Identities/MBR-018241

Gold, golden identity

Juan Banks

5 source records from 3 feeds.

MBR-018241Verified5 records

Golden record

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

First nameENR: Juan
Middle name—: —
Last nameENR: Banks
Date of birthENR: 1967-11-12
GenderENR: F
Member IDENR: UHC-97584-08
SSNENR: •••-••-4891
PhoneENR: 4882326431
EmailENR: juan.banks@icloud.com
AddressENR: 9425 Mesa Dr
CityENR: Fresno
StateENR: CA
ZIPENR: 93762
GroupENR: GRP-6782
PlanENR: CHOICE-PLUS-PPO

Min confidence

1.00

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

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-422637	CLM	2026-03-08	Juan Banksflagged	1967-11-12	—	—	9425 Mesa Dr, Fresno, CA	Scored	1.00	—
CLM-422636	CLM	2026-04-02	Juan Banksflagged	1967-11-12	UHC-97584-08	—	9425 Mesa Dr, Fresno, CA	Scored	1.00	—
CLM-422635	CLM	2026-06-26	Juan Banksflagged	1967-11-12	UHC-97584-08	—	9425 Mesa Dr, Fresno, CA	Scored	1.00	—
TPA-59947	TPA	2026-08-23	Juan Banksflagged	1967-11-12	—	—	9425 Mesa Dr, Fresno, CA	Scored	1.00	—
ENR-129659	ENR	2026-09-05	Juan Banksflagged	1967-11-12	UHC-97584-08	4882326431	9425 Mesa Dr, Fresno, CA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-422637CLMCLM-422635CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-422637CLMCLM-422636CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-422637CLMENR-129659ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-59947TPA ENR-129659ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-422637CLMTPA-59947TPA 1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-422636CLMTPA-59947TPA 1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-422635CLMTPA-59947TPA 1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-422636CLMCLM-422635CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-422636CLMENR-129659ENR0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-422635CLMENR-129659ENR0.99RuleD1 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-422637 → UHC-97584-08 (Juan Banks)
ACT-006487, Claims processor
Care coordination outreachProposed
Juan Banks: 3 claims, no attributed provider
ACT-018999, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyd9f0629b30
scoring_agent, ENR-129659, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422637, policy version 1
2026-10-19 19:54:38Record linked automaticallyb17fdd24d2
scoring_agent, TPA-59947, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422637, policy version 1
2026-10-19 19:54:38Record linked automatically34ef8d91ee
scoring_agent, CLM-422635, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422637, policy version 1
2026-10-19 19:54:38Record linked automatically337e984217
scoring_agent, CLM-422636, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422637, policy version 1
2026-10-19 19:54:38Record linked automatically4ee601448a
scoring_agent, CLM-422637, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422636, policy version 1
2026-10-19 19:52:09Record linked automatically93376b61da
scoring_agent, ENR-129659, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422637, policy version 1
2026-10-19 19:52:09Record linked automaticallyec44450e00
scoring_agent, TPA-59947, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422637, policy version 1
2026-10-19 19:52:09Record linked automatically7397b2020a
scoring_agent, CLM-422635, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422637, policy version 1
2026-10-19 19:52:09Record linked automatically1a73565756
scoring_agent, CLM-422636, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422637, policy version 1
2026-10-19 19:52:09Record linked automatically19dba21a79
scoring_agent, CLM-422637, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422636, policy version 1
2026-10-19 19:45:42Record linked automaticallycce1a496a0
scoring_agent, ENR-129659, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422637, policy version 1
2026-10-19 19:45:42Record linked automaticallybf554ec380
scoring_agent, TPA-59947, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422637, policy version 1
2026-10-19 19:45:42Record linked automatically1cd8188d7d
scoring_agent, CLM-422635, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422637, policy version 1
2026-10-19 19:45:42Record linked automaticallya26bf36e45
scoring_agent, CLM-422636, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422637, policy version 1
2026-10-19 19:45:42Record linked automatically45fd4b70b0
scoring_agent, CLM-422637, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422636, policy version 1
2026-10-19 19:32:31Record linked automatically5580e66312
scoring_agent, ENR-129659, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422637, policy version 1
2026-10-19 19:32:31Record linked automatically5ea320f56f
scoring_agent, TPA-59947, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422637, policy version 1
2026-10-19 19:32:31Record linked automatically6967dc6fe2
scoring_agent, CLM-422635, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422637, policy version 1
2026-10-19 19:32:31Record linked automaticallycb8f6cce2f
scoring_agent, CLM-422636, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422637, policy version 1
2026-10-19 19:32:31Record linked automaticallyab4a74c4bc
scoring_agent, CLM-422637, identity id MBR-018241, confidence 1, method probabilistic, matched record CLM-422636, policy version 1
2026-10-19 19:31:28Record linked automaticallydbb755b5e5
scoring_agent, CLM-422637, identity id MBR-037166, confidence 1, method probabilistic, matched record TPA-59956, policy version 1
2026-10-19 19:31:28Record linked automaticallyd9b8eb3bb5
matching_agent, CLM-422636, identity id MBR-027948, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-59954
2026-10-19 19:31:28Record linked automaticallydae0abba9c
matching_agent, TPA-59947, identity id MBR-012084, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-129774
2026-10-19 19:31:28Record linked automatically790137aee8
matching_agent, CLM-422635, identity id MBR-009492, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129801
2026-10-19 19:31:28Record linked automatically8a2bd15dfd
matching_agent, ENR-129659, identity id MBR-003009, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422530

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-006008	2026-06-06	Mesa Family Practice in network	90471	$39.00	$0.00	Approved	Approved
CLM-2026-000488	2026-03-29	Sunrise Imaging Center in network	76700, 77067	$993.00	$273.40	Approved	Approved
CLM-2026-019416	2026-02-13	Pinecrest Physical Therapy in network	97110, 97161	$588.00	—	Denied	Denied