Roy James

4 source records from 3 feeds.

MBR-019822Verified4 records

Golden record

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

First nameENR: Roy
Middle name—: —
Last nameENR: James
Date of birthENR: 1967-08-14
GenderENR: F
Member IDENR: UHC-07217-33
SSNENR: •••-••-0359
PhoneENR: 2083171681
Email—: —
AddressENR: 8311 Main St
CityENR: Tucson
StateENR: AZ
ZIPENR: 85778
GroupENR: GRP-9873
PlanENR: OPTIONS-PPO

Min confidence

1.00

Sources

CLM ×1TPA ×2ENR ×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-432356	CLM	2026-03-15	Roy Jamesflagged	1967-08-14	—	—	8311 Main St, Tucson, AZ	Scored	1.00	—
TPA-64282	TPA	2026-04-12	Roy Jamesflagged	1967-08-14	—	2083171681	—	Scored	1.00	—
ENR-142488	ENR	2026-05-10	Roy Jamesflagged	1967-08-14	UHC-07217-33	2083171681	8311 Main St, Tucson, AZ	Scored	1.00	—
TPA-64281	TPA	2026-06-26	Roy Jamesflagged	1967-08-14	—	—	8311 Main St, Tucson, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-432356CLMENR-142488ENR1.00Scoredweighted 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-64282TPAENR-142488ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-432356CLMTPA-64281TPA 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

▶ENR-142488ENRTPA-64281TPA 0.97RuleD2 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-64282TPATPA-64281TPA 0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-432356CLMTPA-64282TPA0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-432356 → UHC-07217-33 (Roy James)
ACT-001803, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically4da94e2c6e
scoring_agent, TPA-64281, identity id MBR-019822, confidence 1, method probabilistic, matched record CLM-432356, policy version 1
2026-10-19 19:54:38Record linked automatically6d87698630
scoring_agent, ENR-142488, identity id MBR-019822, confidence 1, method probabilistic, matched record CLM-432356, policy version 1
2026-10-19 19:54:38Record linked automaticallyf8a3941f20
scoring_agent, TPA-64282, identity id MBR-019822, confidence 1, method probabilistic, matched record ENR-142488, policy version 1
2026-10-19 19:54:38Record linked automaticallyef3c0d5261
scoring_agent, CLM-432356, identity id MBR-019822, confidence 1, method probabilistic, matched record ENR-142488, policy version 1
2026-10-19 19:52:09Record linked automaticallyc5b23becc3
scoring_agent, TPA-64281, identity id MBR-019822, confidence 1, method probabilistic, matched record CLM-432356, policy version 1
2026-10-19 19:52:09Record linked automatically7dd315cc25
scoring_agent, ENR-142488, identity id MBR-019822, confidence 1, method probabilistic, matched record CLM-432356, policy version 1
2026-10-19 19:52:09Record linked automaticallyf89a6aa7c9
scoring_agent, TPA-64282, identity id MBR-019822, confidence 1, method probabilistic, matched record ENR-142488, policy version 1
2026-10-19 19:52:09Record linked automatically94a8f48337
scoring_agent, CLM-432356, identity id MBR-019822, confidence 1, method probabilistic, matched record ENR-142488, policy version 1
2026-10-19 19:45:42Record linked automatically5d845415fb
scoring_agent, TPA-64281, identity id MBR-019822, confidence 1, method probabilistic, matched record CLM-432356, policy version 1
2026-10-19 19:45:42Record linked automaticallye41799661b
scoring_agent, ENR-142488, identity id MBR-019822, confidence 1, method probabilistic, matched record CLM-432356, policy version 1
2026-10-19 19:45:42Record linked automatically12aa4e8508
scoring_agent, TPA-64282, identity id MBR-019822, confidence 1, method probabilistic, matched record ENR-142488, policy version 1
2026-10-19 19:45:42Record linked automaticallye20325fdce
scoring_agent, CLM-432356, identity id MBR-019822, confidence 1, method probabilistic, matched record ENR-142488, policy version 1
2026-10-19 19:32:31Record linked automatically53d7e588cf
scoring_agent, TPA-64281, identity id MBR-019822, confidence 1, method probabilistic, matched record CLM-432356, policy version 1
2026-10-19 19:32:31Record linked automaticallyd44c5c79b3
scoring_agent, ENR-142488, identity id MBR-019822, confidence 1, method probabilistic, matched record CLM-432356, policy version 1
2026-10-19 19:32:31Record linked automatically00547026c2
scoring_agent, TPA-64282, identity id MBR-019822, confidence 1, method probabilistic, matched record ENR-142488, policy version 1
2026-10-19 19:32:31Record linked automaticallyf474fa5186
scoring_agent, CLM-432356, identity id MBR-019822, confidence 1, method probabilistic, matched record ENR-142488, policy version 1
2026-10-19 19:31:28Record linked automatically767bbe9109
scoring_agent, TPA-64281, identity id MBR-014469, confidence 0.93, method probabilistic, matched record ENR-143035, policy version 1
2026-10-19 19:31:28Record linked automaticallybdca8738b0
matching_agent, ENR-142488, identity id MBR-008078, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432222
2026-10-19 19:31:28Record linked automatically6a4147d30f
scoring_agent, CLM-432356, identity id MBR-003547, confidence 1, method probabilistic, matched record ENR-142646, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-001858	2026-02-20	Sunrise Community Hospital out of network	99284, 99285	$3,706.00	$1,317.70	Approved	Approved