Identities/MBR-021516
Gold, golden identity

Raymond J Day

6 source records from 3 feeds.

MBR-021516Verified6 records

Golden record

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

First nameENR
Raymond
Middle nameENR
J
Last nameENR
Day
Date of birthENR
1984-07-02
GenderENR
F
Member IDENR
UHC-13009-12
SSNENR
•••-••-9727
PhoneENR
8372569229
EmailENR
raymond.day78@gmail.com
AddressPRV
8570 Main St
CityPRV
Miami
StatePRV
FL
ZIPPRV
33153
GroupENR
GRP-5920
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.97
Sources
ENR ×1PRV ×2CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.970.971.000.970.971.00ENRENR-138586PRVPRV-28628PRVPRV-28627CLMCLM-429410CLMCLM-429411CLMCLM-429412IDMBR-021516
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
ENR-138586ENR2026-03-23Raymond Dayflagged1984-07-02UHC-13009-128372569229227 Elm St, Tucson, AZRule0.97D2 ssn4 + dob + last name
PRV-28628PRV2026-08-19Raymond Dayflagged1984-07-02—8372569229227 Elm St Apt 37, Tucson, AZRule0.97D2 ssn4 + dob + last name
PRV-28627PRV2026-08-28Raymond Dayflagged1984-07-02—83725692298570 Main St, Miami, FLScored1.00—
CLM-429410CLM2026-09-02Raymond Dayflagged1984-07-02—8372569229227 Elm St, Tucson, AZRule0.97D2 ssn4 + dob + last name
CLM-429411CLM2026-09-25Raymond Dayflagged1984-07-02—83725692298570 Main St, Miami, FLRule0.97D2 ssn4 + dob + last name
CLM-429412CLM2026-10-07Ray Dayflagged1984-07-02—83725692298570 Main St, Miami, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶PRV-28627PRVCLM-429412CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-138586ENRCLM-429410CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶PRV-28628PRVCLM-429410CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-138586ENRCLM-429411CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-28628PRVCLM-429411CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-429410CLMCLM-429411CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-138586ENRCLM-429412CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address0.002different
Identifiers agreeing: 3Conflicts: noneGuard: none
▶PRV-28628PRVCLM-429412CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-429410CLMCLM-429412CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-429411CLMCLM-429412CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-138586ENRPRV-28628PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶PRV-28627PRVCLM-429411CLM0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-28627PRVCLM-429410CLM0.79Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-138586ENRPRV-28627PRV0.79Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-28628PRVPRV-28627PRV0.79Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-429410 → UHC-13009-12 (Raymond Day)
    ACT-003991, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-429411 → UHC-13009-12 (Raymond Day)
    ACT-004027, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-429412 → UHC-13009-12 (Raymond Day)
    ACT-008586, Claims processor
  • Outreach address correctedProposed
    Raymond Day: 227 Elm St, Tucson → 8570 Main St, Miami
    ACT-012367, Outreach

