Identities/MBR-020061
Gold, golden identity

Douglas Robinson

5 source records from 3 feeds.

MBR-020061Verified5 records

Golden record

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

First nameCLM
Douglas
Middle name—
—
Last nameENR
Robinson
Date of birthCLM
1974-11-27
GenderENR
M
Member IDENR
UHC-58278-39
SSNENR
•••-••-6014
PhoneENR
5426819497
EmailCLM
douglas.robinson65@proton.me
AddressENR
9031 Apache Blvd
CityENR
Nashville
StateENR
TN
ZIPENR
37242
GroupENR
GRP-2881
PlanENR
MEDICARE-ADV-B
Min confidence
0.96
Sources
CLM ×2ENR ×1TPA ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.961.001.001.00CLMCLM-409474ENRENR-112460CLMCLM-409473TPATPA-54110TPATPA-54109IDMBR-020061
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-409474CLM2026-03-16Douglas Robinsonflagged1974-11-27UHC-58278-3954268194979031 Apache Blvd, Nashville, TNScored1.00—
ENR-112460ENR2026-07-12Doouglas Robinsonflagged1975-11-27UHC-58278-3954268194979031 Apache Blvd, Nashville, TNRule0.96D3 member id + name
CLM-409473CLM2026-08-01Douglas Robinsonflagged1974-11-27—54268194979031 Apache Blvd, Nashville, TNScored1.00—
TPA-54110TPA2026-09-16Douglas Robinsonflagged1974-11-27—54268194979031 Apache Blvd, Nashville, TNScored1.00—
TPA-54109TPA2026-09-28Douglas Robinsonflagged1974-11-27——9031 Apache Blvd, Nashville, TNScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-409474CLMCLM-409473CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409474CLMTPA-54109TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409473CLMTPA-54109TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-54110 TPATPA-54109TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409474CLMTPA-54110 TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409473CLMTPA-54110 TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409474CLMENR-112460ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth0.503one_digit
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-112460ENRCLM-409473CLM0.87Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth0.503one_digit
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-112460ENRTPA-54110 TPA0.84Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.993
Date of birth0.503one_digit
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-112460ENRTPA-54109TPA0.81Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.993
Date of birth0.503one_digit
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-409473 → UHC-58278-39 (Douglas Robinson)
    ACT-009549, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically8d764e6e92
    scoring_agent, TPA-54109, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409474, policy version 1
  • 2026-10-22 12:43:54Record linked automatically213311d632
    scoring_agent, TPA-54110, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409474, policy version 1
  • 2026-10-22 12:43:54Record linked automatically9333e459f2
    scoring_agent, CLM-409473, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409474, policy version 1
  • 2026-10-22 12:43:54Record linked automatically38eeaa4dd2
    matching_agent, ENR-112460, identity id MBR-020061, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-409474
  • 2026-10-22 12:43:54Record linked automatically27f9b3531a
    scoring_agent, CLM-409474, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409473, policy version 1
  • 2026-10-19 19:54:38Record linked automatically15f2000c5f
    scoring_agent, TPA-54109, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409474, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0a9f976c71
    scoring_agent, TPA-54110, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409474, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1e4742cd75
    scoring_agent, CLM-409473, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409474, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya0163be58e
    matching_agent, ENR-112460, identity id MBR-020061, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-409474
  • 2026-10-19 19:54:38Record linked automatically0fb90e7cc3
    scoring_agent, CLM-409474, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409473, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb7cb27f4e4
    scoring_agent, TPA-54109, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409474, policy version 1
  • 2026-10-19 19:52:09Record linked automatically794956c695
    scoring_agent, TPA-54110, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409474, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyfb07942918
    scoring_agent, CLM-409473, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409474, policy version 1
  • 2026-10-19 19:52:09Record linked automatically83a041072d
    matching_agent, ENR-112460, identity id MBR-020061, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-409474
  • 2026-10-19 19:52:09Record linked automatically098653daa7
    scoring_agent, CLM-409474, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409473, policy version 1
  • 2026-10-19 19:45:42Record linked automatically355b0cdc88
    scoring_agent, TPA-54109, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409474, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye8859ce386
    scoring_agent, TPA-54110, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409474, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9aa3f0ef7d
    scoring_agent, CLM-409473, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409474, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3cfbebead3
    matching_agent, ENR-112460, identity id MBR-020061, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-409474
  • 2026-10-19 19:45:42Record linked automatically395ec1b980
    scoring_agent, CLM-409474, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409473, policy version 1
  • 2026-10-19 19:32:31Record linked automatically59ddcb85f9
    scoring_agent, TPA-54109, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409474, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5271878b66
    scoring_agent, TPA-54110, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409474, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7dd75d4e50
    scoring_agent, CLM-409473, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409474, policy version 1
  • 2026-10-19 19:32:31Record linked automatically53f3c2119a
    matching_agent, ENR-112460, identity id MBR-020061, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-409474
  • 2026-10-19 19:32:31Record linked automaticallyf4de7b67bb
    scoring_agent, CLM-409474, identity id MBR-020061, confidence 1, method probabilistic, matched record CLM-409473, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7838a1bcf6
    matching_agent, CLM-409474, identity id MBR-033787, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-112494
  • 2026-10-19 19:31:28Record linked automaticallya00b458c7f
    matching_agent, ENR-112460, identity id MBR-011502, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22804
  • 2026-10-19 19:31:28Record linked automatically7d009df5fe
    matching_agent, CLM-409473, identity id MBR-005657, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112492

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0312832026-07-25Northgate Medical Group
in network
90471$43.00$0.00ApprovedApproved
CLM-2026-0066132026-02-03Sunrise Bone and Joint Center
in network
99213$205.00—DeniedDenied
CLM-2026-0066122026-02-03Sunrise Bone and Joint Center
in network
99213$205.00$87.10ApprovedApproved