Identities/MBR-025069
Gold, golden identity

James I Owens

4 source records from 2 feeds.

MBR-025069Verified4 records

Golden record

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

First nameCLM
James
Middle nameCLM
I
Last nameCLM
Owens
Date of birthCLM
1980-03-02
GenderCLM
F
Member IDCLM
UHC-46110-34
SSNCLM
•••-••-0729
PhoneCLM
2169035769
Email—
—
AddressCLM
6467 Camelback Rd
CityCLM
Plano
StateCLM
TX
ZIPCLM
75086
GroupCLM
GRP-3418
PlanCLM
OPTIONS-PPO
Min confidence
0.99
Sources
CLM ×3TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.000.991.00CLMCLM-413258TPATPA-55833CLMCLM-413257CLMCLM-413256IDMBR-025069
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
CLM-413258CLM2026-04-10Owens Jamesflagged1980-03-02UHC-46110-34—6467 Camelback Rd, Plano, TXRule0.99D1 member id + dob exact
TPA-55833TPA2026-05-21James Owensflagged1980-03-02—2169035769—Scored1.00—
CLM-413257CLM2026-08-06James Owensflagged1980-03-02UHC-46110-34—6467 Camelback Rd, Plano, TXRule0.99D1 member id + dob exact
CLM-413256CLM2026-10-01James Owensflagged1980-03-02UHC-46110-3421690357696467 Camelback Rd, Plano, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-55833TPACLM-413256CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413258CLMCLM-413256CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413257CLMCLM-413256CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-413258CLMCLM-413257CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-55833TPACLM-413257CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    James Owens: 3 claims, no attributed provider
    ACT-019286, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically76ec84737c
    scoring_agent, CLM-413256, identity id MBR-025069, confidence 1, method probabilistic, matched record TPA-55833, policy version 1
  • 2026-10-19 19:54:38Record linked automatically9da34a0555
    matching_agent, CLM-413257, identity id MBR-025069, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413258
  • 2026-10-19 19:54:38Record linked automatically74187a7407
    scoring_agent, TPA-55833, identity id MBR-025069, confidence 1, method probabilistic, matched record CLM-413256, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0337f936d2
    matching_agent, CLM-413258, identity id MBR-025069, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413257
  • 2026-10-19 19:52:09Record linked automatically48990b8ba6
    scoring_agent, CLM-413256, identity id MBR-025069, confidence 1, method probabilistic, matched record TPA-55833, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7c48d46505
    matching_agent, CLM-413257, identity id MBR-025069, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413258
  • 2026-10-19 19:52:09Record linked automatically783333b079
    scoring_agent, TPA-55833, identity id MBR-025069, confidence 1, method probabilistic, matched record CLM-413256, policy version 1
  • 2026-10-19 19:52:09Record linked automatically455ebc7243
    matching_agent, CLM-413258, identity id MBR-025069, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413257
  • 2026-10-19 19:45:42Record linked automatically0eb35f73ac
    scoring_agent, CLM-413256, identity id MBR-025069, confidence 1, method probabilistic, matched record TPA-55833, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc4678ed8cb
    matching_agent, CLM-413257, identity id MBR-025069, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413258
  • 2026-10-19 19:45:42Record linked automaticallyc60d4bef99
    scoring_agent, TPA-55833, identity id MBR-025069, confidence 1, method probabilistic, matched record CLM-413256, policy version 1
  • 2026-10-19 19:45:42Record linked automatically59e88e8b75
    matching_agent, CLM-413258, identity id MBR-025069, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413257
  • 2026-10-19 19:32:31Record linked automatically1852045f10
    scoring_agent, CLM-413256, identity id MBR-025069, confidence 1, method probabilistic, matched record TPA-55833, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf80d89e240
    matching_agent, CLM-413257, identity id MBR-025069, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413258
  • 2026-10-19 19:32:31Record linked automatically9a7df6587a
    scoring_agent, TPA-55833, identity id MBR-025069, confidence 1, method probabilistic, matched record CLM-413256, policy version 1
  • 2026-10-19 19:32:31Record linked automatically18e5b3fabe
    matching_agent, CLM-413258, identity id MBR-025069, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413257
  • 2026-10-19 19:31:28Record linked automaticallyb0089a0451
    matching_agent, CLM-413257, identity id MBR-036944, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-117511
  • 2026-10-19 19:31:28Record linked automaticallycc772b9ac3
    matching_agent, CLM-413256, identity id MBR-029087, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413255

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0263592026-08-18Valley Community Hospital
out of network
99283, 71046$1,013.00$105.85ApprovedApproved
CLM-2026-0039962026-07-10Heritage Behavioral Health
in network
99214$295.00$122.90ApprovedApproved
CLM-2026-0142242026-03-03Valley Community Hospital
out of network
99285, 96374$2,770.00$896.50ApprovedApproved