Identities/MBR-019349

Gold, golden identity

Joe S Matthews

6 source records from 2 feeds.

MBR-019349Verified6 records

Golden record

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

First nameCLM: Joe
Middle nameCLM: S
Last nameCLM: Matthews
Date of birthCLM: 1945-05-09
GenderCLM: M
Member IDCLM: UHC-80322-37
SSNCLM: •••-••-2066
PhoneCLM: 9897899766
EmailCLM: joe.matthews@gmail.com
AddressCLM: 1238 Willow Ct
CityCLM: Las Vegas
StateCLM: NV
ZIPCLM: 89183
GroupCLM: GRP-1415
PlanCLM: CHOICE-PLUS-PPO

Min confidence

0.99

Sources

TPA ×3CLM ×3

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
TPA-53736	TPA	2026-03-13	Joe Matthewsflagged	1945-05-09	—	—	1238 Willow Ct, Las Vegas, NV	Scored	1.00	—
TPA-53738	TPA	2026-05-11	Joe Matthewsflagged	1945-05-09	—	—	1238 Willow Ct, Las Vegas, NV	Scored	1.00	—
CLM-408502	CLM	2026-06-07	Joe Mattewsflagged	1945-05-09	UHC-80322-37	9897899766	1238 Willow Ct, Las Vegas, NV	Scored	0.99	—
CLM-408501	CLM	2026-07-29	Joe Matthewsflagged	1945-05-09	UHC-80322-37	—	1238 Willow Ct, Las Vegas, NV	Scored	1.00	—
TPA-53737	TPA	2026-08-31	Joe Matthewsflagged	1945-05-09	—	—	1238 Willow Ct, Las Vegas, NV	Scored	1.00	—
CLM-408500	CLM	2026-10-12	Joe Matthewsflagged	1945-05-09	UHC-80322-37	9897899766	1238 Willow Ct, Las Vegas, NV	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-53736TPACLM-408500CLM1.00Scoredweighted 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-53736TPACLM-408501CLM1.00Scoredweighted 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-53738TPACLM-408501CLM1.00Scoredweighted 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-53736TPATPA-53737TPA1.00Scoredweighted 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-408501CLMTPA-53737TPA1.00Scoredweighted 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-53736TPATPA-53738TPA1.00Scoredweighted 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-53736TPACLM-408502CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-408502CLMCLM-408500CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	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-408501CLMCLM-408500CLM0.99RuleD1 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-408502CLMCLM-408501CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-53738TPACLM-408500CLM0.97RuleD2 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

▶TPA-53737TPACLM-408500CLM0.97RuleD2 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-53738TPACLM-408502CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	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

▶TPA-53738TPATPA-53737TPA0.97RuleD2 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-408502CLMTPA-53737TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	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

Care coordination outreachProposed
Joe Matthews: 3 claims, no attributed provider
ACT-019055, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically43f42c8eb1
scoring_agent, CLM-408500, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:54:38Record linked automaticallydfc83f16f5
scoring_agent, TPA-53737, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:54:38Record linked automatically6218b3fe9a
scoring_agent, CLM-408501, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:54:38Record linked automatically64b4f0690c
scoring_agent, CLM-408502, identity id MBR-019349, confidence 0.99, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:54:38Record linked automaticallyabcc8aeb5d
scoring_agent, TPA-53738, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:54:38Record linked automatically64109b51c7
scoring_agent, TPA-53736, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53738, policy version 1
2026-10-19 19:52:09Record linked automaticallya825ff3a93
scoring_agent, CLM-408500, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:52:09Record linked automatically096c9c0ec6
scoring_agent, TPA-53737, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:52:09Record linked automatically0a763f0728
scoring_agent, CLM-408501, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:52:09Record linked automatically521a460407
scoring_agent, CLM-408502, identity id MBR-019349, confidence 0.99, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:52:09Record linked automatically85f957bffa
scoring_agent, TPA-53738, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:52:09Record linked automaticallybd0843de02
scoring_agent, TPA-53736, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53738, policy version 1
2026-10-19 19:45:42Record linked automatically86f38714d1
scoring_agent, CLM-408500, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:45:42Record linked automatically5ab6432a1c
scoring_agent, TPA-53737, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:45:42Record linked automaticallyf182f2c8f0
scoring_agent, CLM-408501, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:45:42Record linked automaticallyde823dd0df
scoring_agent, CLM-408502, identity id MBR-019349, confidence 0.99, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:45:42Record linked automaticallyf7a3d0dc4e
scoring_agent, TPA-53738, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:45:42Record linked automaticallyda130af58f
scoring_agent, TPA-53736, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53738, policy version 1
2026-10-19 19:32:31Record linked automatically4116601498
scoring_agent, CLM-408500, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:32:31Record linked automaticallyd05fafe376
scoring_agent, TPA-53737, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:32:31Record linked automaticallyf27979e5bf
scoring_agent, CLM-408501, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:32:31Record linked automatically63c47a7800
scoring_agent, CLM-408502, identity id MBR-019349, confidence 0.99, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:32:31Record linked automatically1bf03b36b4
scoring_agent, TPA-53738, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:32:31Record linked automatically8d3f2d0eab
scoring_agent, TPA-53736, identity id MBR-019349, confidence 1, method probabilistic, matched record TPA-53738, policy version 1
2026-10-19 19:31:28Record linked automaticallya1438edd06
scoring_agent, CLM-408500, identity id MBR-018901, confidence 0.92, method probabilistic, matched record TPA-53762, policy version 1
2026-10-19 19:31:28Record linked automaticallya61846f76f
matching_agent, CLM-408501, identity id MBR-018901, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-111199
2026-10-19 19:31:28Record linked automatically9dc2f0a510
scoring_agent, TPA-53736, identity id MBR-016747, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:31:28Record linked automatically702769ee7e
scoring_agent, CLM-408502, identity id MBR-015272, confidence 0.98, method probabilistic, matched record ENR-111200, policy version 1
2026-10-19 19:31:28Record linked automatically7ee78147a7
scoring_agent, TPA-53738, identity id MBR-013850, confidence 1, method probabilistic, matched record ENR-111124, policy version 1
2026-10-19 19:31:28Record linked automaticallyeb02f8c5ac
matching_agent, TPA-53737, identity id MBR-013850, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-111124

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-2026-006360	2026-09-12	Sunrise Cardiovascular Associates in network	93015, 93306	$1,627.00	$500.14	Approved	Approved
CLM-2026-025351	2026-06-26	Sunrise Medical Group in network	90471	$28.00	$0.00	Approved	Approved
CLM-2026-020354	2026-05-05	Unity Primary Care Associates out of network	99395, 99203, 90471	$566.00	—	Needs review	Needs review