golden identity

Philip W Black

5 source records from 2 feeds.

MBR-014096Verified5 records

Golden record

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

First nameCLM: Philip
Middle nameCLM: W
Last nameCLM: Black
Date of birthCLM: 1955-02-06
GenderCLM: F
Member IDCLM: UHC-68692-47
SSNCLM: •••-••-4806
PhoneCLM: 8183431032
EmailTPA: philip.black@outlook.com
AddressCLM: 1873 Forest Ave
CityCLM: Houston
StateCLM: TX
ZIPCLM: 77015
GroupCLM: GRP-8027
PlanCLM: SELECT-EPO

Min confidence

0.97

Sources

CLM ×3TPA ×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-408164	CLM	2026-02-18	Philip Blackflagged	1955-02-06	UHC-68692-47	—	1873 Forest Ave, Houston, TX	Rule	0.99	D1 member id + dob exact
TPA-53587	TPA	2026-05-09	Philip Bleckflagged	1955-02-06	UHC-68692-47	8183431032	1873 Forest Ave, Houston, TX	Rule	0.99	D1 member id + dob exact
CLM-408163	CLM	2026-05-26	Philip Blackflagged	1955-02-06	—	8183431032	—	Scored	0.97	—
CLM-408165	CLM	2026-07-11	Philip Blackflagged	1955-02-06	UHC-68692-47	8183431032	1873 Forest Ave, Houston, TX	Scored	1.00	—
TPA-53588	TPA	2026-08-10	Philip Blackflagged	1955-02-06	—	—	1873 Forest Ave, Houston, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-408165CLMTPA-53588TPA1.00Scoredweighted 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-408164CLMCLM-408165CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-53587TPACLM-408165CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-408164CLMTPA-53587TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-53587TPATPA-53588TPA0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-53587TPACLM-408163CLM0.97Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-408163CLMCLM-408165CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408164CLMTPA-53588TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-408164CLMCLM-408163CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-408163CLMTPA-53588TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-408163 → UHC-68692-47 (Philip Black)
ACT-001599, Claims processor
Care coordination outreachProposed
Philip Black: 3 claims, no attributed provider
ACT-018786, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyaa8da713f1
scoring_agent, TPA-53588, identity id MBR-014096, confidence 1, method probabilistic, matched record CLM-408165, policy version 1
2026-10-19 19:54:38Record linked automaticallyf7532822ca
scoring_agent, CLM-408165, identity id MBR-014096, confidence 1, method probabilistic, matched record TPA-53588, policy version 1
2026-10-19 19:54:38Record linked automaticallyffe465e1c9
scoring_agent, CLM-408163, identity id MBR-014096, confidence 0.97, method probabilistic, matched record TPA-53587, policy version 1
2026-10-19 19:54:38Record linked automaticallydbf9dfc3f2
matching_agent, TPA-53587, identity id MBR-014096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408164
2026-10-19 19:54:38Record linked automatically7dee586ec1
matching_agent, CLM-408164, identity id MBR-014096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-53587
2026-10-19 19:52:09Record linked automatically070f21b565
scoring_agent, TPA-53588, identity id MBR-014096, confidence 1, method probabilistic, matched record CLM-408165, policy version 1
2026-10-19 19:52:09Record linked automaticallyc4ff98a933
scoring_agent, CLM-408165, identity id MBR-014096, confidence 1, method probabilistic, matched record TPA-53588, policy version 1
2026-10-19 19:52:09Record linked automatically7511184c55
scoring_agent, CLM-408163, identity id MBR-014096, confidence 0.97, method probabilistic, matched record TPA-53587, policy version 1
2026-10-19 19:52:09Record linked automaticallyada4e83f02
matching_agent, TPA-53587, identity id MBR-014096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408164
2026-10-19 19:52:09Record linked automaticallye87154d1d8
matching_agent, CLM-408164, identity id MBR-014096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-53587
2026-10-19 19:45:42Record linked automatically87e192f151
scoring_agent, TPA-53588, identity id MBR-014096, confidence 1, method probabilistic, matched record CLM-408165, policy version 1
2026-10-19 19:45:42Record linked automaticallyed161e23c2
scoring_agent, CLM-408165, identity id MBR-014096, confidence 1, method probabilistic, matched record TPA-53588, policy version 1
2026-10-19 19:45:42Record linked automaticallydf55408fc0
scoring_agent, CLM-408163, identity id MBR-014096, confidence 0.97, method probabilistic, matched record TPA-53587, policy version 1
2026-10-19 19:45:42Record linked automatically1a3907dce7
matching_agent, TPA-53587, identity id MBR-014096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408164
2026-10-19 19:45:42Record linked automaticallyc67d8af017
matching_agent, CLM-408164, identity id MBR-014096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-53587
2026-10-19 19:32:31Record linked automaticallyc15d94e702
scoring_agent, TPA-53588, identity id MBR-014096, confidence 1, method probabilistic, matched record CLM-408165, policy version 1
2026-10-19 19:32:31Record linked automatically0e3ab8867e
scoring_agent, CLM-408165, identity id MBR-014096, confidence 1, method probabilistic, matched record TPA-53588, policy version 1
2026-10-19 19:32:31Record linked automatically2e8128df0f
scoring_agent, CLM-408163, identity id MBR-014096, confidence 0.97, method probabilistic, matched record TPA-53587, policy version 1
2026-10-19 19:32:31Record linked automatically786b4311fa
matching_agent, TPA-53587, identity id MBR-014096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408164
2026-10-19 19:32:31Record linked automatically4883349f35
matching_agent, CLM-408164, identity id MBR-014096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-53587
2026-10-19 19:31:28Record linked automaticallyd38883a685
matching_agent, CLM-408163, identity id MBR-043879, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110724
2026-10-19 19:31:28Record linked automaticallyadfb4f0813
matching_agent, CLM-408165, identity id MBR-002624, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110726
2026-10-19 19:31:28Record linked automaticallyefd3c56247
scoring_agent, CLM-408164, identity id MBR-002624, confidence 1, method probabilistic, matched record PRV-22404, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-010194	2026-07-05	Riverside Primary Care Associates in network	99203, 99213, 90471	$439.00	$247.18	Approved	Approved
CLM-2026-001085	2026-05-01	Evergreen Family Practice in network	36415	$16.00	$0.00	Approved	Approved
CLM-2026-010653	2026-02-03	Harbor Medical Group out of network	80053, 99215	$371.00	—	Denied	Denied