Identities/MBR-016342
Gold, golden identity

Billy K Hansen

3 source records from 3 feeds.

MBR-016342Verified3 recordsOpen steward case

Golden record

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

First nameENR
Billy
Middle nameENR
K
Last nameENR
Hansen
Date of birthENR
1960-03-13
GenderENR
F
Member IDENR
UHC-35061-76
SSNENR
•••-••-3213
PhoneENR
8119283330
EmailENR
billy.hansen@icloud.com
AddressTPA
8826 Grand Ave Apt 5
CityENR
San Diego
StateENR
CA
ZIP—
—
GroupENR
GRP-3670
PlanENR
OPTIONS-PPO
Min confidence
0.97
Sources
ENR ×1CLM ×1TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.97ENRENR-114924CLMCLM-411341TPATPA-54985IDMBR-016342
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
ENR-114924ENR2026-02-27Billy Hansenflagged1960-03-13UHC-35061-7681192833308826 Grand Ave, San Diego, CAScored1.00—
CLM-411341CLM2026-04-15Billy Hansenflagged1960-03-13——8826 Grand Ave, San Diego, CAScored1.00—
TPA-54985TPA2026-08-29Billy Hanseenflagged1960-03-13—81192833308826 Grand Ave Apt 5, San Diego, CARule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶ENR-114924ENR CLM-411341CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-114924ENR TPA-54985TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-411341CLMTPA-54985TPA0.92Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Billy Hansen: 2 plan codes across sources → canonical OPTIONS-PPO
    ACT-000696, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-411341 → UHC-35061-76 (Billy Hansen)
    ACT-005839, Claims processor
  • Outreach address correctedProposed
    Billy Hansen: 8826 Grand Ave, San Diego → 8826 Grand Ave Apt 5, San Diego
    ACT-011979, Outreach

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyf4323d9a73
    matching_agent, TPA-54985, identity id MBR-016342, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-114924
  • 2026-10-19 19:54:38Record linked automatically69ffe74da6
    scoring_agent, CLM-411341, identity id MBR-016342, confidence 1, method probabilistic, matched record ENR-114924, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0528dcc788
    scoring_agent, ENR-114924, identity id MBR-016342, confidence 1, method probabilistic, matched record CLM-411341, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf277ac3050
    matching_agent, TPA-54985, identity id MBR-016342, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-114924
  • 2026-10-19 19:52:09Record linked automatically256d68cbf6
    scoring_agent, CLM-411341, identity id MBR-016342, confidence 1, method probabilistic, matched record ENR-114924, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd3ea56375e
    scoring_agent, ENR-114924, identity id MBR-016342, confidence 1, method probabilistic, matched record CLM-411341, policy version 1
  • 2026-10-19 19:45:42Record linked automatically59c28ed122
    matching_agent, TPA-54985, identity id MBR-016342, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-114924
  • 2026-10-19 19:45:42Record linked automaticallyb4cb98cf76
    scoring_agent, CLM-411341, identity id MBR-016342, confidence 1, method probabilistic, matched record ENR-114924, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd8d49d39a9
    scoring_agent, ENR-114924, identity id MBR-016342, confidence 1, method probabilistic, matched record CLM-411341, policy version 1
  • 2026-10-19 19:32:31Record linked automatically919798aabe
    matching_agent, TPA-54985, identity id MBR-016342, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-114924
  • 2026-10-19 19:32:31Record linked automatically56211f925c
    scoring_agent, CLM-411341, identity id MBR-016342, confidence 1, method probabilistic, matched record ENR-114924, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallydaddbc9c45
    scoring_agent, ENR-114924, identity id MBR-016342, confidence 1, method probabilistic, matched record CLM-411341, policy version 1
  • 2026-10-19 19:31:28Record linked automatically188d24a621
    matching_agent, ENR-114924, identity id MBR-016011, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-54994
  • 2026-10-19 19:31:28Record linked automatically0f4a5384dd
    scoring_agent, TPA-54985, identity id MBR-003728, confidence 1, method probabilistic, matched record ENR-114897, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0169932026-03-18Summit Regional Medical Center
in network
70553$2,817.00—Needs reviewNeeds review