Identities/MBR-014345

Gold, golden identity

Jose Banks

6 source records from 3 feeds.

MBR-014345Verified6 records

Golden record

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

First namePRV: Jose
Middle name—: —
Last namePRV: Banks
Date of birthPRV: 1997-11-05
GenderPRV: M
Member IDPRV: UHC-92182-66
SSNCLM: •••-••-6913
PhonePRV: 7163179933
EmailTPA: jose.banks@icloud.com
AddressPRV: 5571 Main St # 201
CityPRV: Dallas
StatePRV: TX
ZIPPRV: 75275
GroupCLM: GRP-3662
PlanPRV: CHOICE-PLUS-PPO

Min confidence

0.99

Sources

CLM ×3TPA ×2PRV ×1

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-432357	CLM	2026-02-19	Jose Banksflagged	1997-11-05	UHC-92182-66	—	5571 Main St, Dallas, TX	Scored	1.00	—
CLM-432358	CLM	2026-02-19	Jose Banksflagged	1997-11-05	UHC-92182-66	7163179933	—	Rule	0.99	D1 member id + dob exact
TPA-64285	TPA	2026-04-04	Jose Banksflagged	1997-11-05	—	—	5571 Main St, Dallas, TX	Scored	1.00	—
TPA-64284	TPA	2026-05-24	Jose Banksflagged	1997-11-05	—	—	5571 Main St, Dallas, TX	Scored	1.00	—
CLM-432359	CLM	2026-08-18	Jose Banksflagged	1997-11-05	—	—	5571 Main St, Dallas, TX	Scored	1.00	—
PRV-29457	PRV	2026-10-03	Jose Banksflagged	1997-11-05	UHC-92182-66	7163179933	5571 Main St # 201, Dallas, TX	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-64285TPACLM-432359CLM1.00Scoredweighted 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

▶TPA-64284 TPACLM-432359CLM1.00Scoredweighted 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

▶TPA-64285TPAPRV-29457PRV1.00Scoredweighted 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

▶TPA-64284 TPAPRV-29457PRV1.00Scoredweighted 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-432359CLMPRV-29457PRV1.00Scoredweighted 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-432357CLMTPA-64284 TPA1.00Scoredweighted 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

