Identities/MBR-018221

Gold, golden identity

Mark O Johnson

6 source records from 4 feeds.

MBR-018221Verified6 records

Golden record

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

First nameENR: Mark
Middle nameENR: O
Last nameENR: Johnson
Date of birthENR: 1989-09-14
GenderENR: M
Member IDENR: UHC-68075-73
SSNENR: •••-••-9441
PhoneENR: 8887023078
EmailPRV: mark.johnson@outlook.com
AddressENR: 3957 Willow Ct
CityENR: Scottsdale
StateENR: AZ
ZIPENR: 85265
GroupENR: GRP-5056
PlanENR: OPTIONS-PPO

Min confidence

0.99

Sources

CLM ×3ENR ×1PRV ×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

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-425047	CLM	2026-03-08	Mark Johnsonflagged	1989-09-14	UHC-68075-73	8887023078	3957 Willow Ct, Scottsdale, AZ	Scored	0.99	—
ENR-132739	ENR	2026-03-29	Mark Johnsonflagged	1989-09-14	UHC-68075-73	8887023078	3957 Willow Ct, Scottsdale, AZ	Scored	0.99	—
CLM-425049	CLM	2026-04-01	Mark Johnsonflagged	1989-09-14	UHC-68075-73	—	3957 Willow Ct, Scottsdale, AZ	Rule	0.99	D1 member id + dob exact
PRV-27358	PRV	2026-07-26	Mrak Johnsonflagged	1989-09-14	—	8887023078	3957 Willow Ct # 625, Scottsdale, AZ	Scored	0.99	—
CLM-425048	CLM	2026-09-06	Mark Johnsonflagged	1989-09-14	UHC-68075-73	8887023078	3957 Willow Ct, Scottsdale, AZ	Scored	0.99	—
TPA-61037	TPA	2026-09-06	Mark Johnsonflagged	1989-09-14	—	—	3957 Willow Ct, Scottsdale, AZ	Scored	0.99	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-425047CLMPRV-27358PRV0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-27358PRVCLM-425048CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-132739ENRPRV-27358PRV0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425047CLMCLM-425048CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-132739ENRCLM-425048CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-425049CLMCLM-425048CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-425047CLMCLM-425049CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-132739ENRCLM-425049CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-425047CLMENR-132739ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-425049CLMPRV-27358PRV0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-27358PRVTPA-61037TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-425047CLMTPA-61037TPA0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-132739ENRTPA-61037TPA0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425049CLMTPA-61037TPA0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425048CLMTPA-61037TPA0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Mark Johnson: 2 plan codes across sources → canonical OPTIONS-PPO
ACT-000769, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallye85fe0b482
scoring_agent, TPA-61037, identity id MBR-018221, confidence 0.99, method probabilistic, matched record PRV-27358, policy version 1
2026-10-19 19:54:38Record linked automaticallyb13d93beae
scoring_agent, CLM-425048, identity id MBR-018221, confidence 0.99, method probabilistic, matched record PRV-27358, policy version 1
2026-10-19 19:54:38Record linked automatically17b15a6e2a
scoring_agent, PRV-27358, identity id MBR-018221, confidence 0.99, method probabilistic, matched record CLM-425047, policy version 1
2026-10-19 19:54:38Record linked automaticallyeb88090c5c
matching_agent, CLM-425049, identity id MBR-018221, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425047
2026-10-19 19:54:38Record linked automatically1ce67a41fb
scoring_agent, ENR-132739, identity id MBR-018221, confidence 0.99, method probabilistic, matched record PRV-27358, policy version 1
2026-10-19 19:54:38Record linked automatically74de224fb5
scoring_agent, CLM-425047, identity id MBR-018221, confidence 0.99, method probabilistic, matched record PRV-27358, policy version 1
2026-10-19 19:52:09Record linked automatically9408634082
scoring_agent, TPA-61037, identity id MBR-018221, confidence 0.99, method probabilistic, matched record PRV-27358, policy version 1
2026-10-19 19:52:09Record linked automatically544d1e56ed
scoring_agent, CLM-425048, identity id MBR-018221, confidence 0.99, method probabilistic, matched record PRV-27358, policy version 1
2026-10-19 19:52:09Record linked automatically1efd449263
scoring_agent, PRV-27358, identity id MBR-018221, confidence 0.99, method probabilistic, matched record CLM-425047, policy version 1
