Identities/MBR-018235
Gold, golden identity

Raymnd Duncan

4 source records from 2 feeds.

MBR-018235Verified4 records

Golden record

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

First nameCLM
Raymnd
Middle name—
—
Last nameCLM
Duncan
Date of birthCLM
1986-06-13
GenderCLM
M
Member IDCLM
UHC-84562-95
SSNCLM
•••-••-0544
PhoneCLM
2309328749
EmailTPA
raymond.duncan64@outlook.com
AddressCLM
6849 Valley View Dr
CityCLM
Miami
StateCLM
FL
ZIPCLM
33181
GroupCLM
GRP-5757
PlanCLM
SELECT-EPO
Min confidence
0.99
Sources
TPA ×1CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.000.990.99TPATPA-57050CLMCLM-416108CLMCLM-416107CLMCLM-416106IDMBR-018235
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
TPA-57050TPA2026-03-08Raymond Duncanflagged1986-06-13——6849 Valley View Dr, Miami, FLScored1.00—
CLM-416108CLM2026-06-24Raymond Duncanflagged1986-06-13UHC-84562-95—6849 Valley View Dr, Miami, FLScored1.00—
CLM-416107CLM2026-10-05Raymnd Duncanflagged1986-06-13UHC-84562-952309328749—Rule0.99D1 member id + dob exact
CLM-416106CLM2026-10-05Raymnd Duncanflagged1986-06-13UHC-84562-952309328749—Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶TPA-57050TPACLM-416108CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-416108CLMCLM-416106CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-416107CLMCLM-416106CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-416108CLMCLM-416107CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-57050TPACLM-416106CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶TPA-57050TPACLM-416107CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Raymnd Duncan: 3 claims, no attributed provider
    ACT-018997, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically8304c1fc67
    matching_agent, CLM-416106, identity id MBR-018235, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416108
  • 2026-10-22 12:43:54Record linked automatically4125b56c21
    matching_agent, CLM-416107, identity id MBR-018235, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416108
  • 2026-10-22 12:43:54Record linked automatically9ed16095a7
    scoring_agent, CLM-416108, identity id MBR-018235, confidence 1, method probabilistic, matched record TPA-57050, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyd03d88f0b0
    scoring_agent, TPA-57050, identity id MBR-018235, confidence 1, method probabilistic, matched record CLM-416108, policy version 1
  • 2026-10-19 19:54:38Record linked automatically665cd02b55
    matching_agent, CLM-416106, identity id MBR-018235, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416108
  • 2026-10-19 19:54:38Record linked automatically12fbc2b47f
    matching_agent, CLM-416107, identity id MBR-018235, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416108
  • 2026-10-19 19:54:38Record linked automaticallyfee32d8cd4
    scoring_agent, CLM-416108, identity id MBR-018235, confidence 1, method probabilistic, matched record TPA-57050, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallybc1b350b43
    scoring_agent, TPA-57050, identity id MBR-018235, confidence 1, method probabilistic, matched record CLM-416108, policy version 1
  • 2026-10-19 19:52:09Record linked automatically48fd6feb68
    matching_agent, CLM-416106, identity id MBR-018235, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416108
  • 2026-10-19 19:52:09Record linked automaticallyf8685f9e06
    matching_agent, CLM-416107, identity id MBR-018235, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416108
  • 2026-10-19 19:52:09Record linked automaticallyabf4757cee
    scoring_agent, CLM-416108, identity id MBR-018235, confidence 1, method probabilistic, matched record TPA-57050, policy version 1
  • 2026-10-19 19:52:09Record linked automatically46a40014c7
    scoring_agent, TPA-57050, identity id MBR-018235, confidence 1, method probabilistic, matched record CLM-416108, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallybb096acc6f
    matching_agent, CLM-416106, identity id MBR-018235, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416108
  • 2026-10-19 19:45:42Record linked automatically9cfdb04401
    matching_agent, CLM-416107, identity id MBR-018235, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416108
  • 2026-10-19 19:45:42Record linked automaticallyf0c5e3db5e
    scoring_agent, CLM-416108, identity id MBR-018235, confidence 1, method probabilistic, matched record TPA-57050, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye759db6230
    scoring_agent, TPA-57050, identity id MBR-018235, confidence 1, method probabilistic, matched record CLM-416108, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybd7e239202
    matching_agent, CLM-416106, identity id MBR-018235, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416108
  • 2026-10-19 19:32:31Record linked automatically1a68fb7d0e
    matching_agent, CLM-416107, identity id MBR-018235, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416108
  • 2026-10-19 19:32:31Record linked automaticallyc8ece2cfb6
    scoring_agent, CLM-416108, identity id MBR-018235, confidence 1, method probabilistic, matched record TPA-57050, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3e146872ff
    scoring_agent, TPA-57050, identity id MBR-018235, confidence 1, method probabilistic, matched record CLM-416108, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0bbb744c82
    scoring_agent, TPA-57050, identity id MBR-018987, confidence 1, method probabilistic, matched record TPA-57051, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb1ed327624
    matching_agent, CLM-416108, identity id MBR-008164, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121072
  • 2026-10-19 19:31:28Record linked automaticallyb4eedf12d9
    matching_agent, CLM-416107, identity id MBR-001283, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-121068
  • 2026-10-19 19:31:28Record linked automaticallyf3bae5f890
    scoring_agent, CLM-416106, identity id MBR-001283, confidence 1, method probabilistic, matched record ENR-121068, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0066462026-08-24Pinecrest Diagnostic Imaging
in network
71046, 76700, 77067$743.00$0.00ApprovedApproved
CLM-2026-0017562026-09-15Heritage Primary Care Associates
in network
36415$25.00$0.00ApprovedApproved
CLM-2026-0143102026-06-19Northgate Medical Group
in network
99214$288.00$148.56ApprovedApproved