Identities/MBR-021986
Gold, golden identity

Joseph K Scott

5 source records from 1 feed.

MBR-021986Verified5 records

Golden record

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

First nameCLM
Joseph
Middle nameCLM
K
Last nameCLM
Scott
Date of birthCLM
1975-08-21
GenderCLM
M
Member IDCLM
UHC-72343-79
SSNCLM
•••-••-7139
PhoneCLM
4276891203
EmailCLM
joseph.scott10@aol.com
AddressCLM
7502 Desert Sky Blvd
CityCLM
Austin
StateCLM
TX
ZIPCLM
78761
GroupCLM
GRP-1972
PlanCLM
OPTIONS-PPO
Min confidence
1.00
Sources
CLM ×5
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.001.00CLMCLM-408139CLMCLM-408135CLMCLM-408137CLMCLM-408136CLMCLM-408138IDMBR-021986
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-408139CLM2026-03-25Joseph Scottflagged1975-08-21UHC-72343-7942768912037502 Desert Sky Blvd, Austin, TXScored1.00—
CLM-408135CLM2026-03-28Joseph Scottflagged1975-08-21UHC-72343-79—7502 Desert Sky Blvd, Austin, TXScored1.00—
CLM-408137CLM2026-04-19Joseph Scottflagged1975-08-21—42768912037502 Desert Sky Blvd, Austin, TXScored1.00—
CLM-408136CLM2026-05-05Joseph Scottflagged1975-08-21UHC-72343-79—7502 Desert Sky Blvd, Austin, TXScored1.00—
CLM-408138CLM2026-07-26Joseph Scottflagged1975-08-21——7502 Desert Sky Blvd, Austin, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-408137CLMCLM-408136CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-408139CLMCLM-408138CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-408135CLMCLM-408138CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-408137CLMCLM-408138CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-408136CLMCLM-408138CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-408139CLMCLM-408135CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-408139CLMCLM-408136CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-408135CLMCLM-408136CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-408139CLMCLM-408137CLM0.97RuleD2 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
▶CLM-408135CLMCLM-408137CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-408137 → UHC-72343-79 (Joseph Scott)
    ACT-001530, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-408138 → UHC-72343-79 (Joseph Scott)
    ACT-005316, Claims processor
  • Care coordination outreachProposed
    Joseph Scott: 5 claims, no attributed provider
    ACT-019168, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically4c8c7299c0
    scoring_agent, CLM-408138, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408139, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb6ed299aaa
    scoring_agent, CLM-408136, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408137, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf59cabfe1b
    scoring_agent, CLM-408137, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408136, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyfa94ec0724
    scoring_agent, CLM-408135, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408138, policy version 1
  • 2026-10-19 19:54:38Record linked automatically9c0252691e
    scoring_agent, CLM-408139, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408138, policy version 1
  • 2026-10-19 19:52:09Record linked automatically83a1637959
    scoring_agent, CLM-408138, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408139, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8cab2c1aad
    scoring_agent, CLM-408136, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408137, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallycef8f8093c
    scoring_agent, CLM-408137, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408136, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4f077aa34e
    scoring_agent, CLM-408135, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408138, policy version 1
  • 2026-10-19 19:52:09Record linked automatically41f9d0251a
    scoring_agent, CLM-408139, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408138, policy version 1
  • 2026-10-19 19:45:42Record linked automatically87e10745df
    scoring_agent, CLM-408138, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408139, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7b71112a5b
    scoring_agent, CLM-408136, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408137, policy version 1
  • 2026-10-19 19:45:42Record linked automatically96dcfbecd6
    scoring_agent, CLM-408137, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408136, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7aa9ae7f6b
    scoring_agent, CLM-408135, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408138, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4296932b44
    scoring_agent, CLM-408139, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408138, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd85eb97397
    scoring_agent, CLM-408138, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408139, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7df6835932
    scoring_agent, CLM-408136, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408137, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5c54800493
    scoring_agent, CLM-408137, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408136, policy version 1
  • 2026-10-19 19:32:31Record linked automatically351d4b37b9
    scoring_agent, CLM-408135, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408138, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3fffed9b45
    scoring_agent, CLM-408139, identity id MBR-021986, confidence 1, method probabilistic, matched record CLM-408138, policy version 1
  • 2026-10-19 19:31:28Record linked automatically56e2ebf678
    matching_agent, CLM-408139, identity id MBR-019984, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110677
  • 2026-10-19 19:31:28Record linked automatically31bbfd3394
    matching_agent, CLM-408137, identity id MBR-014680, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110674
  • 2026-10-19 19:31:28Record linked automaticallyfdf0179b61
    scoring_agent, CLM-408135, identity id MBR-007768, confidence 1, method probabilistic, matched record TPA-53570, policy version 1
  • 2026-10-19 19:31:28Record linked automatically1f8956d28f
    scoring_agent, CLM-408136, identity id MBR-007768, confidence 1, method probabilistic, matched record TPA-53570, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0150822026-07-24Lakeside Medical Group
in network
70553$1,977.00—Needs reviewNeeds review
CLM-2026-0031162026-04-01Summit Digestive Health Center
in network
70553, 88305$3,561.00—Needs reviewNeeds review
CLM-2026-0008232026-03-25Pinecrest GI Associates
in network
45378, 43239$3,444.00$0.00ApprovedApproved
CLM-2026-0260142026-03-01Mesa Physical Therapy
in network
97110, 97161$519.00$291.78ApprovedApproved
CLM-2026-0341602026-02-20Lakeside Bone and Joint Center
in network
29881, 73721$10,730.00$1,723.77ApprovedApproved