Identities/MBR-023409
Gold, golden identity

James S Gardner

4 source records from 2 feeds.

MBR-023409Verified4 recordsOpen steward case

Golden record

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

First nameCLM
James
Middle nameCLM
S
Last nameCLM
Gardner
Date of birthCLM
1963-10-04
GenderTPA
F
Member IDCLM
UHC-92379-73
SSNCLM
•••-••-0954
PhoneCLM
2352627248
Email—
—
AddressCLM
2078 Sunset Blvd
CityCLM
Nashville
StateCLM
TN
ZIPCLM
37235
GroupTPA
GRP-5871
Plan—
—
Min confidence
0.93
Sources
TPA ×1CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.930.990.990.99TPATPA-59361CLMCLM-421287CLMCLM-421286CLMCLM-421285IDMBR-023409
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
TPA-59361TPA2026-04-01James Gardnerflagged1963-10-04——2078 Sunset Blvd, Nashville, TNScored0.93—
CLM-421287CLM2026-06-10James Garderflagged1963-10-04UHC-92379-7323526272482078 Sunset Blvd, Nashville, TNRule0.99D1 member id + dob exact
CLM-421286CLM2026-08-15James Gardnerflagged1963-10-04UHC-92379-7323526272482078 Sunset Blvd, Nashville, TNRule0.99D1 member id + dob exact
CLM-421285CLM2026-08-15James Gardnerflagged1963-10-04UHC-92379-7323526272482078 Sunset Blvd, Nashville, TNRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-421286CLMCLM-421285CLM0.99RuleD1 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-421287CLMCLM-421285CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-421287CLMCLM-421286CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-59361TPACLM-421285CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-59361TPACLM-421286CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    James Gardner: 3 claims, no attributed provider
    ACT-019235, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically07730b889b
    matching_agent, CLM-421285, identity id MBR-023409, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421286
  • 2026-10-22 12:43:54Record linked automaticallyd11f132bdf
    matching_agent, CLM-421286, identity id MBR-023409, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421285
  • 2026-10-22 12:43:54Record linked automatically2200450512
    matching_agent, CLM-421287, identity id MBR-023409, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421286
  • 2026-10-22 12:43:54Record linked automaticallye8219603fc
    scoring_agent, TPA-59361, identity id MBR-023409, confidence 0.93, method probabilistic, matched record CLM-421286, policy version 1
  • 2026-10-19 19:54:38Record linked automatically70b01f05ba
    matching_agent, CLM-421285, identity id MBR-023409, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421286
  • 2026-10-19 19:54:38Record linked automatically275caed012
    matching_agent, CLM-421286, identity id MBR-023409, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421285
  • 2026-10-19 19:54:38Record linked automatically4624e27091
    matching_agent, CLM-421287, identity id MBR-023409, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421286
  • 2026-10-19 19:54:38Record linked automatically22f36ecc35
    scoring_agent, TPA-59361, identity id MBR-023409, confidence 0.93, method probabilistic, matched record CLM-421286, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya52a66537f
    matching_agent, CLM-421285, identity id MBR-023409, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421286
  • 2026-10-19 19:52:09Record linked automaticallyee37cc8bc5
    matching_agent, CLM-421286, identity id MBR-023409, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421285
  • 2026-10-19 19:52:09Record linked automaticallyff7c31afca
    matching_agent, CLM-421287, identity id MBR-023409, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421286
  • 2026-10-19 19:52:09Record linked automatically3493c623c5
    scoring_agent, TPA-59361, identity id MBR-023409, confidence 0.93, method probabilistic, matched record CLM-421286, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf8d0e7ac7a
    matching_agent, CLM-421285, identity id MBR-023409, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421286
  • 2026-10-19 19:45:42Record linked automatically6eb68e8cbd
    matching_agent, CLM-421286, identity id MBR-023409, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421285
  • 2026-10-19 19:45:42Record linked automatically7d5618df8f
    matching_agent, CLM-421287, identity id MBR-023409, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421286
  • 2026-10-19 19:45:42Record linked automatically3897359c4c
    scoring_agent, TPA-59361, identity id MBR-023409, confidence 0.93, method probabilistic, matched record CLM-421286, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybe04297e21
    matching_agent, CLM-421285, identity id MBR-023409, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421286
  • 2026-10-19 19:32:31Record linked automatically9ffb44b6b8
    matching_agent, CLM-421286, identity id MBR-023409, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421285
  • 2026-10-19 19:32:31Record linked automatically6544e16402
    matching_agent, CLM-421287, identity id MBR-023409, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421286
  • 2026-10-19 19:32:31Record linked automaticallyd802fba6bc
    scoring_agent, TPA-59361, identity id MBR-023409, confidence 0.93, method probabilistic, matched record CLM-421286, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9d907d8f2d
    scoring_agent, TPA-59361, identity id MBR-022935, confidence 0.93, method probabilistic, matched record ENR-128160, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallydcb07350f0
    matching_agent, CLM-421287, identity id MBR-003328, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421285
  • 2026-10-19 19:31:28Record linked automaticallya37568ec85
    matching_agent, CLM-421286, identity id MBR-003328, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421285
  • 2026-10-19 19:31:28Record linked automatically29148ce17b
    scoring_agent, CLM-421285, identity id MBR-003328, confidence 1, method probabilistic, matched record CLM-421284, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0321702026-07-13Sunrise Dermatology Clinic
in network
11403$714.00$367.68ApprovedApproved
CLM-2026-0207912026-08-10Harbor Diabetes Center
in network
95251, 99214$478.00$221.36ApprovedApproved
CLM-2026-0338072026-05-28Summit Family Practice
in network
70553$3,424.00—Needs reviewNeeds review