Identities/MBR-024580

Gold, golden identity

Ahmed I Patel

6 source records from 4 feeds.

MBR-024580Verified6 records

Golden record

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

First nameENR: Ahmed
Middle nameENR: I
Last nameENR: Patel
Date of birthENR: 2005-02-09
GenderENR: M
Member IDENR: UHC-86063-13
SSNENR: •••-••-1636
PhoneENR: 6123970918
EmailENR: ahmed.patel51@icloud.com
AddressTPA: 7258 Apache Blvd Apt 7
CityENR: Austin
StateENR: TX
ZIPENR: 78766
GroupENR: GRP-9625
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.92

Sources

ENR ×2PRV ×2CLM ×1TPA ×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
ENR-115241	ENR	2026-04-08	Ahmed Patelflagged	2005-02-09	UHC-86063-13	6123970918	7258 Apache Blvd, Austin, TX	Rule	0.99	D1 member id + dob exact
PRV-23336	PRV	2026-05-04	Ahmed Patalflagged	2005-02-09	—	6123970918	7258 Apache Blvd, Austin, TX	Scored	0.92	—
ENR-115242	ENR	2026-06-08	Ahmed Patelflagged	—	UHC-86063-13	6123970918	7258 Apache Blvd, Austin, TX	Scored	1.00	—
PRV-23337	PRV	2026-07-10	Ahmed Patelflagged	2005-02-09	UHC-86063-13	6123970918	7258 Apache Blvd, Austin, TX	Scored	1.00	—
CLM-411577	CLM	2026-08-24	Ahmed Patelflagged	2005-02-09	—	—	7258 Apache Blvd, Austin, TX	Scored	1.00	—
TPA-55115	TPA	2026-10-05	Ahmed Patelflagged	2005-02-09	UHC-86063-13	—	7258 Apache Blvd Apt 7, Austin, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-23337PRVCLM-411577CLM1.00Scoredweighted 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-115242ENRCLM-411577CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-411577CLMTPA-55115TPA1.00Scoredweighted 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-115241ENRPRV-23337PRV0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-115241ENRTPA-55115TPA0.99RuleD1 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

▶PRV-23337PRVTPA-55115TPA0.99RuleD1 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

