Identities/MBR-023674

Gold, golden identity

David G Henry

6 source records from 2 feeds.

MBR-023674Verified6 records

Golden record

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

First nameCLM: David
Middle nameCLM: G
Last nameCLM: Henry
Date of birthCLM: 1964-01-25
GenderCLM: M
Member IDCLM: UHC-48679-36
SSNCLM: •••-••-5281
PhoneCLM: 4593083073
Email—: —
AddressCLM: 4431 Harbor Blvd
CityCLM: Charlotte
StateCLM: NC
ZIP—: —
GroupCLM: GRP-4908
PlanCLM: OPTIONS-PPO

Min confidence

0.93

Sources

CLM ×5TPA ×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
CLM-407020	CLM	2026-04-02	David Henryflagged	1964-10-25	UHC-48679-36	—	—	Rule	0.96	D3 member id + name
CLM-407022	CLM	2026-07-08	David Heenryflagged	1964-01-25	UHC-48679-36	—	4431 Harbor Blvd, Charlotte, NC	Rule	0.99	D1 member id + dob exact
CLM-407021	CLM	2026-07-08	David Heenryflagged	1964-01-25	UHC-48679-36	—	4431 Harbor Blvd, Charlotte, NC	Rule	0.99	D1 member id + dob exact
CLM-407019	CLM	2026-07-13	David Henryflagged	1964-01-25	—	4593083073	4431 Harbor Blvd, Charlotte, NC	Scored	1.00	—
CLM-407017	CLM	2026-09-08	David Henryflagged	1964-01-25	UHC-48679-36	—	4431 Harbor Blvd, Charlotte, NC	Scored	1.00	—
TPA-53079	TPA	2026-09-24	David Henryflagged	—	—	4593083073	4431 Harbor Blvd, Charlotte, NC	Scored	0.93	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-407019CLMCLM-407017CLM1.00Scoredweighted 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-407022CLMCLM-407017CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-407021CLMCLM-407017CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-407022CLMCLM-407021CLM0.99RuleD1 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-407022CLMCLM-407019CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-407021CLMCLM-407019CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-407020CLMCLM-407017CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.60	3	transposition
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-407020CLMCLM-407021CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	0.60	3	transposition
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-407020CLMCLM-407022CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	0.60	3	transposition
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-407019CLMTPA-53079TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-407020CLMCLM-407019CLM0.80Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.60	3	transposition

