Identities/MBR-023657

Gold, golden identity

Joseph M Wang

6 source records from 3 feeds.

MBR-023657Verified6 records

Golden record

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

First nameENR: Joseph
Middle nameENR: M
Last nameENR: Wang
Date of birthENR: 1976-04-25
GenderENR: M
Member IDENR: UHC-31813-40
SSNENR: •••-••-2856
PhoneCLM: 8153047222
EmailENR: joseph.wang@gmail.com
AddressENR: 7202 River Rd Apt 32
CityENR: San Diego
StateENR: CA
ZIP—: —
GroupENR: GRP-2619
PlanENR: NAVIGATE-HMO

Min confidence

0.97

Sources

TPA ×3CLM ×2ENR ×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-51533	TPA	2026-04-02	Joseph Wangflagged	1976-04-25	—	—	—	Rule	0.97	D2 ssn4 + dob + last name
CLM-403524	CLM	2026-05-13	Joseph Wangflagged	1976-04-25	—	8153047222	—	Scored	1.00	—
TPA-51534	TPA	2026-07-05	Joseph Wangflagged	1976-04-25	—	8153047222	7202 River Rd, San Diego, CA	Scored	1.00	—
CLM-403525	CLM	2026-07-08	Joseph Wangflagged	1976-04-25	UHC-31813-40	—	7202 River Rd, San Diego, CA	Scored	1.00	—
TPA-51535	TPA	2026-07-21	Joe Wangflagged	1976-04-25	—	8153047222	7202 River Rd, San Diego, CA	Scored	1.00	—
ENR-104599	ENR	2026-10-10	Joseph Wangflagged	1976-04-25	UHC-31813-40	—	7202 River Rd Apt 32, San Diego, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-51534TPAENR-104599ENR1.00Scoredweighted 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-403524CLMTPA-51534TPA1.00Scoredweighted 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-403524CLMTPA-51535TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-403525CLM TPA-51535TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-403525CLM ENR-104599ENR0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-51533TPA ENR-104599ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Email	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-51535TPAENR-104599ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-51533TPA TPA-51535TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-51534TPATPA-51535TPA0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-51534TPACLM-403525CLM 0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-51533TPA CLM-403524CLM0.83Scoredweighted 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-51533TPA CLM-403525CLM 0.83Scoredweighted 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

▶CLM-403524CLMCLM-403525CLM 0.83Scoredweighted 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

▶CLM-403524CLMENR-104599ENR0.83Scoredweighted 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-51533TPA TPA-51534TPA0.83Scoredweighted 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

