Identities/MBR-017120

Gold, golden identity

Hiroshi Montgomery

5 source records from 2 feeds.

MBR-017120Verified5 records

Golden record

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

First nameENR: Hiroshi
Middle name—: —
Last nameENR: Montgomery
Date of birthCLM: 1976-04-17
GenderENR: M
Member IDENR: UHC-28875-07
SSNENR: •••-••-2914
PhoneENR: 7828558376
EmailCLM: hiroshi.montgomery56@aol.com
AddressENR: 1778 Ridge Rd
CityENR: Miami
StateENR: FL
ZIPENR: 33123
GroupENR: GRP-6813
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.93

Sources

CLM ×4ENR ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

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
CLM-420953	CLM	2026-03-03	Hiroshi Montgomeryflagged	1976-04-17	—	—	1778 Ridge Rd Apt 21, Miami, FL	Scored	0.93	—
ENR-127532	ENR	2026-04-28	Hiroshi Montgomeryflagged	—	UHC-28875-07	7828558376	1778 Ridge Rd, Miami, FL	Rule	0.96	D3 member id + name
CLM-420950	CLM	2026-05-10	Hioshi Montgomeryflagged	1976-04-17	—	—	1778 Ridge Rd, Miami, FL	Scored	0.99	—
CLM-420951	CLM	2026-05-19	Hiroshi Montgomeryflagged	1976-04-17	UHC-28875-07	7828558376	1778 Ridge Rd, Miami, FL	Scored	0.99	—
CLM-420952	CLM	2026-08-21	Hiroshi Montgomeryflagged	1976-04-17	UHC-28875-07	7828558376	1778 Ridge Rd, Miami, FL	Scored	0.99	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-420950CLMCLM-420951CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-420950CLMCLM-420952CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-420951CLMCLM-420952CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-127532ENR CLM-420951CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-127532ENR CLM-420952CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-420953CLMCLM-420950CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420953CLMCLM-420951CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-420953CLMCLM-420952CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-127532ENR CLM-420950CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-420950 → UHC-28875-07 (Hiroshi Montgomery)
ACT-004740, Claims processor
Orphan claim re-pointedExecuted
CLM-420953 → UHC-28875-07 (Hiroshi Montgomery)
ACT-007539, Claims processor
Care coordination outreachProposed
Hiroshi Montgomery: 4 claims, no attributed provider
ACT-018943, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallya2ef81882f
scoring_agent, CLM-420952, identity id MBR-017120, confidence 0.99, method probabilistic, matched record CLM-420950, policy version 1
2026-10-19 19:54:38Record linked automatically3a1141c879
scoring_agent, CLM-420951, identity id MBR-017120, confidence 0.99, method probabilistic, matched record CLM-420950, policy version 1
2026-10-19 19:54:38Record linked automaticallyb9176f880c
scoring_agent, CLM-420950, identity id MBR-017120, confidence 0.99, method probabilistic, matched record CLM-420951, policy version 1
2026-10-19 19:54:38Record linked automatically1832870420
matching_agent, ENR-127532, identity id MBR-017120, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-420951
2026-10-19 19:54:38Record linked automatically93054c4b3f
scoring_agent, CLM-420953, identity id MBR-017120, confidence 0.93, method probabilistic, matched record CLM-420950, policy version 1
2026-10-19 19:52:09Record linked automaticallyd6d76a2d47
scoring_agent, CLM-420952, identity id MBR-017120, confidence 0.99, method probabilistic, matched record CLM-420950, policy version 1
2026-10-19 19:52:09Record linked automatically8a3e80c94c
scoring_agent, CLM-420951, identity id MBR-017120, confidence 0.99, method probabilistic, matched record CLM-420950, policy version 1
2026-10-19 19:52:09Record linked automaticallydfa73833c6
scoring_agent, CLM-420950, identity id MBR-017120, confidence 0.99, method probabilistic, matched record CLM-420951, policy version 1
