Identities/MBR-019216

Gold, golden identity

Juan O Williams

5 source records from 3 feeds.

MBR-019216Verified5 records

Golden record

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

First nameENR: Juan
Middle nameCLM: O
Last nameENR: Williams
Date of birthENR: 1950-11-24
GenderENR: M
Member IDENR: UHC-25722-63
SSNENR: •••-••-7070
PhoneENR: 2572871449
EmailENR: juan.williams@proton.me
AddressENR: 8198 Lincoln Way
CityENR: Scottsdale
StateENR: AZ
ZIPENR: 85279
GroupENR: GRP-1154
PlanENR: MEDICARE-ADV-B

Min confidence

0.93

Sources

ENR ×1CLM ×3TPA ×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
ENR-120676	ENR	2026-03-12	Juan Williamsflagged	1950-11-24	UHC-25722-63	2572871449	8198 Lincoln Way, Scottsdale, AZ	Scored	1.00	—
CLM-415703	CLM	2026-04-23	Juan Williamsflagged	1950-11-24	—	2572871449	8198 Lincoln Way, Scottsdale, AZ	Scored	1.00	—
CLM-415704	CLM	2026-04-23	Juan Williamsflagged	1950-11-24	—	2572871449	8198 Lincoln Way, Scottsdale, AZ	Scored	1.00	—
TPA-56871	TPA	2026-05-29	Juan Williamsflagged	1950-11-24	—	—	8198 Lincoln Way, Scottsdale, AZ	Scored	0.93	—
CLM-415705	CLM	2026-08-03	Juan Williamsflagged	1950-11-24	UHC-25722-63	2572871449	8198 Lincoln Way, Scottsdale, AZ	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶ENR-120676ENRCLM-415703CLM1.00Scoredweighted 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-120676ENRCLM-415704CLM1.00Scoredweighted 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-415703CLMCLM-415704CLM1.00Scoredweighted 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-415703CLMCLM-415705CLM1.00Scoredweighted 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-415704CLMCLM-415705CLM1.00Scoredweighted 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-120676ENRCLM-415705CLM0.99RuleD1 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

▶TPA-56871TPACLM-415705CLM0.93Scoredweighted 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

▶ENR-120676ENRTPA-56871TPA0.93Scoredweighted 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

▶CLM-415703CLMTPA-56871TPA0.93Scoredweighted 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

