Identities/MBR-014103
Gold, golden identity

Justin K Cooper

4 source records from 2 feeds.

MBR-014103Verified4 records

Golden record

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

First namePRV
Justin
Middle nameCLM
K
Last namePRV
Cooper
Date of birthPRV
1943-04-08
GenderCLM
F
Member IDCLM
UHC-19536-68
SSNPRV
•••-••-3634
PhonePRV
8333266042
EmailCLM
justin.cooper56@aol.com
AddressPRV
8956 Baseline Rd
CityPRV
Fresno
StatePRV
CA
ZIPPRV
93724
GroupCLM
GRP-2805
PlanPRV
CORE-HMO
Min confidence
0.97
Sources
CLM ×3PRV ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.971.001.001.00CLMCLM-401953CLMCLM-401952CLMCLM-401951PRVPRV-20571IDMBR-014103
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-401953CLM2026-02-18Justin Cooperflagged1943-04-08———Rule0.97D2 ssn4 + dob + last name
CLM-401952CLM2026-03-18Justin Cooperflagged1943-04-08UHC-19536-688333266042—Scored1.00—
CLM-401951CLM2026-08-05Justin Cooperflagged1943-04-08UHC-19536-6883332660428956 Baseline Rd, Fresno, CAScored1.00—
PRV-20571PRV2026-10-01Justin Cooperflagged1943-04-08—83332660428956 Baseline Rd, Fresno, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-401952CLMPRV-20571PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-401951CLMPRV-20571PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-401952CLMCLM-401951CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-401953CLMPRV-20571PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-401953CLMCLM-401951CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-401953CLMCLM-401952CLM0.83Scoredweighted 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-401953 → UHC-19536-68 (Justin Cooper)
    ACT-004273, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyab3e8d3ef2
    scoring_agent, PRV-20571, identity id MBR-014103, confidence 1, method probabilistic, matched record CLM-401952, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyb74c6da0d2
    scoring_agent, CLM-401951, identity id MBR-014103, confidence 1, method probabilistic, matched record PRV-20571, policy version 1
  • 2026-10-22 12:43:54Record linked automatically299e874acd
    scoring_agent, CLM-401952, identity id MBR-014103, confidence 1, method probabilistic, matched record PRV-20571, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyea165d21e0
    matching_agent, CLM-401953, identity id MBR-014103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-20571
  • 2026-10-19 19:54:38Record linked automaticallyfaec465755
    scoring_agent, PRV-20571, identity id MBR-014103, confidence 1, method probabilistic, matched record CLM-401952, policy version 1
  • 2026-10-19 19:54:38Record linked automatically32c3c991a3
    scoring_agent, CLM-401951, identity id MBR-014103, confidence 1, method probabilistic, matched record PRV-20571, policy version 1
  • 2026-10-19 19:54:38Record linked automatically01333b1c7f
    scoring_agent, CLM-401952, identity id MBR-014103, confidence 1, method probabilistic, matched record PRV-20571, policy version 1
  • 2026-10-19 19:54:38Record linked automatically7c36c2ce9e
    matching_agent, CLM-401953, identity id MBR-014103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-20571
  • 2026-10-19 19:52:09Record linked automaticallye31ded4220
    scoring_agent, PRV-20571, identity id MBR-014103, confidence 1, method probabilistic, matched record CLM-401952, policy version 1
  • 2026-10-19 19:52:09Record linked automatically30fc0d8184
    scoring_agent, CLM-401951, identity id MBR-014103, confidence 1, method probabilistic, matched record PRV-20571, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyde9b286fbf
    scoring_agent, CLM-401952, identity id MBR-014103, confidence 1, method probabilistic, matched record PRV-20571, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyfbdb51886d
    matching_agent, CLM-401953, identity id MBR-014103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-20571
  • 2026-10-19 19:45:42Record linked automatically4a00d3e1b5
    scoring_agent, PRV-20571, identity id MBR-014103, confidence 1, method probabilistic, matched record CLM-401952, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallybdea57b728
    scoring_agent, CLM-401951, identity id MBR-014103, confidence 1, method probabilistic, matched record PRV-20571, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya620d2f3a0
    scoring_agent, CLM-401952, identity id MBR-014103, confidence 1, method probabilistic, matched record PRV-20571, policy version 1
  • 2026-10-19 19:45:42Record linked automatically39b1914ffe
    matching_agent, CLM-401953, identity id MBR-014103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-20571
  • 2026-10-19 19:32:31Record linked automatically131e9a9b2f
    scoring_agent, PRV-20571, identity id MBR-014103, confidence 1, method probabilistic, matched record CLM-401952, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9db9041fde
    scoring_agent, CLM-401951, identity id MBR-014103, confidence 1, method probabilistic, matched record PRV-20571, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6b75629b56
    scoring_agent, CLM-401952, identity id MBR-014103, confidence 1, method probabilistic, matched record PRV-20571, policy version 1
  • 2026-10-19 19:32:31Record linked automatically26f0242756
    matching_agent, CLM-401953, identity id MBR-014103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-20571
  • 2026-10-19 19:31:28Record linked automatically5543c3ce39
    matching_agent, CLM-401952, identity id MBR-026726, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102554
  • 2026-10-19 19:31:28Record linked automatically7bafb82be3
    scoring_agent, CLM-401953, identity id MBR-025831, confidence 1, method probabilistic, matched record CLM-401954, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd573518354
    scoring_agent, PRV-20571, identity id MBR-021245, confidence 1, method probabilistic, matched record CLM-401854, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6e023f0950
    scoring_agent, CLM-401951, identity id MBR-006457, confidence 1, method probabilistic, matched record TPA-50862, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0103272026-06-30Riverside Internal Medicine Associates
in network
93000$85.00$27.70ApprovedApproved
CLM-2026-0250042026-02-13Northgate Medical Group
in network
99213$203.00$100.86ApprovedApproved
CLM-2026-0112512026-01-12Sunrise Physical Therapy
in network
97110, 97161, 97014$445.00$250.90ApprovedApproved