Identities/MBR-021882

Gold, golden identity

Roy P Smith

5 source records from 4 feeds.

MBR-021882Verified5 records

Golden record

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

First nameENR: Roy
Middle nameENR: P
Last nameENR: Smith
Date of birthENR: 1945-01-07
GenderENR: F
Member IDENR: UHC-64287-90
SSNENR: •••-••-6799
PhoneENR: 4653773812
EmailENR: roy.smith@hotmail.com
AddressENR: 5453 Market St
CityENR: Scottsdale
StateENR: AZ
ZIPENR: 85283
GroupENR: GRP-7075
PlanENR: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

CLM ×1TPA ×1PRV ×1ENR ×2

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-413182	CLM	2026-03-25	Roy Smithflagged	1945-01-07	—	4653773812	5453 Market St, Scottsdale, AZ	Scored	1.00	—
TPA-55801	TPA	2026-05-09	Roy Smithflagged	1945-01-07	—	—	5453 Market St, Scottsdale, AZ	Scored	1.00	—
PRV-23822	PRV	2026-05-21	Roy Smithflagged	1945-01-07	—	4653773812	—	Scored	1.00	—
ENR-117307	ENR	2026-07-04	Roy Smithflagged	1945-01-07	UHC-64287-90	4653773812	5453 Market St, Scottsdale, AZ	Scored	1.00	—
ENR-117306	ENR	2026-09-18	Roy Smithflagged	1945-01-07	UHC-64287-90	—	5453 Market St, Scottsdale, AZ	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-413182CLMENR-117306ENR1.00Scoredweighted 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

▶TPA-55801TPAENR-117306ENR1.00Scoredweighted 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-413182CLMENR-117307ENR1.00Scoredweighted 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

▶TPA-55801TPAENR-117307ENR1.00Scoredweighted 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

▶PRV-23822PRVENR-117307ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-413182CLMPRV-23822PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-413182CLMTPA-55801TPA1.00Scoredweighted 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-117307ENRENR-117306ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-23822PRVENR-117306ENR0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶TPA-55801TPAPRV-23822PRV0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-413182 → UHC-64287-90 (Roy Smith)
ACT-004431, Claims processor
Duplicate member record retiredExecuted
Roy Smith: 2 enrollment records collapsed into UHC-64287-90
ACT-024813, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallybbfff40e2b
scoring_agent, ENR-117306, identity id MBR-021882, confidence 1, method probabilistic, matched record CLM-413182, policy version 1
2026-10-19 19:54:38Record linked automatically4d7582315a
scoring_agent, ENR-117307, identity id MBR-021882, confidence 1, method probabilistic, matched record CLM-413182, policy version 1
2026-10-19 19:54:38Record linked automatically3952319e0a
scoring_agent, PRV-23822, identity id MBR-021882, confidence 1, method probabilistic, matched record CLM-413182, policy version 1
2026-10-19 19:54:38Record linked automaticallyaa8fd72ad7
scoring_agent, TPA-55801, identity id MBR-021882, confidence 1, method probabilistic, matched record CLM-413182, policy version 1
2026-10-19 19:54:38Record linked automaticallyc6fea585bf
scoring_agent, CLM-413182, identity id MBR-021882, confidence 1, method probabilistic, matched record TPA-55801, policy version 1
2026-10-19 19:52:09Record linked automaticallybe3396a0a8
scoring_agent, ENR-117306, identity id MBR-021882, confidence 1, method probabilistic, matched record CLM-413182, policy version 1
2026-10-19 19:52:09Record linked automatically0cdd6105b4
scoring_agent, ENR-117307, identity id MBR-021882, confidence 1, method probabilistic, matched record CLM-413182, policy version 1
2026-10-19 19:52:09Record linked automaticallye8c3079eb3
scoring_agent, PRV-23822, identity id MBR-021882, confidence 1, method probabilistic, matched record CLM-413182, policy version 1
2026-10-19 19:52:09Record linked automatically96d1ba5dfc
scoring_agent, TPA-55801, identity id MBR-021882, confidence 1, method probabilistic, matched record CLM-413182, policy version 1
2026-10-19 19:52:09Record linked automaticallyc17febbe89
scoring_agent, CLM-413182, identity id MBR-021882, confidence 1, method probabilistic, matched record TPA-55801, policy version 1
2026-10-19 19:45:42Record linked automatically489019642e
scoring_agent, ENR-117306, identity id MBR-021882, confidence 1, method probabilistic, matched record CLM-413182, policy version 1
2026-10-19 19:45:42Record linked automatically0faf52bfaf
scoring_agent, ENR-117307, identity id MBR-021882, confidence 1, method probabilistic, matched record CLM-413182, policy version 1
2026-10-19 19:45:42Record linked automatically48211d4a54
scoring_agent, PRV-23822, identity id MBR-021882, confidence 1, method probabilistic, matched record CLM-413182, policy version 1
2026-10-19 19:45:42Record linked automatically11ad1cc10b
scoring_agent, TPA-55801, identity id MBR-021882, confidence 1, method probabilistic, matched record CLM-413182, policy version 1
2026-10-19 19:45:42Record linked automatically2f65ffd387
scoring_agent, CLM-413182, identity id MBR-021882, confidence 1, method probabilistic, matched record TPA-55801, policy version 1
2026-10-19 19:32:31Record linked automatically4373e5f981
scoring_agent, ENR-117306, identity id MBR-021882, confidence 1, method probabilistic, matched record CLM-413182, policy version 1
2026-10-19 19:32:31Record linked automaticallya192ba7b82
scoring_agent, ENR-117307, identity id MBR-021882, confidence 1, method probabilistic, matched record CLM-413182, policy version 1
2026-10-19 19:32:31Record linked automatically31f09640db
scoring_agent, PRV-23822, identity id MBR-021882, confidence 1, method probabilistic, matched record CLM-413182, policy version 1
2026-10-19 19:32:31Record linked automatically0b519200b2
scoring_agent, TPA-55801, identity id MBR-021882, confidence 1, method probabilistic, matched record CLM-413182, policy version 1
2026-10-19 19:32:31Record linked automatically7885cc23ff
scoring_agent, CLM-413182, identity id MBR-021882, confidence 1, method probabilistic, matched record TPA-55801, policy version 1
2026-10-19 19:31:28Record linked automatically22fb7fe1cb
scoring_agent, ENR-117307, identity id MBR-031581, confidence 1, method probabilistic, matched record CLM-413094, policy version 1
2026-10-19 19:31:28Record linked automaticallyecc796bcc9
scoring_agent, ENR-117306, identity id MBR-026975, confidence 1, method probabilistic, matched record CLM-413093, policy version 1
2026-10-19 19:31:28Record linked automaticallyeeaa2858c2
scoring_agent, CLM-413182, identity id MBR-011055, confidence 1, method probabilistic, matched record CLM-413181, policy version 1
2026-10-19 19:31:28Record linked automatically5492e475af
matching_agent, PRV-23822, identity id MBR-006806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412938
2026-10-19 19:31:28Record linked automatically683d5f68d9
scoring_agent, TPA-55801, identity id MBR-000901, confidence 1, method probabilistic, matched record ENR-117555, policy version 1

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-2026-011818	2026-02-26	Unity Primary Care Associates out of network	99213, 90471	$217.00	—	Denied	Denied
CLM-2026-011817	2026-02-26	Unity Primary Care Associates out of network	99213, 90471	$217.00	$77.65	Approved	Approved