Identities/MBR-023260

Gold, golden identity

Peter U Cunningham

5 source records from 3 feeds.

MBR-023260Verified5 records

Golden record

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

First nameENR: Peter
Middle nameENR: U
Last nameENR: Cunningham
Date of birthENR: 1949-04-19
GenderENR: M
Member IDENR: UHC-72694-61
SSNENR: •••-••-6332
PhoneTPA: 4467887589
EmailENR: peter.cunningham@gmail.com
AddressENR: 331 Church St
CityENR: Nashville
StateENR: TN
ZIPENR: 37293
GroupENR: GRP-5915
PlanENR: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

TPA ×1CLM ×3ENR ×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
TPA-61276	TPA	2026-03-31	Peter Cunninghamflagged	1949-04-19	UHC-72694-61	4467887589	331 Church St, Nashville, TN	Scored	1.00	—
CLM-425567	CLM	2026-04-09	Peter Cunninghamflagged	1949-04-19	UHC-72694-61	—	331 Church St, Nashville, TN	Scored	1.00	—
ENR-133454	ENR	2026-06-29	Peter Cunninghamflagged	1949-04-19	UHC-72694-61	—	331 Church St, Nashville, TN	Scored	1.00	—
CLM-425568	CLM	2026-08-23	Peter Cunninghamflagged	1949-04-19	—	—	331 Church St, Nashville, TN	Scored	1.00	—
CLM-425569	CLM	2026-09-10	Peter Cunninghamflagged	1949-04-19	—	—	331 Church St, Nashville, TN	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-61276TPA CLM-425568CLM1.00Scoredweighted 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-425567CLMCLM-425568CLM1.00Scoredweighted 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-133454ENRCLM-425568CLM1.00Scoredweighted 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-61276TPA CLM-425569CLM1.00Scoredweighted 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-425567CLMCLM-425569CLM1.00Scoredweighted 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-133454ENRCLM-425569CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425568CLMCLM-425569CLM1.00Scoredweighted 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-61276TPA CLM-425567CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-61276TPA ENR-133454ENR0.99RuleD1 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

▶CLM-425567CLMENR-133454ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-425569 → UHC-72694-61 (Peter Cunningham)
ACT-006162, Claims processor
Orphan claim re-pointedExecuted
CLM-425568 → UHC-72694-61 (Peter Cunningham)
ACT-007734, Claims processor
Care coordination outreachProposed
Peter Cunningham: 3 claims, no attributed provider
ACT-019229, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyecac1324f9
scoring_agent, CLM-425569, identity id MBR-023260, confidence 1, method probabilistic, matched record TPA-61276, policy version 1
2026-10-19 19:54:38Record linked automaticallye22a4f390d
scoring_agent, CLM-425568, identity id MBR-023260, confidence 1, method probabilistic, matched record TPA-61276, policy version 1
2026-10-19 19:54:38Record linked automatically4a6528fcc1
scoring_agent, ENR-133454, identity id MBR-023260, confidence 1, method probabilistic, matched record CLM-425568, policy version 1
2026-10-19 19:54:38Record linked automatically441d12f0c0
scoring_agent, CLM-425567, identity id MBR-023260, confidence 1, method probabilistic, matched record CLM-425568, policy version 1
2026-10-19 19:54:38Record linked automatically3c1496fa87
scoring_agent, TPA-61276, identity id MBR-023260, confidence 1, method probabilistic, matched record CLM-425568, policy version 1
2026-10-19 19:52:09Record linked automaticallyd6a5a44138
scoring_agent, CLM-425569, identity id MBR-023260, confidence 1, method probabilistic, matched record TPA-61276, policy version 1
2026-10-19 19:52:09Record linked automatically6afd956424
scoring_agent, CLM-425568, identity id MBR-023260, confidence 1, method probabilistic, matched record TPA-61276, policy version 1
2026-10-19 19:52:09Record linked automatically3e7438ce5a
scoring_agent, ENR-133454, identity id MBR-023260, confidence 1, method probabilistic, matched record CLM-425568, policy version 1
2026-10-19 19:52:09Record linked automatically52a00e024e
scoring_agent, CLM-425567, identity id MBR-023260, confidence 1, method probabilistic, matched record CLM-425568, policy version 1
2026-10-19 19:52:09Record linked automatically50dc269cf5
scoring_agent, TPA-61276, identity id MBR-023260, confidence 1, method probabilistic, matched record CLM-425568, policy version 1
2026-10-19 19:45:42Record linked automatically6fbb9a4d91
scoring_agent, CLM-425569, identity id MBR-023260, confidence 1, method probabilistic, matched record TPA-61276, policy version 1
2026-10-19 19:45:42Record linked automatically62eb255b8b
scoring_agent, CLM-425568, identity id MBR-023260, confidence 1, method probabilistic, matched record TPA-61276, policy version 1
2026-10-19 19:45:42Record linked automatically1e01590f7a
scoring_agent, ENR-133454, identity id MBR-023260, confidence 1, method probabilistic, matched record CLM-425568, policy version 1
2026-10-19 19:45:42Record linked automaticallyaac66cbf44
scoring_agent, CLM-425567, identity id MBR-023260, confidence 1, method probabilistic, matched record CLM-425568, policy version 1
2026-10-19 19:45:42Record linked automatically63780b42f2
scoring_agent, TPA-61276, identity id MBR-023260, confidence 1, method probabilistic, matched record CLM-425568, policy version 1
2026-10-19 19:32:31Record linked automaticallyb50aba4ee6
scoring_agent, CLM-425569, identity id MBR-023260, confidence 1, method probabilistic, matched record TPA-61276, policy version 1
2026-10-19 19:32:31Record linked automatically17a586d89a
scoring_agent, CLM-425568, identity id MBR-023260, confidence 1, method probabilistic, matched record TPA-61276, policy version 1
2026-10-19 19:32:31Record linked automatically75fd012b62
scoring_agent, ENR-133454, identity id MBR-023260, confidence 1, method probabilistic, matched record CLM-425568, policy version 1
2026-10-19 19:32:31Record linked automaticallya7647fe746
scoring_agent, CLM-425567, identity id MBR-023260, confidence 1, method probabilistic, matched record CLM-425568, policy version 1
2026-10-19 19:32:31Record linked automatically6380b5950b
scoring_agent, TPA-61276, identity id MBR-023260, confidence 1, method probabilistic, matched record CLM-425568, policy version 1
2026-10-19 19:31:28Record linked automatically0a00b1817c
matching_agent, ENR-133454, identity id MBR-017507, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61173
2026-10-19 19:31:28Record linked automatically78a3ee7df0
scoring_agent, CLM-425568, identity id MBR-005518, confidence 0.88, method probabilistic, matched record ENR-133726, policy version 1
2026-10-19 19:31:28Record linked automaticallyd972b12ea3
matching_agent, CLM-425569, identity id MBR-002217, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133730
2026-10-19 19:31:28Record linked automatically6a207e7243
scoring_agent, TPA-61276, identity id MBR-001110, confidence 1, method probabilistic, matched record CLM-425599, 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-2026-018149	2026-07-31	Heritage Behavioral Health in network	90791	$282.00	$124.84	Approved	Approved
CLM-2026-024256	2026-08-04	Mesa Medical Group in network	93000, 99215	$378.00	$194.36	Approved	Approved
CLM-2026-014098	2026-02-26	Unity Diagnostic Imaging in network	77067, 74177	$1,528.00	$0.00	Approved	Approved