Eligibility conflict resolvedProposed
Joseph Wang: 2 plan codes across sources → canonical NAVIGATE-HMO
ACT-000959, Eligibility engine
Orphan claim re-pointedExecuted
CLM-403524 → UHC-31813-40 (Joseph Wang)
ACT-007281, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyeb20b6015c
scoring_agent, ENR-104599, identity id MBR-023657, confidence 1, method probabilistic, matched record TPA-51534, policy version 1
2026-10-19 19:54:38Record linked automatically4d3e47f1a0
scoring_agent, TPA-51535, identity id MBR-023657, confidence 1, method probabilistic, matched record CLM-403524, policy version 1
2026-10-19 19:54:38Record linked automaticallya28c856bf5
scoring_agent, CLM-403525, identity id MBR-023657, confidence 1, method probabilistic, matched record TPA-51535, policy version 1
2026-10-19 19:54:38Record linked automaticallye4a00a90d7
scoring_agent, TPA-51534, identity id MBR-023657, confidence 1, method probabilistic, matched record CLM-403524, policy version 1
2026-10-19 19:54:38Record linked automaticallyb1d4c777db
scoring_agent, CLM-403524, identity id MBR-023657, confidence 1, method probabilistic, matched record TPA-51534, policy version 1
2026-10-19 19:54:38Record linked automatically8a9c3b9309
matching_agent, TPA-51533, identity id MBR-023657, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-51535
2026-10-19 19:52:09Record linked automatically14f893c624
scoring_agent, ENR-104599, identity id MBR-023657, confidence 1, method probabilistic, matched record TPA-51534, policy version 1
2026-10-19 19:52:09Record linked automatically860b24002b
scoring_agent, TPA-51535, identity id MBR-023657, confidence 1, method probabilistic, matched record CLM-403524, policy version 1
2026-10-19 19:52:09Record linked automaticallybe72f66d35
scoring_agent, CLM-403525, identity id MBR-023657, confidence 1, method probabilistic, matched record TPA-51535, policy version 1
2026-10-19 19:52:09Record linked automatically92cb461817
scoring_agent, TPA-51534, identity id MBR-023657, confidence 1, method probabilistic, matched record CLM-403524, policy version 1
2026-10-19 19:52:09Record linked automatically4906420a38
scoring_agent, CLM-403524, identity id MBR-023657, confidence 1, method probabilistic, matched record TPA-51534, policy version 1
2026-10-19 19:52:09Record linked automaticallye11f63c4c0
matching_agent, TPA-51533, identity id MBR-023657, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-51535
2026-10-19 19:45:42Record linked automatically8d540ee4d8
scoring_agent, ENR-104599, identity id MBR-023657, confidence 1, method probabilistic, matched record TPA-51534, policy version 1
2026-10-19 19:45:42Record linked automatically2061676f18
scoring_agent, TPA-51535, identity id MBR-023657, confidence 1, method probabilistic, matched record CLM-403524, policy version 1
2026-10-19 19:45:42Record linked automaticallyd10e7e9df2
scoring_agent, CLM-403525, identity id MBR-023657, confidence 1, method probabilistic, matched record TPA-51535, policy version 1
2026-10-19 19:45:42Record linked automatically5a675a714f
scoring_agent, TPA-51534, identity id MBR-023657, confidence 1, method probabilistic, matched record CLM-403524, policy version 1
2026-10-19 19:45:42Record linked automatically150f21fdf9
scoring_agent, CLM-403524, identity id MBR-023657, confidence 1, method probabilistic, matched record TPA-51534, policy version 1
2026-10-19 19:45:42Record linked automaticallyad4f59b4a4
matching_agent, TPA-51533, identity id MBR-023657, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-51535
2026-10-19 19:32:31Record linked automatically74f6d4200d
scoring_agent, ENR-104599, identity id MBR-023657, confidence 1, method probabilistic, matched record TPA-51534, policy version 1
2026-10-19 19:32:31Record linked automatically2f999a6be6
scoring_agent, TPA-51535, identity id MBR-023657, confidence 1, method probabilistic, matched record CLM-403524, policy version 1
2026-10-19 19:32:31Record linked automatically18d6b26e00
scoring_agent, CLM-403525, identity id MBR-023657, confidence 1, method probabilistic, matched record TPA-51535, policy version 1
2026-10-19 19:32:31Record linked automaticallyf11d0eb99f
scoring_agent, TPA-51534, identity id MBR-023657, confidence 1, method probabilistic, matched record CLM-403524, policy version 1
2026-10-19 19:32:31Record linked automatically9e7b9d209d
scoring_agent, CLM-403524, identity id MBR-023657, confidence 1, method probabilistic, matched record TPA-51534, policy version 1
2026-10-19 19:32:31Record linked automatically67a918df3e
matching_agent, TPA-51533, identity id MBR-023657, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-51535
2026-10-19 19:31:28Record linked automatically13c5a20ac7
scoring_agent, CLM-403524, identity id MBR-032237, confidence 1, method probabilistic, matched record ENR-104572, policy version 1
2026-10-19 19:31:28Record linked automaticallybbe37063f6
scoring_agent, TPA-51533, identity id MBR-013554, confidence 1, method probabilistic, matched record CLM-403402, policy version 1
2026-10-19 19:31:28Record linked automaticallyb378a52c1b
scoring_agent, TPA-51534, identity id MBR-012085, confidence 0.94, method probabilistic, matched record ENR-104455, policy version 1
2026-10-19 19:31:28Record linked automatically8dc65b78ed
matching_agent, ENR-104599, identity id MBR-009658, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21083

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-031062	2026-06-14	Cornerstone Regional Medical Center in network	99284	$1,026.00	—	Denied	Denied
CLM-2026-031061	2026-06-14	Cornerstone Regional Medical Center in network	99284	$1,026.00	$214.30	Approved	Approved
CLM-2026-022482	2026-05-08	Unity Primary Care Associates in network	99395, 99214	$503.00	$281.86	Approved	Approved