Identities/MBR-015949
Gold, golden identity

Alice Gibson

4 source records from 3 feeds.

MBR-015949Verified4 records

Golden record

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

First namePRV
Alice
Middle name—
—
Last namePRV
Gibson
Date of birthPRV
1966-05-04
GenderPRV
M
Member IDPRV
UHC-30304-46
SSNPRV
•••-••-4122
PhonePRV
8817648012
EmailPRV
alice.gibson@yahoo.com
AddressPRV
4012 Elm St
CityPRV
Eden Prairie
StatePRV
MN
ZIPPRV
55318
GroupCLM
GRP-4000
PlanPRV
MEDICARE-ADV-A
Min confidence
0.99
Sources
PRV ×1CLM ×2TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.991.001.00PRVPRV-29532CLMCLM-432625CLMCLM-432624TPATPA-64389IDMBR-015949
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
PRV-29532PRV2026-02-26Alice Gibsonflagged1966-05-04UHC-30304-4688176480124012 Elm St, Eden Prairie, MNScored1.00—
CLM-432625CLM2026-06-25Alice Gibsonflagged1966-05-04UHC-30304-46——Rule0.99D1 member id + dob exact
CLM-432624CLM2026-08-27Alice Gibsonflagged1966-05-04——4012 Elm St, Eden Prairie, MNScored1.00—
TPA-64389TPA2026-10-03Alice Gibsonflagged1966-05-04——4012 Elm St, Eden Prairie, MNScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶PRV-29532PRVCLM-432624CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-29532PRVTPA-64389TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-432624CLMTPA-64389TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-29532PRVCLM-432625CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-432625CLMCLM-432624CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-432625CLMTPA-64389TPA0.83Scoredweighted 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-432624 → UHC-30304-46 (Alice Gibson)
    ACT-004145, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically4b9642b961
    scoring_agent, TPA-64389, identity id MBR-015949, confidence 1, method probabilistic, matched record PRV-29532, policy version 1
  • 2026-10-19 19:54:38Record linked automatically59a95cd544
    scoring_agent, CLM-432624, identity id MBR-015949, confidence 1, method probabilistic, matched record PRV-29532, policy version 1
  • 2026-10-19 19:54:38Record linked automatically21303d278d
    matching_agent, CLM-432625, identity id MBR-015949, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29532
  • 2026-10-19 19:54:38Record linked automaticallyed5ac35b30
    scoring_agent, PRV-29532, identity id MBR-015949, confidence 1, method probabilistic, matched record CLM-432624, policy version 1
  • 2026-10-19 19:52:09Record linked automatically163d2b8c44
    scoring_agent, TPA-64389, identity id MBR-015949, confidence 1, method probabilistic, matched record PRV-29532, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4b169cac14
    scoring_agent, CLM-432624, identity id MBR-015949, confidence 1, method probabilistic, matched record PRV-29532, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb7a405aa04
    matching_agent, CLM-432625, identity id MBR-015949, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29532
  • 2026-10-19 19:52:09Record linked automaticallyb2470a4b15
    scoring_agent, PRV-29532, identity id MBR-015949, confidence 1, method probabilistic, matched record CLM-432624, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye90dbda236
    scoring_agent, TPA-64389, identity id MBR-015949, confidence 1, method probabilistic, matched record PRV-29532, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb436edccf4
    scoring_agent, CLM-432624, identity id MBR-015949, confidence 1, method probabilistic, matched record PRV-29532, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya850ffe155
    matching_agent, CLM-432625, identity id MBR-015949, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29532
  • 2026-10-19 19:45:42Record linked automatically1d9169033b
    scoring_agent, PRV-29532, identity id MBR-015949, confidence 1, method probabilistic, matched record CLM-432624, policy version 1
  • 2026-10-19 19:32:31Record linked automatically46d6734b6b
    scoring_agent, TPA-64389, identity id MBR-015949, confidence 1, method probabilistic, matched record PRV-29532, policy version 1
  • 2026-10-19 19:32:31Record linked automatically45833ca146
    scoring_agent, CLM-432624, identity id MBR-015949, confidence 1, method probabilistic, matched record PRV-29532, policy version 1
  • 2026-10-19 19:32:31Record linked automatically053f387656
    matching_agent, CLM-432625, identity id MBR-015949, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29532
  • 2026-10-19 19:32:31Record linked automatically9ecaf31d28
    scoring_agent, PRV-29532, identity id MBR-015949, confidence 1, method probabilistic, matched record CLM-432624, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc3cb4026f6
    matching_agent, CLM-432625, identity id MBR-043056, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-143020
  • 2026-10-19 19:31:28Record linked automatically78c12b02f0
    matching_agent, CLM-432624, identity id MBR-021049, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-143015
  • 2026-10-19 19:31:28Record linked automaticallyccfafdc10e
    scoring_agent, PRV-29532, identity id MBR-000241, confidence 1, method probabilistic, matched record TPA-64270, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0107192026-07-31Meadow Internal Medicine Associates
in network
99215, 80053$386.00$199.32ApprovedApproved
CLM-2026-0284172026-06-10Pinecrest Medical Group
in network
99232$238.00$0.00ApprovedApproved