Identities/MBR-018814

Gold, golden identity

Julia X Cunningham

4 source records from 3 feeds.

MBR-018814Verified4 records

Golden record

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

First namePRV: Julia
Middle namePRV: X
Last nameCLM: Cunningham
Date of birthPRV: 1954-05-28
GenderPRV: F
Member IDTPA: UHC-98772-34
SSNPRV: •••-••-9200
Phone—: —
Email—: —
AddressPRV: 3668 Spring St
CityPRV: Austin
StatePRV: TX
ZIPPRV: 78725
GroupCLM: GRP-7842
PlanCLM: SELECT-EPO

Min confidence

0.93

Sources

CLM ×1TPA ×2PRV ×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-413891	CLM	2026-03-10	Julia Cunninghamflagged	1954-05-28	—	—	3668 Spring St, Austin, TX	Scored	1.00	—
TPA-56121	TPA	2026-03-25	Julia Cunninghamflagged	1954-05-28	UHC-98772-34	—	3668 Spring St, Austin, TX	Scored	0.93	—
TPA-56122	TPA	2026-04-26	Julia Cunninghamflagged	1954-05-28	—	—	3668 Spring St, Austin, TX	Scored	1.00	—
PRV-24025	PRV	2026-07-14	Julia Cunningamflagged	1954-05-28	—	—	3668 Spring St, Austin, TX	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-413891CLMTPA-56122TPA1.00Scoredweighted 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-413891CLMPRV-24025PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-56122TPAPRV-24025PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-413891CLMTPA-56121TPA0.93Scoredweighted 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

▶TPA-56121TPATPA-56122TPA0.93Scoredweighted 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

▶TPA-56121TPAPRV-24025PRV0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-413891 → UHC-98772-34 (Julia Cunningham)
ACT-003612, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyeb8342b655
scoring_agent, PRV-24025, identity id MBR-018814, confidence 1.00, method probabilistic, matched record CLM-413891, policy version 1
2026-10-19 19:54:38Record linked automaticallyb42f85b678
scoring_agent, TPA-56122, identity id MBR-018814, confidence 1, method probabilistic, matched record CLM-413891, policy version 1
2026-10-19 19:54:38Record linked automaticallye01a3964da
scoring_agent, TPA-56121, identity id MBR-018814, confidence 0.93, method probabilistic, matched record CLM-413891, policy version 1
2026-10-19 19:54:38Record linked automatically31af8552c5
scoring_agent, CLM-413891, identity id MBR-018814, confidence 1, method probabilistic, matched record TPA-56122, policy version 1
2026-10-19 19:52:09Record linked automaticallybe3fdeb50d
scoring_agent, PRV-24025, identity id MBR-018814, confidence 1.00, method probabilistic, matched record CLM-413891, policy version 1
2026-10-19 19:52:09Record linked automaticallyf0d212c171
scoring_agent, TPA-56122, identity id MBR-018814, confidence 1, method probabilistic, matched record CLM-413891, policy version 1
2026-10-19 19:52:09Record linked automaticallyefd8e15d7e
scoring_agent, TPA-56121, identity id MBR-018814, confidence 0.93, method probabilistic, matched record CLM-413891, policy version 1
2026-10-19 19:52:09Record linked automatically6275d6f901
scoring_agent, CLM-413891, identity id MBR-018814, confidence 1, method probabilistic, matched record TPA-56122, policy version 1
2026-10-19 19:45:42Record linked automaticallyf473f498c2
scoring_agent, PRV-24025, identity id MBR-018814, confidence 1.00, method probabilistic, matched record CLM-413891, policy version 1
2026-10-19 19:45:42Record linked automaticallya1257175f9
scoring_agent, TPA-56122, identity id MBR-018814, confidence 1, method probabilistic, matched record CLM-413891, policy version 1
2026-10-19 19:45:42Record linked automatically3318a53688
scoring_agent, TPA-56121, identity id MBR-018814, confidence 0.93, method probabilistic, matched record CLM-413891, policy version 1
2026-10-19 19:45:42Record linked automatically3756071506
scoring_agent, CLM-413891, identity id MBR-018814, confidence 1, method probabilistic, matched record TPA-56122, policy version 1
2026-10-19 19:32:31Record linked automatically05d5af8877
scoring_agent, PRV-24025, identity id MBR-018814, confidence 1.00, method probabilistic, matched record CLM-413891, policy version 1
2026-10-19 19:32:31Record linked automatically64ab57284b
scoring_agent, TPA-56122, identity id MBR-018814, confidence 1, method probabilistic, matched record CLM-413891, policy version 1
2026-10-19 19:32:31Record linked automaticallyf4d131d132
scoring_agent, TPA-56121, identity id MBR-018814, confidence 0.93, method probabilistic, matched record CLM-413891, policy version 1
2026-10-19 19:32:31Record linked automatically6636426aa9
scoring_agent, CLM-413891, identity id MBR-018814, confidence 1, method probabilistic, matched record TPA-56122, policy version 1
2026-10-19 19:31:28Record linked automatically97fc848722
matching_agent, CLM-413891, identity id MBR-027598, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413892
2026-10-19 19:31:28Record linked automatically04504aab0c
matching_agent, PRV-24025, identity id MBR-020297, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-24026

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-2026-008570	2026-02-27	Sunrise Heart Institute in network	93015	$352.00	—	Needs review	Needs review
CLM-2026-008569	2026-02-27	Valley Cardiovascular Associates in network	93015	$352.00	$0.00	Approved	Approved