Identities/MBR-017110
Gold, golden identity

Ralph Cole

5 source records from 3 feeds.

MBR-017110Verified5 records

Golden record

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

First nameENR
Ralph
Middle name—
—
Last nameENR
Cole
Date of birthENR
1964-06-11
GenderENR
F
Member IDENR
UHC-07842-57
SSNENR
•••-••-0343
PhoneENR
2518714110
EmailENR
ralph.cole40@gmail.com
AddressENR
9782 Valley View Dr
CityENR
Tucson
StateENR
AZ
ZIP—
—
GroupENR
GRP-0713
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
CLM ×3TPA ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.000.99CLMCLM-414151TPATPA-56240CLMCLM-414152CLMCLM-414150ENRENR-118551IDMBR-017110
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
CLM-414151CLM2026-03-03Ralph Coleflagged1964-06-11UHC-07842-5725187141109782 Valley View Dr, Tucson, AZScored1.00—
TPA-56240TPA2026-05-19Ralph Coleflagged1964-06-11—25187141109782 Valley View Dr, Tucson, AZScored1.00—
CLM-414152CLM2026-09-14Ralph Coleflagged1964-06-11UHC-07842-57—9782 Valley View Dr, Tucson, AZScored1.00—
CLM-414150CLM2026-09-27Ralph Coleflagged1964-06-11——9782 Valley View Dr, Tucson, AZScored1.00—
ENR-118551ENR2026-10-07Ralph Coleflagged1964-06-11UHC-07842-5725187141109782 Valley View Dr, Tucson, AZRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-414151CLMCLM-414150CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-56240TPACLM-414150CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414152CLMCLM-414150CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-56240TPACLM-414152CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414151CLMTPA-56240TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414151CLMCLM-414152CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414151CLMENR-118551ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-414152CLMENR-118551ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 4Conflicts: noneGuard: none
▶TPA-56240TPAENR-118551ENR0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414150CLMENR-118551ENR0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-414150 → UHC-07842-57 (Ralph Cole)
    ACT-005128, Claims processor
  • Care coordination outreachProposed
    Ralph Cole: 3 claims, no attributed provider
    ACT-018941, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically74a72503d4
    matching_agent, ENR-118551, identity id MBR-017110, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414151
  • 2026-10-19 19:54:38Record linked automatically94f1dca457
    scoring_agent, CLM-414150, identity id MBR-017110, confidence 1, method probabilistic, matched record CLM-414151, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya5354c9fb2
    scoring_agent, CLM-414152, identity id MBR-017110, confidence 1, method probabilistic, matched record TPA-56240, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5f8475a1b0
    scoring_agent, TPA-56240, identity id MBR-017110, confidence 1, method probabilistic, matched record CLM-414151, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1175415240
    scoring_agent, CLM-414151, identity id MBR-017110, confidence 1, method probabilistic, matched record TPA-56240, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9e49b09cf2
    matching_agent, ENR-118551, identity id MBR-017110, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414151
  • 2026-10-19 19:52:09Record linked automaticallyfa386e15d8
    scoring_agent, CLM-414150, identity id MBR-017110, confidence 1, method probabilistic, matched record CLM-414151, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8460742a92
    scoring_agent, CLM-414152, identity id MBR-017110, confidence 1, method probabilistic, matched record TPA-56240, policy version 1
  • 2026-10-19 19:52:09Record linked automatically322cc7f0cb
    scoring_agent, TPA-56240, identity id MBR-017110, confidence 1, method probabilistic, matched record CLM-414151, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye8840e80c0
    scoring_agent, CLM-414151, identity id MBR-017110, confidence 1, method probabilistic, matched record TPA-56240, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7e6218701f
    matching_agent, ENR-118551, identity id MBR-017110, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414151
  • 2026-10-19 19:45:42Record linked automatically2a8ae74208
    scoring_agent, CLM-414150, identity id MBR-017110, confidence 1, method probabilistic, matched record CLM-414151, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8182643006
    scoring_agent, CLM-414152, identity id MBR-017110, confidence 1, method probabilistic, matched record TPA-56240, policy version 1
  • 2026-10-19 19:45:42Record linked automatically69d3a826eb
    scoring_agent, TPA-56240, identity id MBR-017110, confidence 1, method probabilistic, matched record CLM-414151, policy version 1
  • 2026-10-19 19:45:42Record linked automatically03ecf5a0c7
    scoring_agent, CLM-414151, identity id MBR-017110, confidence 1, method probabilistic, matched record TPA-56240, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8351372bcd
    matching_agent, ENR-118551, identity id MBR-017110, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414151
  • 2026-10-19 19:32:31Record linked automatically98fc06e729
    scoring_agent, CLM-414150, identity id MBR-017110, confidence 1, method probabilistic, matched record CLM-414151, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd2353de74d
    scoring_agent, CLM-414152, identity id MBR-017110, confidence 1, method probabilistic, matched record TPA-56240, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6a66d92858
    scoring_agent, TPA-56240, identity id MBR-017110, confidence 1, method probabilistic, matched record CLM-414151, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8dacc8e818
    scoring_agent, CLM-414151, identity id MBR-017110, confidence 1, method probabilistic, matched record TPA-56240, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallybeda151b5f
    matching_agent, CLM-414150, identity id MBR-030294, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24174
  • 2026-10-19 19:31:28Record linked automatically5a9431bd80
    matching_agent, CLM-414151, identity id MBR-024904, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118584
  • 2026-10-19 19:31:28Record linked automatically739ca7475f
    matching_agent, ENR-118551, identity id MBR-011245, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24166
  • 2026-10-19 19:31:28Record linked automatically3395db6cfd
    scoring_agent, TPA-56240, identity id MBR-010742, confidence 1, method probabilistic, matched record ENR-118841, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyfd69c31782
    scoring_agent, CLM-414152, identity id MBR-006782, confidence 1, method probabilistic, matched record PRV-24175, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0143382026-09-22Lakeside Physical Therapy
in network
97110, 97140, 97161$507.00—DeniedDenied
CLM-2026-0143372026-09-22Lakeside Physical Therapy
in network
97110, 97140, 97161$507.00$294.34ApprovedApproved
CLM-2026-0053762026-08-15Unity Physical Therapy
in network
70553$4,064.00—Needs reviewNeeds review
CLM-2026-0051672026-02-08Canyon Diagnostic Imaging
in network
71046$221.00$0.00ApprovedApproved