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallydc3ffec43f
    scoring_agent, CLM-429412, identity id MBR-021516, confidence 1, method probabilistic, matched record PRV-28627, policy version 1
  • 2026-10-19 19:54:38Record linked automatically2e445d518c
    matching_agent, CLM-429411, identity id MBR-021516, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138586
  • 2026-10-19 19:54:38Record linked automatically48a98a7ac8
    matching_agent, CLM-429410, identity id MBR-021516, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138586
  • 2026-10-19 19:54:38Record linked automatically6665f9ff59
    scoring_agent, PRV-28627, identity id MBR-021516, confidence 1, method probabilistic, matched record CLM-429412, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0f9d1835fd
    matching_agent, PRV-28628, identity id MBR-021516, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138586
  • 2026-10-19 19:54:38Record linked automatically28728eeb6a
    matching_agent, ENR-138586, identity id MBR-021516, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-28628
  • 2026-10-19 19:52:09Record linked automatically317f031b74
    scoring_agent, CLM-429412, identity id MBR-021516, confidence 1, method probabilistic, matched record PRV-28627, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5f46fff33a
    matching_agent, CLM-429411, identity id MBR-021516, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138586
  • 2026-10-19 19:52:09Record linked automatically68335b8117
    matching_agent, CLM-429410, identity id MBR-021516, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138586
  • 2026-10-19 19:52:09Record linked automatically7043c7029f
    scoring_agent, PRV-28627, identity id MBR-021516, confidence 1, method probabilistic, matched record CLM-429412, policy version 1
  • 2026-10-19 19:52:09Record linked automatically680d639546
    matching_agent, PRV-28628, identity id MBR-021516, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138586
  • 2026-10-19 19:52:09Record linked automatically08774bddf6
    matching_agent, ENR-138586, identity id MBR-021516, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-28628
  • 2026-10-19 19:45:42Record linked automaticallyad02cabd6b
    scoring_agent, CLM-429412, identity id MBR-021516, confidence 1, method probabilistic, matched record PRV-28627, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya431f14587
    matching_agent, CLM-429411, identity id MBR-021516, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138586
  • 2026-10-19 19:45:42Record linked automatically950fa7e3c3
    matching_agent, CLM-429410, identity id MBR-021516, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138586
  • 2026-10-19 19:45:42Record linked automatically238c4dc659
    scoring_agent, PRV-28627, identity id MBR-021516, confidence 1, method probabilistic, matched record CLM-429412, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1f3ae17725
    matching_agent, PRV-28628, identity id MBR-021516, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138586
  • 2026-10-19 19:45:42Record linked automaticallycf210399d0
    matching_agent, ENR-138586, identity id MBR-021516, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-28628
  • 2026-10-19 19:32:31Record linked automatically6d3e1e0909
    scoring_agent, CLM-429412, identity id MBR-021516, confidence 1, method probabilistic, matched record PRV-28627, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4ee8f24ae2
    matching_agent, CLM-429411, identity id MBR-021516, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138586
  • 2026-10-19 19:32:31Record linked automatically0a74c68be3
    matching_agent, CLM-429410, identity id MBR-021516, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138586
  • 2026-10-19 19:32:31Record linked automatically6ea69298fb
    scoring_agent, PRV-28627, identity id MBR-021516, confidence 1, method probabilistic, matched record CLM-429412, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2fa013404a
    matching_agent, PRV-28628, identity id MBR-021516, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138586
  • 2026-10-19 19:32:31Record linked automaticallyd6af1aa96f
    matching_agent, ENR-138586, identity id MBR-021516, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-28628
  • 2026-10-19 19:31:28Record linked automatically828aa52725
    scoring_agent, CLM-429410, identity id MBR-013629, confidence 1, method probabilistic, matched record CLM-429409, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyfc368910f0
    scoring_agent, CLM-429411, identity id MBR-013629, confidence 0.99, method probabilistic, matched record TPA-62899, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2dead6f09d
    matching_agent, CLM-429412, identity id MBR-005876, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28646
  • 2026-10-19 19:31:28Record linked automaticallyf4d0f6f095
    matching_agent, PRV-28627, identity id MBR-004222, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28628
  • 2026-10-19 19:31:28Record linked automaticallye14bc474f6
    matching_agent, PRV-28628, identity id MBR-004222, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28627
  • 2026-10-19 19:31:28Record linked automatically696cc57fae
    matching_agent, ENR-138586, identity id MBR-002311, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28584

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0274702026-09-01Heritage Medical Group
out of network
90471, 36415$58.00$10.35ApprovedApproved
CLM-2026-0103172026-08-17Canyon Skin Care Associates
in network
17110$282.00$114.84ApprovedApproved
CLM-2026-0101962026-08-21Desert Reference Lab
in network
83036, 85025, 80061$187.00$0.00ApprovedApproved