Identities/MBR-017422

Gold, golden identity

Billy Weaver

5 source records from 3 feeds.

MBR-017422Verified5 records

Golden record

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

First nameENR: Billy
Middle name—: —
Last nameENR: Weaver
Date of birthENR: 1953-05-24
GenderENR: F
Member IDENR: UHC-92169-35
SSNENR: •••-••-3390
PhoneENR: 6538022577
EmailENR: billy.weaver@yahoo.com
AddressCLM: 1760 Pine Dr Apt 6
CityENR: Sacramento
StateENR: CA
ZIPENR: 95874
GroupENR: GRP-6055
PlanENR: CORE-HMO

Min confidence

0.99

Sources

ENR ×1TPA ×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

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
ENR-124539	ENR	2026-03-04	Billy Weaverflagged	1953-05-24	UHC-92169-35	6538022577	1760 Pine Dr, Sacramento, CA	Scored	1.00	—
TPA-58240	TPA	2026-04-05	Billy Weaverflagged	1953-05-24	—	6538022577	1760 Pine Dr Apt 32, Sacramento, CA	Scored	1.00	—
CLM-418648	CLM	2026-04-28	Biilly Weaverflagged	1953-05-24	UHC-92169-35	6538022577	1760 Pine Dr, Sacramento, CA	Rule	0.99	D1 member id + dob exact
CLM-418650	CLM	2026-07-19	Billy Weaverflagged	1953-05-24	—	6538022577	—	Scored	1.00	—
CLM-418649	CLM	2026-09-18	Billy Weaverflagged	1953-05-24	UHC-92169-35	6538022577	1760 Pine Dr Apt 6, Sacramento, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-58240TPACLM-418649CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-418650CLMCLM-418649CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-58240TPACLM-418650CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-124539ENRTPA-58240TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-124539ENRCLM-418648CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.87	3
Date of birth	1.00	3	exact
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-124539ENRCLM-418649CLM0.99RuleD1 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

▶CLM-418648CLMCLM-418649CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.87	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-124539ENRCLM-418650CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Email	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-418648CLMCLM-418650CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.87	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-58240TPACLM-418648CLM0.96Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.87	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-418650 → UHC-92169-35 (Billy Weaver)
ACT-008467, Claims processor
Outreach address correctedProposed
Billy Weaver: 1760 Pine Dr, Sacramento → 1760 Pine Dr Apt 6, Sacramento
ACT-012063, Outreach
Care coordination outreachProposed
Billy Weaver: 3 claims, no attributed provider
ACT-018958, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallye9e969d2f5
scoring_agent, CLM-418649, identity id MBR-017422, confidence 1, method probabilistic, matched record TPA-58240, policy version 1
2026-10-19 19:54:38Record linked automatically723b777f90
scoring_agent, CLM-418650, identity id MBR-017422, confidence 1, method probabilistic, matched record TPA-58240, policy version 1
2026-10-19 19:54:38Record linked automatically9b4832f522
matching_agent, CLM-418648, identity id MBR-017422, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124539
2026-10-19 19:54:38Record linked automaticallya0dadad15c
scoring_agent, TPA-58240, identity id MBR-017422, confidence 1, method probabilistic, matched record ENR-124539, policy version 1
2026-10-19 19:54:38Record linked automatically447aefcacb
scoring_agent, ENR-124539, identity id MBR-017422, confidence 1, method probabilistic, matched record TPA-58240, policy version 1
2026-10-19 19:52:09Record linked automaticallyf3682bf69e
scoring_agent, CLM-418649, identity id MBR-017422, confidence 1, method probabilistic, matched record TPA-58240, policy version 1
2026-10-19 19:52:09Record linked automatically7d40a73b74
scoring_agent, CLM-418650, identity id MBR-017422, confidence 1, method probabilistic, matched record TPA-58240, policy version 1
2026-10-19 19:52:09Record linked automaticallye3ff8e5a41
matching_agent, CLM-418648, identity id MBR-017422, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124539
2026-10-19 19:52:09Record linked automaticallya25c2df4d2
scoring_agent, TPA-58240, identity id MBR-017422, confidence 1, method probabilistic, matched record ENR-124539, policy version 1
2026-10-19 19:52:09Record linked automatically81c93248dd
scoring_agent, ENR-124539, identity id MBR-017422, confidence 1, method probabilistic, matched record TPA-58240, policy version 1
2026-10-19 19:45:42Record linked automatically533e08474f
scoring_agent, CLM-418649, identity id MBR-017422, confidence 1, method probabilistic, matched record TPA-58240, policy version 1
2026-10-19 19:45:42Record linked automatically150e216a1a
scoring_agent, CLM-418650, identity id MBR-017422, confidence 1, method probabilistic, matched record TPA-58240, policy version 1
2026-10-19 19:45:42Record linked automatically31d4d22837
matching_agent, CLM-418648, identity id MBR-017422, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124539
2026-10-19 19:45:42Record linked automatically6a1333db6b
scoring_agent, TPA-58240, identity id MBR-017422, confidence 1, method probabilistic, matched record ENR-124539, policy version 1
2026-10-19 19:45:42Record linked automaticallyb2b36914bc
scoring_agent, ENR-124539, identity id MBR-017422, confidence 1, method probabilistic, matched record TPA-58240, policy version 1
2026-10-19 19:32:31Record linked automaticallyb31749c5a2
scoring_agent, CLM-418649, identity id MBR-017422, confidence 1, method probabilistic, matched record TPA-58240, policy version 1
2026-10-19 19:32:31Record linked automatically3a08d549d6
scoring_agent, CLM-418650, identity id MBR-017422, confidence 1, method probabilistic, matched record TPA-58240, policy version 1
2026-10-19 19:32:31Record linked automaticallyfcc246cbe1
matching_agent, CLM-418648, identity id MBR-017422, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124539
2026-10-19 19:32:31Record linked automatically09a3bc5496
scoring_agent, TPA-58240, identity id MBR-017422, confidence 1, method probabilistic, matched record ENR-124539, policy version 1
2026-10-19 19:32:31Record linked automaticallyac17dd1e26
scoring_agent, ENR-124539, identity id MBR-017422, confidence 1, method probabilistic, matched record TPA-58240, policy version 1
2026-10-19 19:31:28Record linked automaticallyf04c679bd8
matching_agent, CLM-418650, identity id MBR-020252, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-25433
2026-10-19 19:31:28Record linked automatically60bbd62dff
scoring_agent, CLM-418648, identity id MBR-014073, confidence 1, method probabilistic, matched record CLM-418647, policy version 1
2026-10-19 19:31:28Record linked automatically5cf031008d
scoring_agent, CLM-418649, identity id MBR-005751, confidence 0.99, method probabilistic, matched record PRV-25430, 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-2026-003640	2026-09-03	Lakeside Endocrine Associates out of network	99215	$359.00	—	Denied	Denied
CLM-2026-027002	2026-07-10	Harbor Endocrine Associates in network	99214, 83036	$348.00	—	Needs review	Needs review
CLM-2026-025203	2025-10-07	Meadow Cardiovascular Associates in network	99214	$306.00	—	Denied	Denied