Identities/MBR-020635

Gold, golden identity

Jesse D Lewis

4 source records from 3 feeds.

MBR-020635Verified4 records

Golden record

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

First namePRV: Jesse
Middle nameCLM: D
Last namePRV: Lewis
Date of birthPRV: 1976-02-19
GenderPRV: M
Member IDPRV: UHC-25390-99
SSNTPA: •••-••-3588
PhonePRV: 7804542217
EmailPRV: jesse.lewis30@outlook.com
AddressPRV: 2263 Oak St
CityPRV: Gilbert
StatePRV: AZ
ZIPPRV: 85233
GroupCLM: GRP-7190
PlanCLM: OPTIONS-PPO

Min confidence

0.99

Sources

CLM ×2TPA ×1PRV ×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-429832	CLM	2026-03-19	Jesse Lewisflagged	1976-02-19	—	7804542217	2263 Oak St, Gilbert, AZ	Scored	1.00	—
TPA-63172	TPA	2026-09-02	Jesse Lewsiflagged	—	—	7804542217	2263 Oak St, Gilbert, AZ	Scored	0.99	—
PRV-28725	PRV	2026-09-25	Jesse Lewisflagged	1976-02-19	UHC-25390-99	7804542217	2263 Oak St, Gilbert, AZ	Scored	1.00	—
CLM-429831	CLM	2026-10-15	Jesse Lewisflagged	1976-02-19	UHC-25390-99	7804542217	2263 Oak St, Gilbert, AZ	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-429832CLMCLM-429831CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-429832CLMPRV-28725PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-28725PRVCLM-429831CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-63172TPACLM-429831CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-63172TPAPRV-28725PRV0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-429832CLMTPA-63172TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-429832 → UHC-25390-99 (Jesse Lewis)
ACT-008290, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallye3522c99c3
scoring_agent, CLM-429831, identity id MBR-020635, confidence 1, method probabilistic, matched record CLM-429832, policy version 1
2026-10-19 19:54:38Record linked automaticallyb7781429d0
scoring_agent, PRV-28725, identity id MBR-020635, confidence 1, method probabilistic, matched record CLM-429832, policy version 1
2026-10-19 19:54:38Record linked automatically482e857492
scoring_agent, TPA-63172, identity id MBR-020635, confidence 0.99, method probabilistic, matched record CLM-429832, policy version 1
2026-10-19 19:54:38Record linked automatically5c3f738f33
scoring_agent, CLM-429832, identity id MBR-020635, confidence 1, method probabilistic, matched record PRV-28725, policy version 1
2026-10-19 19:52:09Record linked automatically3d96eb9887
scoring_agent, CLM-429831, identity id MBR-020635, confidence 1, method probabilistic, matched record CLM-429832, policy version 1
2026-10-19 19:52:09Record linked automatically9f65df966b
scoring_agent, PRV-28725, identity id MBR-020635, confidence 1, method probabilistic, matched record CLM-429832, policy version 1
2026-10-19 19:52:09Record linked automaticallyc6c66787e7
scoring_agent, TPA-63172, identity id MBR-020635, confidence 0.99, method probabilistic, matched record CLM-429832, policy version 1
2026-10-19 19:52:09Record linked automatically542cb59569
scoring_agent, CLM-429832, identity id MBR-020635, confidence 1, method probabilistic, matched record PRV-28725, policy version 1
2026-10-19 19:45:42Record linked automaticallyba380b59f7
scoring_agent, CLM-429831, identity id MBR-020635, confidence 1, method probabilistic, matched record CLM-429832, policy version 1
2026-10-19 19:45:42Record linked automaticallyd1778a0c60
scoring_agent, PRV-28725, identity id MBR-020635, confidence 1, method probabilistic, matched record CLM-429832, policy version 1
2026-10-19 19:45:42Record linked automatically42b98ce639
scoring_agent, TPA-63172, identity id MBR-020635, confidence 0.99, method probabilistic, matched record CLM-429832, policy version 1
2026-10-19 19:45:42Record linked automatically72d644b089
scoring_agent, CLM-429832, identity id MBR-020635, confidence 1, method probabilistic, matched record PRV-28725, policy version 1
2026-10-19 19:32:31Record linked automatically762f147def
scoring_agent, CLM-429831, identity id MBR-020635, confidence 1, method probabilistic, matched record CLM-429832, policy version 1
2026-10-19 19:32:31Record linked automaticallyee7d0f6f82
scoring_agent, PRV-28725, identity id MBR-020635, confidence 1, method probabilistic, matched record CLM-429832, policy version 1
2026-10-19 19:32:31Record linked automatically27b0fdb95a
scoring_agent, TPA-63172, identity id MBR-020635, confidence 0.99, method probabilistic, matched record CLM-429832, policy version 1
2026-10-19 19:32:31Record linked automatically320c86f2e7
scoring_agent, CLM-429832, identity id MBR-020635, confidence 1, method probabilistic, matched record PRV-28725, policy version 1
2026-10-19 19:31:28Record linked automatically84ba98c2c5
scoring_agent, PRV-28725, identity id MBR-031377, confidence 0.97, method probabilistic, matched record ENR-139254, policy version 1
2026-10-19 19:31:28Record linked automatically61ec6550cd
scoring_agent, TPA-63172, identity id MBR-026831, confidence 0.93, method probabilistic, matched record ENR-139595, policy version 1
2026-10-19 19:31:28Record linked automatically01091707e5
scoring_agent, CLM-429831, identity id MBR-020396, confidence 1, method probabilistic, matched record CLM-429830, policy version 1
2026-10-19 19:31:28Record linked automatically06a5ed0e73
matching_agent, CLM-429832, identity id MBR-020396, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139392

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-2026-028287	2026-10-12	Evergreen GI Associates in network	88305, 45378	$3,143.00	$626.97	Approved	Approved
CLM-2026-026308	2026-02-16	Sunrise Community Hospital out of network	71046	$232.00	$0.00	Approved	Approved