▶TPA-64285TPATPA-64284 TPA1.00Scoredweighted 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-432357CLMTPA-64285TPA1.00Scoredweighted 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-432357CLMCLM-432358CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-432357CLMPRV-29457PRV0.99RuleD1 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-432358CLMPRV-29457PRV0.99RuleD1 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
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-432357CLMCLM-432359CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-432358CLMCLM-432359CLM0.83Scoredweighted 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-432358CLMTPA-64284 TPA0.83Scoredweighted 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-432358CLMTPA-64285TPA0.83Scoredweighted 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-432359 → UHC-92182-66 (Jose Banks)
ACT-003707, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallya0fa98e94c
scoring_agent, PRV-29457, identity id MBR-014345, confidence 1, method probabilistic, matched record TPA-64285, policy version 1
2026-10-19 19:54:38Record linked automaticallyef996d0afd
scoring_agent, CLM-432359, identity id MBR-014345, confidence 1, method probabilistic, matched record TPA-64285, policy version 1
2026-10-19 19:54:38Record linked automaticallyee5488156b
scoring_agent, TPA-64284, identity id MBR-014345, confidence 1, method probabilistic, matched record CLM-432357, policy version 1
2026-10-19 19:54:38Record linked automaticallye74825b420
scoring_agent, TPA-64285, identity id MBR-014345, confidence 1, method probabilistic, matched record CLM-432357, policy version 1
2026-10-19 19:54:38Record linked automatically90b5d8e7c0
matching_agent, CLM-432358, identity id MBR-014345, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432357
2026-10-19 19:54:38Record linked automatically3f0615d59a
scoring_agent, CLM-432357, identity id MBR-014345, confidence 1, method probabilistic, matched record TPA-64285, policy version 1
2026-10-19 19:52:09Record linked automaticallye9a97106a0
scoring_agent, PRV-29457, identity id MBR-014345, confidence 1, method probabilistic, matched record TPA-64285, policy version 1
2026-10-19 19:52:09Record linked automatically2453db9fd2
scoring_agent, CLM-432359, identity id MBR-014345, confidence 1, method probabilistic, matched record TPA-64285, policy version 1
2026-10-19 19:52:09Record linked automatically895f99860b
scoring_agent, TPA-64284, identity id MBR-014345, confidence 1, method probabilistic, matched record CLM-432357, policy version 1
2026-10-19 19:52:09Record linked automatically18907886a9
scoring_agent, TPA-64285, identity id MBR-014345, confidence 1, method probabilistic, matched record CLM-432357, policy version 1
2026-10-19 19:52:09Record linked automaticallye2cb6d87d0
matching_agent, CLM-432358, identity id MBR-014345, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432357
2026-10-19 19:52:09Record linked automatically21d322a0ad
scoring_agent, CLM-432357, identity id MBR-014345, confidence 1, method probabilistic, matched record TPA-64285, policy version 1
2026-10-19 19:45:42Record linked automatically46da310380
scoring_agent, PRV-29457, identity id MBR-014345, confidence 1, method probabilistic, matched record TPA-64285, policy version 1
2026-10-19 19:45:42Record linked automatically1864ce90e3
scoring_agent, CLM-432359, identity id MBR-014345, confidence 1, method probabilistic, matched record TPA-64285, policy version 1
2026-10-19 19:45:42Record linked automatically870703d9af
scoring_agent, TPA-64284, identity id MBR-014345, confidence 1, method probabilistic, matched record CLM-432357, policy version 1
2026-10-19 19:45:42Record linked automaticallydd11bb41b3
scoring_agent, TPA-64285, identity id MBR-014345, confidence 1, method probabilistic, matched record CLM-432357, policy version 1
2026-10-19 19:45:42Record linked automatically94a0f672eb
matching_agent, CLM-432358, identity id MBR-014345, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432357
2026-10-19 19:45:42Record linked automatically56f52efd3d
scoring_agent, CLM-432357, identity id MBR-014345, confidence 1, method probabilistic, matched record TPA-64285, policy version 1
2026-10-19 19:32:31Record linked automatically1d45dff9df
scoring_agent, PRV-29457, identity id MBR-014345, confidence 1, method probabilistic, matched record TPA-64285, policy version 1
2026-10-19 19:32:31Record linked automatically4c3a57c4e5
scoring_agent, CLM-432359, identity id MBR-014345, confidence 1, method probabilistic, matched record TPA-64285, policy version 1
2026-10-19 19:32:31Record linked automatically61b8f36df6
scoring_agent, TPA-64284, identity id MBR-014345, confidence 1, method probabilistic, matched record CLM-432357, policy version 1
2026-10-19 19:32:31Record linked automatically24822297e6
scoring_agent, TPA-64285, identity id MBR-014345, confidence 1, method probabilistic, matched record CLM-432357, policy version 1
2026-10-19 19:32:31Record linked automaticallybe7b635e08
matching_agent, CLM-432358, identity id MBR-014345, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432357
2026-10-19 19:32:31Record linked automaticallyf275adbf6d
scoring_agent, CLM-432357, identity id MBR-014345, confidence 1, method probabilistic, matched record TPA-64285, policy version 1
2026-10-19 19:31:28Record linked automatically28fb2107ae
scoring_agent, PRV-29457, identity id MBR-018246, confidence 1, method probabilistic, matched record TPA-64194, policy version 1
2026-10-19 19:31:28Record linked automatically93919dc257
matching_agent, TPA-64285, identity id MBR-015925, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-143064
2026-10-19 19:31:28Record linked automaticallyd91dbfe023
matching_agent, TPA-64284, identity id MBR-014316, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-143062
2026-10-19 19:31:28Record linked automatically4b21b1ed5c
scoring_agent, CLM-432359, identity id MBR-009685, confidence 0.99, method probabilistic, matched record TPA-64155, policy version 1
2026-10-19 19:31:28Record linked automaticallyfe436ae742
scoring_agent, CLM-432358, identity id MBR-009685, confidence 0.98, method probabilistic, matched record PRV-29434, policy version 1
2026-10-19 19:31:28Record linked automaticallycba32a2d36
scoring_agent, CLM-432357, identity id MBR-004005, confidence 1, method probabilistic, matched record TPA-64153, policy version 1

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-008953	2026-07-20	Riverside Primary Care Associates in network	36415, 99203	$236.00	$132.06	Approved	Approved
CLM-2026-013795	2026-01-31	Harbor Regional Medical Center in network	71046, 99284	$1,901.00	$933.35	Approved	Approved
CLM-2026-008936	2026-01-30	Desert Internal Medicine Associates in network	93000	$91.00	$26.42	Approved	Approved