Identities/MBR-015359

Gold, golden identity

Anthony Gibson

5 source records from 3 feeds.

MBR-015359Verified5 records

Golden record

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

First nameENR: Anthony
Middle name—: —
Last nameENR: Gibson
Date of birthCLM: 1963-06-08
GenderENR: M
Member IDENR: UHC-83521-36
SSNENR: •••-••-7890
PhoneENR: 5704643442
EmailENR: anthony.gibson@outlook.com
AddressENR: 2139 Forest Ave
CityENR: Minneapolis
StateENR: MN
ZIPENR: 55428
GroupENR: GRP-8061
PlanENR: NAVIGATE-HMO

Min confidence

0.97

Sources

TPA ×2CLM ×2ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
TPA-63715	TPA	2026-02-23	Anthony Gibsonflagged	1963-06-08	—	5704643442	2139 Forest Ave, Minneapolis, MN	Scored	1.00	—
TPA-63716	TPA	2026-03-14	Anthony Gibsonflagged	1963-06-08	—	—	2139 Forest Ave, Minneapolis, MN	Scored	1.00	—
CLM-431040	CLM	2026-06-24	Anthony Gibsonflagged	1963-06-08	—	5704643442	2139 Forest Ave, Minneapolis, MN	Scored	1.00	—
ENR-140769	ENR	2026-08-03	Anthony Gibsonflagged	—	UHC-83521-36	5704643442	2139 Forest Ave, Minneapolis, MN	Scored	1.00	—
CLM-431041	CLM	2026-08-04	Anthony Gibsonflagged	1963-06-08	UHC-83521-36	—	—	Rule	0.97	D2 ssn4 + dob + last name

Evidence

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

Score

Method

Rule

Decision

▶TPA-63715TPACLM-431040CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-63716TPACLM-431040CLM1.00Scoredweighted 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-63715TPAENR-140769ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-431040CLMENR-140769ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-63716TPAENR-140769ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-63715TPATPA-63716TPA1.00Scoredweighted 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-63716TPACLM-431041CLM0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-140769ENRCLM-431041CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight
Name	1.00	3
Member ID	1.00	4
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-63715TPACLM-431041CLM0.83Scoredweighted 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-431040CLMCLM-431041CLM0.83Scoredweighted 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-431040 → UHC-83521-36 (Anthony Gibson)
ACT-006215, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallyb315fb070e
matching_agent, CLM-431041, identity id MBR-015359, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63716
2026-10-22 12:43:54Record linked automatically47df2266b0
scoring_agent, ENR-140769, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63715, policy version 1
2026-10-22 12:43:54Record linked automatically7bfc9306f2
scoring_agent, CLM-431040, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63715, policy version 1
2026-10-22 12:43:54Record linked automaticallyd1da5b24aa
scoring_agent, TPA-63716, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63715, policy version 1
2026-10-22 12:43:54Record linked automatically8f58ecf282
scoring_agent, TPA-63715, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63716, policy version 1
2026-10-19 19:54:38Record linked automatically809ae0c9f1
matching_agent, CLM-431041, identity id MBR-015359, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63716
2026-10-19 19:54:38Record linked automatically192752ba01
scoring_agent, ENR-140769, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63715, policy version 1
2026-10-19 19:54:38Record linked automatically856fd415db
scoring_agent, CLM-431040, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63715, policy version 1
2026-10-19 19:54:38Record linked automaticallya795b6e922
scoring_agent, TPA-63716, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63715, policy version 1
2026-10-19 19:54:38Record linked automatically5cf0ea95fa
scoring_agent, TPA-63715, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63716, policy version 1
2026-10-19 19:52:09Record linked automatically7951233741
matching_agent, CLM-431041, identity id MBR-015359, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63716
2026-10-19 19:52:09Record linked automaticallyc1e155c8b6
scoring_agent, ENR-140769, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63715, policy version 1
2026-10-19 19:52:09Record linked automatically0d498a5720
scoring_agent, CLM-431040, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63715, policy version 1
2026-10-19 19:52:09Record linked automatically8d013b01b8
scoring_agent, TPA-63716, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63715, policy version 1
2026-10-19 19:52:09Record linked automaticallyf059aa0aa1
scoring_agent, TPA-63715, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63716, policy version 1
2026-10-19 19:45:42Record linked automatically503616ce71
matching_agent, CLM-431041, identity id MBR-015359, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63716
2026-10-19 19:45:42Record linked automatically3f765b9807
scoring_agent, ENR-140769, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63715, policy version 1
2026-10-19 19:45:42Record linked automatically0acfd3540e
scoring_agent, CLM-431040, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63715, policy version 1
2026-10-19 19:45:42Record linked automatically51e10e61de
scoring_agent, TPA-63716, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63715, policy version 1
2026-10-19 19:45:42Record linked automatically4ce4fd6f52
scoring_agent, TPA-63715, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63716, policy version 1
2026-10-19 19:32:31Record linked automatically257a28e088
matching_agent, CLM-431041, identity id MBR-015359, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63716
2026-10-19 19:32:31Record linked automaticallyea72a3c243
scoring_agent, ENR-140769, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63715, policy version 1
2026-10-19 19:32:31Record linked automatically7cb3d8b89f
scoring_agent, CLM-431040, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63715, policy version 1
2026-10-19 19:32:31Record linked automaticallyf07eaf2c49
scoring_agent, TPA-63716, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63715, policy version 1
2026-10-19 19:32:31Record linked automatically0081c37e0b
scoring_agent, TPA-63715, identity id MBR-015359, confidence 1, method probabilistic, matched record TPA-63716, policy version 1
2026-10-19 19:31:28Record linked automaticallyf977010f97
matching_agent, ENR-140769, identity id MBR-044271, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63548
2026-10-19 19:31:28Record linked automaticallyabc8d677ab
scoring_agent, CLM-431041, identity id MBR-015137, confidence 1, method probabilistic, matched record CLM-431040, policy version 1
2026-10-19 19:31:28Record linked automaticallyc200d42753
scoring_agent, CLM-431040, identity id MBR-015137, confidence 1, method probabilistic, matched record CLM-431041, policy version 1
2026-10-19 19:31:28Record linked automatically46306ed11e
scoring_agent, TPA-63716, identity id MBR-006281, confidence 1, method probabilistic, matched record TPA-63717, policy version 1
2026-10-19 19:31:28Record linked automaticallyc6b6a78916
scoring_agent, TPA-63715, identity id MBR-004986, confidence 1, method probabilistic, matched record CLM-431290, 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-2026-001817	2026-07-17	Lakeside Reference Lab in network	87086, 80053	$108.00	$0.00	Approved	Approved
CLM-2026-018348	2026-05-11	Mesa Internal Medicine Associates in network	93000, 80053	$179.00	—	Needs review	Needs review
CLM-2026-018347	2026-05-11	Mesa Internal Medicine Associates in network	93000, 80053	$179.00	$80.98	Approved	Approved