Identities/MBR-019511
Gold, golden identity

Thomas Matthews

3 source records from 1 feed.

MBR-019511Verified3 records

Golden record

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

First nameCLM
Thomas
Middle name—
—
Last nameCLM
Matthews
Date of birthCLM
2005-09-23
GenderCLM
M
Member IDCLM
UHC-54543-72
SSNCLM
•••-••-8469
PhoneCLM
7982542444
Email—
—
AddressCLM
6278 Central Ave
CityCLM
Nashville
StateCLM
TN
ZIP—
—
GroupCLM
GRP-6216
PlanCLM
OPTIONS-PPO
Min confidence
0.93
Sources
CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.93CLMCLM-424757CLMCLM-424758CLMCLM-424759IDMBR-019511
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
CLM-424757CLM2026-03-13Thomas Matthewsflagged2005-09-23——6278 Central Ave, Nashville, TNScored0.99—
CLM-424758CLM2026-04-07Thomes Matthewsflagged2005-09-23——6278 Central Ave, Nashville, TNScored0.99—
CLM-424759CLM2026-09-11Thomas Matthewsflagged2005-09-23UHC-54543-7279825424446278 Central Ave, Nashville, TNScored0.93—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-424757CLMCLM-424758CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424757CLMCLM-424759CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424758CLMCLM-424759CLM0.92Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-424757 → UHC-54543-72 (Thomas Matthews)
    ACT-006159, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-424758 → UHC-54543-72 (Thomas Matthews)
    ACT-009958, Claims processor
  • Care coordination outreachProposed
    Thomas Matthews: 3 claims, no attributed provider
    ACT-019061, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallya2d4e24979
    scoring_agent, CLM-424759, identity id MBR-019511, confidence 0.93, method probabilistic, matched record CLM-424757, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0c8368a7f7
    scoring_agent, CLM-424758, identity id MBR-019511, confidence 0.99, method probabilistic, matched record CLM-424757, policy version 1
  • 2026-10-19 19:54:38Record linked automatically483b263607
    scoring_agent, CLM-424757, identity id MBR-019511, confidence 0.99, method probabilistic, matched record CLM-424758, policy version 1
  • 2026-10-19 19:52:09Record linked automatically791f1cfe08
    scoring_agent, CLM-424759, identity id MBR-019511, confidence 0.93, method probabilistic, matched record CLM-424757, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye6aa05d1e2
    scoring_agent, CLM-424758, identity id MBR-019511, confidence 0.99, method probabilistic, matched record CLM-424757, policy version 1
  • 2026-10-19 19:52:09Record linked automatically996b99b9cf
    scoring_agent, CLM-424757, identity id MBR-019511, confidence 0.99, method probabilistic, matched record CLM-424758, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3bf9c0b03c
    scoring_agent, CLM-424759, identity id MBR-019511, confidence 0.93, method probabilistic, matched record CLM-424757, policy version 1
  • 2026-10-19 19:45:42Record linked automatically28b1fc8e18
    scoring_agent, CLM-424758, identity id MBR-019511, confidence 0.99, method probabilistic, matched record CLM-424757, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4133668d34
    scoring_agent, CLM-424757, identity id MBR-019511, confidence 0.99, method probabilistic, matched record CLM-424758, policy version 1
  • 2026-10-19 19:32:31Record linked automatically662b05b56a
    scoring_agent, CLM-424759, identity id MBR-019511, confidence 0.93, method probabilistic, matched record CLM-424757, policy version 1
  • 2026-10-19 19:32:31Record linked automatically45c3d8bee3
    scoring_agent, CLM-424758, identity id MBR-019511, confidence 0.99, method probabilistic, matched record CLM-424757, policy version 1
  • 2026-10-19 19:32:31Record linked automatically02ae6383c3
    scoring_agent, CLM-424757, identity id MBR-019511, confidence 0.99, method probabilistic, matched record CLM-424758, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyecc244f3f7
    scoring_agent, CLM-424757, identity id MBR-031607, confidence 1, method probabilistic, matched record ENR-132565, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye201bf3390
    matching_agent, CLM-424758, identity id MBR-022550, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132566
  • 2026-10-19 19:31:28Record linked automatically8c7ac98565
    matching_agent, CLM-424759, identity id MBR-007090, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132569

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0290602026-07-28Heritage Orthopedic Specialists
in network
29881, 73721$11,417.00—Needs reviewNeeds review
CLM-2026-0328362026-03-08Northgate Dermatology Clinic
in network
11102$304.00$148.48ApprovedApproved
CLM-2026-0181392026-02-17Mesa Internal Medicine Associates
in network
99232$244.00$0.00ApprovedApproved