▶CLM-415704CLMTPA-56871TPA0.93Scoredweighted 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-415703 → UHC-25722-63 (Juan Williams)
ACT-005835, Claims processor
Orphan claim re-pointedExecuted
CLM-415704 → UHC-25722-63 (Juan Williams)
ACT-006648, Claims processor
Care coordination outreachProposed
Juan Williams: 3 claims, no attributed provider
ACT-019050, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically768342111f
scoring_agent, CLM-415705, identity id MBR-019216, confidence 1, method probabilistic, matched record CLM-415703, policy version 1
2026-10-19 19:54:38Record linked automatically5081eb4931
scoring_agent, TPA-56871, identity id MBR-019216, confidence 0.93, method probabilistic, matched record ENR-120676, policy version 1
2026-10-19 19:54:38Record linked automatically1a95375fa9
scoring_agent, CLM-415704, identity id MBR-019216, confidence 1, method probabilistic, matched record ENR-120676, policy version 1
2026-10-19 19:54:38Record linked automaticallydd91a81413
scoring_agent, CLM-415703, identity id MBR-019216, confidence 1, method probabilistic, matched record ENR-120676, policy version 1
2026-10-19 19:54:38Record linked automaticallyb73c250163
scoring_agent, ENR-120676, identity id MBR-019216, confidence 1, method probabilistic, matched record CLM-415703, policy version 1
2026-10-19 19:52:09Record linked automatically7ac6134c7c
scoring_agent, CLM-415705, identity id MBR-019216, confidence 1, method probabilistic, matched record CLM-415703, policy version 1
2026-10-19 19:52:09Record linked automaticallydd3ddf9dfd
scoring_agent, TPA-56871, identity id MBR-019216, confidence 0.93, method probabilistic, matched record ENR-120676, policy version 1
2026-10-19 19:52:09Record linked automatically4e57daabca
scoring_agent, CLM-415704, identity id MBR-019216, confidence 1, method probabilistic, matched record ENR-120676, policy version 1
2026-10-19 19:52:09Record linked automatically8aaf492d3a
scoring_agent, CLM-415703, identity id MBR-019216, confidence 1, method probabilistic, matched record ENR-120676, policy version 1
2026-10-19 19:52:09Record linked automaticallyc37b00aab8
scoring_agent, ENR-120676, identity id MBR-019216, confidence 1, method probabilistic, matched record CLM-415703, policy version 1
2026-10-19 19:45:42Record linked automatically5745258888
scoring_agent, CLM-415705, identity id MBR-019216, confidence 1, method probabilistic, matched record CLM-415703, policy version 1
2026-10-19 19:45:42Record linked automatically414b9a7008
scoring_agent, TPA-56871, identity id MBR-019216, confidence 0.93, method probabilistic, matched record ENR-120676, policy version 1
2026-10-19 19:45:42Record linked automatically7f3bc2b997
scoring_agent, CLM-415704, identity id MBR-019216, confidence 1, method probabilistic, matched record ENR-120676, policy version 1
2026-10-19 19:45:42Record linked automaticallyb899c5281d
scoring_agent, CLM-415703, identity id MBR-019216, confidence 1, method probabilistic, matched record ENR-120676, policy version 1
2026-10-19 19:45:42Record linked automaticallyd611fc56f8
scoring_agent, ENR-120676, identity id MBR-019216, confidence 1, method probabilistic, matched record CLM-415703, policy version 1
2026-10-19 19:32:31Record linked automaticallya562d82961
scoring_agent, CLM-415705, identity id MBR-019216, confidence 1, method probabilistic, matched record CLM-415703, policy version 1
2026-10-19 19:32:31Record linked automatically835b73f3e7
scoring_agent, TPA-56871, identity id MBR-019216, confidence 0.93, method probabilistic, matched record ENR-120676, policy version 1
2026-10-19 19:32:31Record linked automaticallyf379662258
scoring_agent, CLM-415704, identity id MBR-019216, confidence 1, method probabilistic, matched record ENR-120676, policy version 1
2026-10-19 19:32:31Record linked automatically0cd763a2eb
scoring_agent, CLM-415703, identity id MBR-019216, confidence 1, method probabilistic, matched record ENR-120676, policy version 1
2026-10-19 19:32:31Record linked automaticallya0ddea8c74
scoring_agent, ENR-120676, identity id MBR-019216, confidence 1, method probabilistic, matched record CLM-415703, policy version 1
2026-10-19 19:31:28Record linked automaticallya32cc3ce19
scoring_agent, ENR-120676, identity id MBR-025278, confidence 0.93, method probabilistic, matched record TPA-56864, policy version 1
2026-10-19 19:31:28Record linked automatically1ec5072acb
scoring_agent, CLM-415703, identity id MBR-007635, confidence 1, method probabilistic, matched record CLM-415705, policy version 1
2026-10-19 19:31:28Record linked automaticallycdfa37c855
matching_agent, CLM-415704, identity id MBR-007635, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24605
2026-10-19 19:31:28Record linked automatically3cb728d6c5
scoring_agent, CLM-415705, identity id MBR-007635, confidence 1, method probabilistic, matched record CLM-415703, policy version 1
2026-10-19 19:31:28Record linked automatically0534968c4d
scoring_agent, TPA-56871, identity id MBR-005167, confidence 0.93, method probabilistic, matched record CLM-415807, policy version 1

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-2026-023771	2026-07-05	Evergreen Dermatology Clinic out of network	17110	$285.00	—	Denied	Denied
CLM-2026-023770	2026-07-05	Evergreen Dermatology Clinic out of network	17110	$285.00	$78.25	Approved	Approved
CLM-2026-019978	2026-04-19	Summit Clinical Laboratories in network	80061, 83036	$95.00	$0.00	Approved	Approved
CLM-2026-016974	2026-03-13	Canyon Cardiovascular Associates in network	93306	$1,600.00	$461.97	Approved	Approved