2026-10-19 19:52:09Record linked automaticallyafa3b1441a
matching_agent, ENR-127532, identity id MBR-017120, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-420951
2026-10-19 19:52:09Record linked automatically3a73d13781
scoring_agent, CLM-420953, identity id MBR-017120, confidence 0.93, method probabilistic, matched record CLM-420950, policy version 1
2026-10-19 19:45:42Record linked automatically977e281a7c
scoring_agent, CLM-420952, identity id MBR-017120, confidence 0.99, method probabilistic, matched record CLM-420950, policy version 1
2026-10-19 19:45:42Record linked automatically36fe4010b3
scoring_agent, CLM-420951, identity id MBR-017120, confidence 0.99, method probabilistic, matched record CLM-420950, policy version 1
2026-10-19 19:45:42Record linked automaticallyd18e1e3c9b
scoring_agent, CLM-420950, identity id MBR-017120, confidence 0.99, method probabilistic, matched record CLM-420951, policy version 1
2026-10-19 19:45:42Record linked automatically8a1fe45d07
matching_agent, ENR-127532, identity id MBR-017120, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-420951
2026-10-19 19:45:42Record linked automatically961769915b
scoring_agent, CLM-420953, identity id MBR-017120, confidence 0.93, method probabilistic, matched record CLM-420950, policy version 1
2026-10-19 19:32:31Record linked automaticallyb4d6ec2b1e
scoring_agent, CLM-420952, identity id MBR-017120, confidence 0.99, method probabilistic, matched record CLM-420950, policy version 1
2026-10-19 19:32:31Record linked automaticallybfcfb4b8a0
scoring_agent, CLM-420951, identity id MBR-017120, confidence 0.99, method probabilistic, matched record CLM-420950, policy version 1
2026-10-19 19:32:31Record linked automatically5ed1597939
scoring_agent, CLM-420950, identity id MBR-017120, confidence 0.99, method probabilistic, matched record CLM-420951, policy version 1
2026-10-19 19:32:31Record linked automatically2d9aae4280
matching_agent, ENR-127532, identity id MBR-017120, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-420951
2026-10-19 19:32:31Record linked automatically5e62bb5bf1
scoring_agent, CLM-420953, identity id MBR-017120, confidence 0.93, method probabilistic, matched record CLM-420950, policy version 1
2026-10-19 19:31:28Record linked automatically5130f16687
matching_agent, CLM-420953, identity id MBR-035037, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127497
2026-10-19 19:31:28Record linked automatically1b11ef045e
scoring_agent, CLM-420950, identity id MBR-021979, confidence 1, method probabilistic, matched record CLM-420951, policy version 1
2026-10-19 19:31:28Record linked automaticallye1b5a33d9b
scoring_agent, CLM-420951, identity id MBR-021979, confidence 1, method probabilistic, matched record CLM-420950, policy version 1
2026-10-19 19:31:28Record linked automaticallyae770d11bd
matching_agent, CLM-420952, identity id MBR-016690, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127490
2026-10-19 19:31:28Record linked automaticallyb177e2297f
scoring_agent, ENR-127532, identity id MBR-008392, confidence 0.99, method probabilistic, matched record TPA-59158, 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-2026-004021	2026-08-13	Meadow Primary Care Associates in network	99203, 99213	$414.00	$231.68	Approved	Approved
CLM-2026-024820	2026-05-14	Meadow Clinical Laboratories in network	80053	$42.00	$0.00	Approved	Approved
CLM-2026-012911	2026-04-07	Lakeside Imaging Center in network	77067	$323.00	$0.00	Approved	Approved
CLM-2026-023471	2026-01-26	Lakeside Bone and Joint Center in network	27447	$46,951.00	—	Needs review	Needs review
CLM-2026-023470	2026-01-26	Lakeside Bone and Joint Center in network	27447	$46,951.00	—	Needs review	Needs review