Identities/MBR-020367

Gold, golden identity

Ralph Sullivan

5 source records from 3 feeds.

MBR-020367Verified5 records

Golden record

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

First nameENR: Ralph
Middle name—: —
Last nameENR: Sullivan
Date of birthENR: 1944-12-18
GenderCLM: M
Member IDENR: UHC-55195-82
SSNENR: •••-••-7126
PhoneENR: 9322756294
EmailENR: ralph.sullivan5@gmail.com
AddressENR: 19 Washington St
CityENR: Orlando
StateENR: FL
ZIPENR: 32867
GroupENR: GRP-9150
PlanENR: OPTIONS-PPO

Min confidence

0.96

Sources

CLM ×3ENR ×1TPA ×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-416765	CLM	2026-03-17	Ralph Sullivanflagged	1944-12-18	—	—	19 Washington St, Orlando, FL	Scored	1.00	—
ENR-122016	ENR	2026-03-26	Ralph Sullivanflagged	1944-12-18	UHC-55195-82	9322756294	19 Washington St, Orlando, FL	Scored	1.00	—
CLM-416764	CLM	2026-07-29	Ralph Sullivanflagged	1943-12-18	UHC-55195-82	—	19 Washington St # 885, Orlando, FL	Rule	0.96	D3 member id + name
CLM-416766	CLM	2026-08-29	Ralph Sullivanflagged	1944-12-18	UHC-55195-82	—	19 Washington St, Orlando, FL	Scored	1.00	—
TPA-57383	TPA	2026-10-01	Ralph Sullivanflagged	1944-12-18	—	—	19 Washington St, Orlando, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-416765CLMCLM-416766CLM1.00Scoredweighted 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-416765CLMENR-122016ENR1.00Scoredweighted 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-416765CLMTPA-57383TPA1.00Scoredweighted 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-416766CLMTPA-57383TPA1.00Scoredweighted 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-122016ENRCLM-416766CLM0.99RuleD1 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

▶ENR-122016ENRTPA-57383TPA0.97RuleD2 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

▶ENR-122016ENRCLM-416764CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-416764CLMCLM-416766CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416764CLMTPA-57383TPA0.86Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416765CLMCLM-416764CLM0.81Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-416765 → UHC-55195-82 (Ralph Sullivan)
ACT-008232, Claims processor
Care coordination outreachProposed
Ralph Sullivan: 3 claims, no attributed provider
ACT-019107, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically781a7d8e18
scoring_agent, TPA-57383, identity id MBR-020367, confidence 1, method probabilistic, matched record CLM-416765, policy version 1
2026-10-19 19:54:38Record linked automatically319ed79ad7
scoring_agent, CLM-416766, identity id MBR-020367, confidence 1, method probabilistic, matched record CLM-416765, policy version 1
2026-10-19 19:54:38Record linked automatically49f768770a
matching_agent, CLM-416764, identity id MBR-020367, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-122016
2026-10-19 19:54:38Record linked automatically6f1771f9d6
scoring_agent, ENR-122016, identity id MBR-020367, confidence 1, method probabilistic, matched record CLM-416765, policy version 1
2026-10-19 19:54:38Record linked automatically1efc232716
scoring_agent, CLM-416765, identity id MBR-020367, confidence 1, method probabilistic, matched record ENR-122016, policy version 1
2026-10-19 19:52:09Record linked automatically1da821fa84
scoring_agent, TPA-57383, identity id MBR-020367, confidence 1, method probabilistic, matched record CLM-416765, policy version 1
2026-10-19 19:52:09Record linked automaticallyc48b352a84
scoring_agent, CLM-416766, identity id MBR-020367, confidence 1, method probabilistic, matched record CLM-416765, policy version 1
2026-10-19 19:52:09Record linked automaticallye295827dbe
matching_agent, CLM-416764, identity id MBR-020367, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-122016
2026-10-19 19:52:09Record linked automaticallybb9dc4d6c6
scoring_agent, ENR-122016, identity id MBR-020367, confidence 1, method probabilistic, matched record CLM-416765, policy version 1
2026-10-19 19:52:09Record linked automatically53cc38f152
scoring_agent, CLM-416765, identity id MBR-020367, confidence 1, method probabilistic, matched record ENR-122016, policy version 1
2026-10-19 19:45:42Record linked automaticallyac356e6151
scoring_agent, TPA-57383, identity id MBR-020367, confidence 1, method probabilistic, matched record CLM-416765, policy version 1
2026-10-19 19:45:42Record linked automaticallyc5e6a4eed5
scoring_agent, CLM-416766, identity id MBR-020367, confidence 1, method probabilistic, matched record CLM-416765, policy version 1
2026-10-19 19:45:42Record linked automatically16e211d7b7
matching_agent, CLM-416764, identity id MBR-020367, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-122016
2026-10-19 19:45:42Record linked automatically19d4c7a8a7
scoring_agent, ENR-122016, identity id MBR-020367, confidence 1, method probabilistic, matched record CLM-416765, policy version 1
2026-10-19 19:45:42Record linked automatically1c0e42a6af
scoring_agent, CLM-416765, identity id MBR-020367, confidence 1, method probabilistic, matched record ENR-122016, policy version 1
2026-10-19 19:32:31Record linked automatically028e933aeb
scoring_agent, TPA-57383, identity id MBR-020367, confidence 1, method probabilistic, matched record CLM-416765, policy version 1
2026-10-19 19:32:31Record linked automaticallyd79c2cfcd7
scoring_agent, CLM-416766, identity id MBR-020367, confidence 1, method probabilistic, matched record CLM-416765, policy version 1
2026-10-19 19:32:31Record linked automatically55ca636dee
matching_agent, CLM-416764, identity id MBR-020367, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-122016
2026-10-19 19:32:31Record linked automaticallyd0a8d089c1
scoring_agent, ENR-122016, identity id MBR-020367, confidence 1, method probabilistic, matched record CLM-416765, policy version 1
2026-10-19 19:32:31Record linked automaticallye3d7336a1c
scoring_agent, CLM-416765, identity id MBR-020367, confidence 1, method probabilistic, matched record ENR-122016, policy version 1
2026-10-19 19:31:28Record linked automaticallyff1fd1530b
scoring_agent, CLM-416766, identity id MBR-003217, confidence 1, method probabilistic, matched record PRV-24908, policy version 1
2026-10-19 19:31:28Record linked automaticallye0ed12bcba
scoring_agent, CLM-416765, identity id MBR-002565, confidence 1, method probabilistic, matched record TPA-57330, 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-2026-016312	2026-08-19	Pinecrest Diagnostic Imaging in network	70553, 77067	$2,285.00	—	Needs review	Needs review
CLM-2026-033860	2026-07-03	Lakeside Imaging Center in network	74177	$1,201.00	—	Denied	Denied
CLM-2026-026104	2026-02-01	Cornerstone Orthopedic Specialists out of network	70553	$2,047.00	—	Needs review	Needs review