▶ENR-115241ENRCLM-411577CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-115241ENRENR-115242ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-115242ENRPRV-23337PRV0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-115242ENRTPA-55115TPA0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-115241ENRPRV-23336PRV0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-23336PRVPRV-23337PRV0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-23336PRVTPA-55115TPA0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-23336PRVCLM-411577CLM0.90Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-23336PRVENR-115242ENR0.90Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Phone	1.00	1.5
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Ahmed Patel: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
ACT-000990, Eligibility engine
Orphan claim re-pointedExecuted
CLM-411577 → UHC-86063-13 (Ahmed Patel)
ACT-007002, Claims processor
Outreach address correctedProposed
Ahmed Patel: 7258 Apache Blvd, Austin → 7258 Apache Blvd Apt 7, Austin
ACT-012585, Outreach
Duplicate member record retiredExecuted
Ahmed Patel: 2 enrollment records collapsed into UHC-86063-13
ACT-025110, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically559f3be5ed
scoring_agent, TPA-55115, identity id MBR-024580, confidence 1, method probabilistic, matched record CLM-411577, policy version 1
2026-10-19 19:54:38Record linked automatically3db42ef2c5
scoring_agent, CLM-411577, identity id MBR-024580, confidence 1, method probabilistic, matched record PRV-23337, policy version 1
2026-10-19 19:54:38Record linked automatically25965f597c
scoring_agent, PRV-23337, identity id MBR-024580, confidence 1, method probabilistic, matched record CLM-411577, policy version 1
2026-10-19 19:54:38Record linked automatically898e25f09b
scoring_agent, ENR-115242, identity id MBR-024580, confidence 1, method probabilistic, matched record CLM-411577, policy version 1
2026-10-19 19:54:38Record linked automatically41d5100e31
scoring_agent, PRV-23336, identity id MBR-024580, confidence 0.92, method probabilistic, matched record ENR-115241, policy version 1
2026-10-19 19:54:38Record linked automaticallyf4a00845bd
matching_agent, ENR-115241, identity id MBR-024580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23337
2026-10-19 19:52:09Record linked automatically1160be274d
scoring_agent, TPA-55115, identity id MBR-024580, confidence 1, method probabilistic, matched record CLM-411577, policy version 1
2026-10-19 19:52:09Record linked automatically702b2d893a
scoring_agent, CLM-411577, identity id MBR-024580, confidence 1, method probabilistic, matched record PRV-23337, policy version 1
2026-10-19 19:52:09Record linked automatically5aff02cf7c
scoring_agent, PRV-23337, identity id MBR-024580, confidence 1, method probabilistic, matched record CLM-411577, policy version 1
2026-10-19 19:52:09Record linked automaticallyc1b5ac9ebe
scoring_agent, ENR-115242, identity id MBR-024580, confidence 1, method probabilistic, matched record CLM-411577, policy version 1
2026-10-19 19:52:09Record linked automatically560734bae7
scoring_agent, PRV-23336, identity id MBR-024580, confidence 0.92, method probabilistic, matched record ENR-115241, policy version 1
2026-10-19 19:52:09Record linked automatically8847bbf30c
matching_agent, ENR-115241, identity id MBR-024580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23337
2026-10-19 19:45:42Record linked automaticallyee6e7fca2d
scoring_agent, TPA-55115, identity id MBR-024580, confidence 1, method probabilistic, matched record CLM-411577, policy version 1
2026-10-19 19:45:42Record linked automatically81fdaa13c9
scoring_agent, CLM-411577, identity id MBR-024580, confidence 1, method probabilistic, matched record PRV-23337, policy version 1
2026-10-19 19:45:42Record linked automatically6420384d26
scoring_agent, PRV-23337, identity id MBR-024580, confidence 1, method probabilistic, matched record CLM-411577, policy version 1
2026-10-19 19:45:42Record linked automaticallycf9ce1e5ec
scoring_agent, ENR-115242, identity id MBR-024580, confidence 1, method probabilistic, matched record CLM-411577, policy version 1
2026-10-19 19:45:42Record linked automatically65cfe4acb1
scoring_agent, PRV-23336, identity id MBR-024580, confidence 0.92, method probabilistic, matched record ENR-115241, policy version 1
2026-10-19 19:45:42Record linked automatically2fccd57390
matching_agent, ENR-115241, identity id MBR-024580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23337
2026-10-19 19:32:31Record linked automatically5ae36f2699
scoring_agent, TPA-55115, identity id MBR-024580, confidence 1, method probabilistic, matched record CLM-411577, policy version 1
2026-10-19 19:32:31Record linked automatically15f36463a5
scoring_agent, CLM-411577, identity id MBR-024580, confidence 1, method probabilistic, matched record PRV-23337, policy version 1
2026-10-19 19:32:31Record linked automatically513a509f26
scoring_agent, PRV-23337, identity id MBR-024580, confidence 1, method probabilistic, matched record CLM-411577, policy version 1
2026-10-19 19:32:31Record linked automatically4765e5740e
scoring_agent, ENR-115242, identity id MBR-024580, confidence 1, method probabilistic, matched record CLM-411577, policy version 1
2026-10-19 19:32:31Record linked automatically0a4e66df2e
scoring_agent, PRV-23336, identity id MBR-024580, confidence 0.92, method probabilistic, matched record ENR-115241, policy version 1
2026-10-19 19:32:31Record linked automatically78de17ea6a
matching_agent, ENR-115241, identity id MBR-024580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23337
2026-10-19 19:31:28Record linked automatically6ca692313e
matching_agent, PRV-23336, identity id MBR-030252, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114858
2026-10-19 19:31:28Record linked automatically1b34fe85f8
scoring_agent, ENR-115241, identity id MBR-017309, confidence 1, method probabilistic, matched record CLM-411483, policy version 1
2026-10-19 19:31:28Record linked automaticallye7b333fde3
matching_agent, ENR-115242, identity id MBR-002044, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411485
2026-10-19 19:31:28Record linked automaticallyc07dbcf6e1
scoring_agent, PRV-23337, identity id MBR-001538, confidence 0.99, method probabilistic, matched record ENR-114860, policy version 1

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-2026-021330	2026-07-29	Sunrise Dermatology Clinic out of network	11403	$476.00	$139.20	Approved	Approved