2026-10-19 19:52:09Record linked automaticallydcd0d43ade
matching_agent, CLM-425049, identity id MBR-018221, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425047
2026-10-19 19:52:09Record linked automatically196fc600d5
scoring_agent, ENR-132739, identity id MBR-018221, confidence 0.99, method probabilistic, matched record PRV-27358, policy version 1
2026-10-19 19:52:09Record linked automaticallyaf7ef0cd5f
scoring_agent, CLM-425047, identity id MBR-018221, confidence 0.99, method probabilistic, matched record PRV-27358, policy version 1
2026-10-19 19:45:42Record linked automatically5887cb73ec
scoring_agent, TPA-61037, identity id MBR-018221, confidence 0.99, method probabilistic, matched record PRV-27358, policy version 1
2026-10-19 19:45:42Record linked automatically6a2477e56d
scoring_agent, CLM-425048, identity id MBR-018221, confidence 0.99, method probabilistic, matched record PRV-27358, policy version 1
2026-10-19 19:45:42Record linked automatically8626ed1e77
scoring_agent, PRV-27358, identity id MBR-018221, confidence 0.99, method probabilistic, matched record CLM-425047, policy version 1
2026-10-19 19:45:42Record linked automatically226de0a3cc
matching_agent, CLM-425049, identity id MBR-018221, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425047
2026-10-19 19:45:42Record linked automatically8cfa3d24e0
scoring_agent, ENR-132739, identity id MBR-018221, confidence 0.99, method probabilistic, matched record PRV-27358, policy version 1
2026-10-19 19:45:42Record linked automaticallya7128c38c6
scoring_agent, CLM-425047, identity id MBR-018221, confidence 0.99, method probabilistic, matched record PRV-27358, policy version 1
2026-10-19 19:32:31Record linked automaticallyded8211c89
scoring_agent, TPA-61037, identity id MBR-018221, confidence 0.99, method probabilistic, matched record PRV-27358, policy version 1
2026-10-19 19:32:31Record linked automaticallyc85ae72d59
scoring_agent, CLM-425048, identity id MBR-018221, confidence 0.99, method probabilistic, matched record PRV-27358, policy version 1
2026-10-19 19:32:31Record linked automaticallye7460fee4f
scoring_agent, PRV-27358, identity id MBR-018221, confidence 0.99, method probabilistic, matched record CLM-425047, policy version 1
2026-10-19 19:32:31Record linked automatically15f5ed0ff2
matching_agent, CLM-425049, identity id MBR-018221, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425047
2026-10-19 19:32:31Record linked automatically9c5ca8e481
scoring_agent, ENR-132739, identity id MBR-018221, confidence 0.99, method probabilistic, matched record PRV-27358, policy version 1
2026-10-19 19:32:31Record linked automaticallye92982672f
scoring_agent, CLM-425047, identity id MBR-018221, confidence 0.99, method probabilistic, matched record PRV-27358, policy version 1
2026-10-19 19:31:28Record linked automatically0f4d5c4698
scoring_agent, CLM-425048, identity id MBR-019428, confidence 1, method probabilistic, matched record CLM-425051, policy version 1
2026-10-19 19:31:28Record linked automatically4d30a837b1
scoring_agent, CLM-425049, identity id MBR-019428, confidence 1, method probabilistic, matched record CLM-425048, policy version 1
2026-10-19 19:31:28Record linked automaticallyd5dac44b96
scoring_agent, CLM-425047, identity id MBR-014787, confidence 1, method probabilistic, matched record ENR-133009, policy version 1
2026-10-19 19:31:28Record linked automaticallybdf9312914
scoring_agent, PRV-27358, identity id MBR-011548, confidence 1.00, method probabilistic, matched record PRV-27360, policy version 1
2026-10-19 19:31:28Record linked automatically78f9cd091b
scoring_agent, TPA-61037, identity id MBR-004791, confidence 1, method probabilistic, matched record TPA-61036, policy version 1
2026-10-19 19:31:28Record linked automatically8c77d50e6e
matching_agent, ENR-132739, identity id MBR-004476, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424879

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-2026-014118	2026-08-13	Sunrise Behavioral Health in network	90837	$256.00	$98.72	Approved	Approved
CLM-2026-003483	2026-03-24	Unity Primary Care Associates out of network	99213	$145.00	$45.25	Approved	Approved
CLM-2026-026298	2026-02-17	Meadow GI Associates in network	43239	$2,411.00	$817.63	Approved	Approved