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
David Henry: 2 plan codes across sources → canonical OPTIONS-PPO
ACT-000963, Eligibility engine
Orphan claim re-pointedExecuted
CLM-407019 → UHC-48679-36 (David Henry)
ACT-002768, Claims processor
Care coordination outreachProposed
David Henry: 5 claims, no attributed provider
ACT-019246, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyee204962a1
scoring_agent, TPA-53079, identity id MBR-023674, confidence 0.93, method probabilistic, matched record CLM-407019, policy version 1
2026-10-19 19:54:38Record linked automatically00a6c46416
scoring_agent, CLM-407017, identity id MBR-023674, confidence 1, method probabilistic, matched record CLM-407019, policy version 1
2026-10-19 19:54:38Record linked automaticallyb8ecd437f5
scoring_agent, CLM-407019, identity id MBR-023674, confidence 1, method probabilistic, matched record CLM-407017, policy version 1
2026-10-19 19:54:38Record linked automatically5b2beaa751
matching_agent, CLM-407021, identity id MBR-023674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407022
2026-10-19 19:54:38Record linked automaticallyb99a6fd3a1
matching_agent, CLM-407022, identity id MBR-023674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407021
2026-10-19 19:54:38Record linked automaticallya22093d15d
matching_agent, CLM-407020, identity id MBR-023674, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-407022
2026-10-19 19:52:09Record linked automatically1ec2527070
scoring_agent, TPA-53079, identity id MBR-023674, confidence 0.93, method probabilistic, matched record CLM-407019, policy version 1
2026-10-19 19:52:09Record linked automaticallyba122f1b30
scoring_agent, CLM-407017, identity id MBR-023674, confidence 1, method probabilistic, matched record CLM-407019, policy version 1
2026-10-19 19:52:09Record linked automatically3e57229166
scoring_agent, CLM-407019, identity id MBR-023674, confidence 1, method probabilistic, matched record CLM-407017, policy version 1
2026-10-19 19:52:09Record linked automaticallyed1213c089
matching_agent, CLM-407021, identity id MBR-023674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407022
2026-10-19 19:52:09Record linked automatically7dd5db2874
matching_agent, CLM-407022, identity id MBR-023674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407021
2026-10-19 19:52:09Record linked automatically8a59d37852
matching_agent, CLM-407020, identity id MBR-023674, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-407022
2026-10-19 19:45:42Record linked automaticallycf7bfe0f6d
scoring_agent, TPA-53079, identity id MBR-023674, confidence 0.93, method probabilistic, matched record CLM-407019, policy version 1
2026-10-19 19:45:42Record linked automaticallyf156183510
scoring_agent, CLM-407017, identity id MBR-023674, confidence 1, method probabilistic, matched record CLM-407019, policy version 1
2026-10-19 19:45:42Record linked automatically4a62be5e09
scoring_agent, CLM-407019, identity id MBR-023674, confidence 1, method probabilistic, matched record CLM-407017, policy version 1
2026-10-19 19:45:42Record linked automatically4e621f95d6
matching_agent, CLM-407021, identity id MBR-023674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407022
2026-10-19 19:45:42Record linked automatically4d23dd1d7f
matching_agent, CLM-407022, identity id MBR-023674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407021
2026-10-19 19:45:42Record linked automaticallyc76be58868
matching_agent, CLM-407020, identity id MBR-023674, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-407022
2026-10-19 19:32:31Record linked automatically1d63b29323
scoring_agent, TPA-53079, identity id MBR-023674, confidence 0.93, method probabilistic, matched record CLM-407019, policy version 1
2026-10-19 19:32:31Record linked automatically7ed73c39bf
scoring_agent, CLM-407017, identity id MBR-023674, confidence 1, method probabilistic, matched record CLM-407019, policy version 1
2026-10-19 19:32:31Record linked automaticallye957c697ed
scoring_agent, CLM-407019, identity id MBR-023674, confidence 1, method probabilistic, matched record CLM-407017, policy version 1
2026-10-19 19:32:31Record linked automaticallybe39417024
matching_agent, CLM-407021, identity id MBR-023674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407022
2026-10-19 19:32:31Record linked automatically48a0d69264
matching_agent, CLM-407022, identity id MBR-023674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407021
2026-10-19 19:32:31Record linked automatically0b992799e2
matching_agent, CLM-407020, identity id MBR-023674, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-407022
2026-10-19 19:31:28Record linked automaticallydd072b32ca
scoring_agent, CLM-407022, identity id MBR-029843, confidence 1, method probabilistic, matched record CLM-407021, policy version 1
2026-10-19 19:31:28Record linked automatically78ed2b2ba0
scoring_agent, CLM-407021, identity id MBR-029843, confidence 1, method probabilistic, matched record CLM-407022, policy version 1
2026-10-19 19:31:28Record linked automatically25abb502b8
scoring_agent, CLM-407019, identity id MBR-023390, confidence 1, method probabilistic, matched record ENR-109207, policy version 1
2026-10-19 19:31:28Record linked automatically156d8c88f4
scoring_agent, CLM-407017, identity id MBR-012961, confidence 1, method probabilistic, matched record CLM-407018, policy version 1
2026-10-19 19:31:28Record linked automatically5bf88badbc
matching_agent, CLM-407020, identity id MBR-010147, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-109210

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-2026-002025	2026-09-02	Sunrise Cardiovascular Associates in network	99214	$227.00	$100.74	Approved	Approved
CLM-2026-005422	2026-06-20	Heritage Primary Care Associates in network	99395, 90471	$355.00	$190.10	Approved	Approved
CLM-2026-029532	2026-07-04	Meadow GI Associates in network	43239	$2,029.00	$515.52	Approved	Approved
CLM-2026-000646	2026-06-06	Summit Family Practice in network	99395	$226.00	$110.12	Approved	Approved
CLM-2026-026989	2026-03-10	Riverside Primary Care Associates in network	99395, 99214	$506.00	$283.72	Approved	Approved