Identities/MBR-016075
Gold, golden identity

Douglas I Smith

4 source records from 2 feeds.

MBR-016075Verified4 records

Golden record

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

First nameCLM
Douglas
Middle nameCLM
I
Last nameCLM
Smith
Date of birthCLM
1939-02-21
GenderCLM
F
Member IDCLM
UHC-05345-58
SSN—
—
PhoneTPA
3554501225
Email—
—
AddressCLM
6704 Valley View Dr
CityCLM
Seattle
StateCLM
WA
ZIPCLM
98166
GroupCLM
GRP-6328
PlanCLM
MEDICARE-ADV-A
Min confidence
1.00
Sources
TPA ×1CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.00TPATPA-63699CLMCLM-431005CLMCLM-431007CLMCLM-431006IDMBR-016075
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
TPA-63699TPA2026-02-26Douglas Smithflagged1939-02-21—35545012256704 Valley View Dr, Seattle, WAScored1.00—
CLM-431005CLM2026-04-15Douglas Smithflagged1939-02-21UHC-05345-58—6704 Valley View Dr, Seattle, WAScored1.00—
CLM-431007CLM2026-06-10Douglas Smithflagged1939-02-21UHC-05345-58—6704 Valley View Dr, Seattle, WAScored1.00—
CLM-431006CLM2026-10-08Douglas Smithflagged1939-02-21UHC-05345-58—6704 Valley View Dr, Seattle, WAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-63699TPA CLM-431005CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-63699TPA CLM-431006CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-63699TPA CLM-431007CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-431005CLMCLM-431006CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431007CLMCLM-431006CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431005CLMCLM-431007CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Douglas Smith: 3 claims, no attributed provider
    ACT-018890, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically25fbcec363
    scoring_agent, CLM-431006, identity id MBR-016075, confidence 1, method probabilistic, matched record TPA-63699, policy version 1
  • 2026-10-19 19:54:38Record linked automatically60e0e2aa14
    scoring_agent, CLM-431007, identity id MBR-016075, confidence 1, method probabilistic, matched record TPA-63699, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb21196b75e
    scoring_agent, CLM-431005, identity id MBR-016075, confidence 1, method probabilistic, matched record TPA-63699, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1d65f63916
    scoring_agent, TPA-63699, identity id MBR-016075, confidence 1, method probabilistic, matched record CLM-431005, policy version 1
  • 2026-10-19 19:52:09Record linked automatically570a3d6404
    scoring_agent, CLM-431006, identity id MBR-016075, confidence 1, method probabilistic, matched record TPA-63699, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb79382de19
    scoring_agent, CLM-431007, identity id MBR-016075, confidence 1, method probabilistic, matched record TPA-63699, policy version 1
  • 2026-10-19 19:52:09Record linked automatically14600aef22
    scoring_agent, CLM-431005, identity id MBR-016075, confidence 1, method probabilistic, matched record TPA-63699, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd5d841486e
    scoring_agent, TPA-63699, identity id MBR-016075, confidence 1, method probabilistic, matched record CLM-431005, policy version 1
  • 2026-10-19 19:45:42Record linked automatically284d1d2a82
    scoring_agent, CLM-431006, identity id MBR-016075, confidence 1, method probabilistic, matched record TPA-63699, policy version 1
  • 2026-10-19 19:45:42Record linked automatically81f4f545da
    scoring_agent, CLM-431007, identity id MBR-016075, confidence 1, method probabilistic, matched record TPA-63699, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8b9b3367db
    scoring_agent, CLM-431005, identity id MBR-016075, confidence 1, method probabilistic, matched record TPA-63699, policy version 1
  • 2026-10-19 19:45:42Record linked automatically55e0182d78
    scoring_agent, TPA-63699, identity id MBR-016075, confidence 1, method probabilistic, matched record CLM-431005, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye76b746a05
    scoring_agent, CLM-431006, identity id MBR-016075, confidence 1, method probabilistic, matched record TPA-63699, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye33b43ce90
    scoring_agent, CLM-431007, identity id MBR-016075, confidence 1, method probabilistic, matched record TPA-63699, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8bf5ef69e3
    scoring_agent, CLM-431005, identity id MBR-016075, confidence 1, method probabilistic, matched record TPA-63699, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6d7eced50b
    scoring_agent, TPA-63699, identity id MBR-016075, confidence 1, method probabilistic, matched record CLM-431005, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb8385f8666
    scoring_agent, TPA-63699, identity id MBR-044002, confidence 1, method probabilistic, matched record CLM-431257, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6974bcf5e8
    scoring_agent, CLM-431006, identity id MBR-040762, confidence 1, method probabilistic, matched record TPA-63592, policy version 1
  • 2026-10-19 19:31:28Record linked automatically869c34bc5d
    scoring_agent, CLM-431005, identity id MBR-040762, confidence 1, method probabilistic, matched record TPA-63592, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallybbbd266348
    scoring_agent, CLM-431007, identity id MBR-040762, confidence 0.99, method probabilistic, matched record TPA-63592, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0277122026-09-27Heritage Digestive Health Center
in network
88305, 43239$2,431.00$67.16ApprovedApproved
CLM-2026-0014102026-05-09Harbor Bone and Joint Center
in network
27447$37,477.00—Needs reviewNeeds review
CLM-2026-0110252026-03-14Summit Digestive Health Center
in network
43239, 88305$2,846.00$226.93ApprovedApproved