Identities/MBR-020720
Gold, golden identity

Roy Watson

4 source records from 1 feed.

MBR-020720Verified4 records

Golden record

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

First nameCLM
Roy
Middle name—
—
Last nameCLM
Watson
Date of birthCLM
1981-02-16
GenderCLM
F
Member IDCLM
UHC-53548-27
SSNCLM
•••-••-4396
PhoneCLM
5969610633
Email—
—
AddressCLM
7291 Hillcrest Rd
CityCLM
Glendale
StateCLM
AZ
ZIPCLM
85303
GroupCLM
GRP-4063
PlanCLM
MEDICARE-ADV-A
Min confidence
0.96
Sources
CLM ×4
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.961.00CLMCLM-426160CLMCLM-426158CLMCLM-426159CLMCLM-426161IDMBR-020720
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-426160CLM2026-03-19Roy Watsonflagged1981-02-16UHC-53548-2759696106337291 Hillcrest Rd, Glendale, AZScored1.00—
CLM-426158CLM2026-04-26Roy Watsonflagged1981-02-16—59696106337291 Hillcrest Rd, Glendale, AZScored1.00—
CLM-426159CLM2026-06-22Roy Watsonflagged1980-02-16UHC-53548-2759696106337291 Hillcrest Rd, Glendale, AZRule0.96D3 member id + name
CLM-426161CLM2026-09-22Roy Watsonflagged1981-02-16UHC-53548-2759696106337291 Hillcrest Rd, Glendale, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-426160CLM CLM-426158CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-426158CLMCLM-426161CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-426160CLM CLM-426161CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-426160CLM CLM-426159CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-426159CLMCLM-426161CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-426158CLMCLM-426159CLM0.84Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-426158 → UHC-53548-27 (Roy Watson)
    ACT-001413, Claims processor
  • Care coordination outreachProposed
    Roy Watson: 4 claims, no attributed provider
    ACT-019121, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyb290d2dd34
    scoring_agent, CLM-426161, identity id MBR-020720, confidence 1, method probabilistic, matched record CLM-426158, policy version 1
  • 2026-10-19 19:54:38Record linked automatically339b6787f8
    matching_agent, CLM-426159, identity id MBR-020720, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-426160
  • 2026-10-19 19:54:38Record linked automatically820117e8e3
    scoring_agent, CLM-426158, identity id MBR-020720, confidence 1, method probabilistic, matched record CLM-426160, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd81fce6e54
    scoring_agent, CLM-426160, identity id MBR-020720, confidence 1, method probabilistic, matched record CLM-426158, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyacc38c7fec
    scoring_agent, CLM-426161, identity id MBR-020720, confidence 1, method probabilistic, matched record CLM-426158, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye2976860b0
    matching_agent, CLM-426159, identity id MBR-020720, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-426160
  • 2026-10-19 19:52:09Record linked automaticallybd760b0b53
    scoring_agent, CLM-426158, identity id MBR-020720, confidence 1, method probabilistic, matched record CLM-426160, policy version 1
  • 2026-10-19 19:52:09Record linked automatically105d1eef17
    scoring_agent, CLM-426160, identity id MBR-020720, confidence 1, method probabilistic, matched record CLM-426158, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8b3fb68466
    scoring_agent, CLM-426161, identity id MBR-020720, confidence 1, method probabilistic, matched record CLM-426158, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallycb06eb53d8
    matching_agent, CLM-426159, identity id MBR-020720, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-426160
  • 2026-10-19 19:45:42Record linked automaticallya728b44c37
    scoring_agent, CLM-426158, identity id MBR-020720, confidence 1, method probabilistic, matched record CLM-426160, policy version 1
  • 2026-10-19 19:45:42Record linked automatically939c6f7d9b
    scoring_agent, CLM-426160, identity id MBR-020720, confidence 1, method probabilistic, matched record CLM-426158, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye0c884734a
    scoring_agent, CLM-426161, identity id MBR-020720, confidence 1, method probabilistic, matched record CLM-426158, policy version 1
  • 2026-10-19 19:32:31Record linked automatically970f8d07f6
    matching_agent, CLM-426159, identity id MBR-020720, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-426160
  • 2026-10-19 19:32:31Record linked automatically43b809c883
    scoring_agent, CLM-426158, identity id MBR-020720, confidence 1, method probabilistic, matched record CLM-426160, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2c624a3937
    scoring_agent, CLM-426160, identity id MBR-020720, confidence 1, method probabilistic, matched record CLM-426158, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya2566f83cf
    scoring_agent, CLM-426160, identity id MBR-007542, confidence 1, method probabilistic, matched record ENR-134577, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf37f535909
    matching_agent, CLM-426159, identity id MBR-003988, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134576
  • 2026-10-19 19:31:28Record linked automatically23182cd953
    scoring_agent, CLM-426161, identity id MBR-003281, confidence 1, method probabilistic, matched record ENR-134578, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0cfd08840e
    matching_agent, CLM-426158, identity id MBR-000552, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134574

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0197912026-08-26Unity Dermatology Clinic
in network
17110$206.00$77.72ApprovedApproved
CLM-2026-0117932026-06-16Sunrise Imaging Center
out of network
74177$1,549.00—Needs reviewNeeds review
CLM-2026-0117922026-06-16Sunrise Imaging Center
out of network
74177$1,549.00$70.84ApprovedApproved
CLM-2026-0003052026-04-10Northgate Primary Care Associates
out of network
99213, 99203$386.00$153.70ApprovedApproved
CLM-2026-0135062026-02-15Mesa Family Practice
in network
90471$38.00$3.56ApprovedApproved