Identities/MBR-025300

Gold, golden identity

Jean B Graham

5 source records from 3 feeds.

MBR-025300Verified5 records

Golden record

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

First nameENR: Jean
Middle nameENR: B
Last nameENR: Graham
Date of birthENR: 1961-08-15
GenderENR: M
Member IDENR: UHC-91965-70
SSNENR: •••-••-4525
PhoneENR: 2056761681
EmailENR: jean.graham77@icloud.com
AddressENR: 1653 Ridge Rd
CityENR: Tampa
StateENR: FL
ZIPENR: 33658
GroupENR: GRP-6270
PlanENR: MEDICARE-ADV-A

Min confidence

1.00

Sources

CLM ×3TPA ×1ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-413000	CLM	2026-04-11	Jean Grahamflagged	1961-08-15	UHC-91965-70	2056761681	—	Scored	1.00	—
CLM-413001	CLM	2026-05-10	Jean Grahamflagged	1961-08-15	UHC-91965-70	—	1653 Ridge Rd Apt 1, Tampa, FL	Scored	1.00	—
TPA-55718	TPA	2026-05-11	Jean Grahamflagged	1961-08-15	—	2056761681	1653 Ridge Rd, Tampa, FL	Scored	1.00	—
ENR-117072	ENR	2026-06-30	Jean Grahamflagged	1961-08-15	UHC-91965-70	2056761681	1653 Ridge Rd, Tampa, FL	Scored	1.00	—
CLM-412999	CLM	2026-07-23	Jean Grahamflagged	1961-08-15	UHC-91965-70	2056761681	1653 Ridge Rd, Tampa, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-55718TPACLM-412999CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-55718TPAENR-117072ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-413000CLMTPA-55718TPA1.00Scoredweighted 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-413001CLMTPA-55718TPA1.00Scoredweighted 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-413000CLMCLM-412999CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-413001CLMCLM-412999CLM0.99RuleD1 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-117072ENRCLM-412999CLM0.99RuleD1 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

▶CLM-413000CLMCLM-413001CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-413000CLMENR-117072ENR0.99RuleD1 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
Phone	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-413001CLMENR-117072ENR0.99RuleD1 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

Actions

What downstream consumers did with this identity

Care coordination outreachProposed
Jean Graham: 3 claims, no attributed provider
ACT-019297, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallyd5b42e57f0
scoring_agent, CLM-412999, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-22 12:43:54Record linked automaticallye78a8f49d0
scoring_agent, ENR-117072, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-22 12:43:54Record linked automatically841180d795
scoring_agent, TPA-55718, identity id MBR-025300, confidence 1, method probabilistic, matched record CLM-413000, policy version 1
2026-10-22 12:43:54Record linked automatically3a1544db3e
scoring_agent, CLM-413001, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-22 12:43:54Record linked automatically1b12a90070
scoring_agent, CLM-413000, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-19 19:54:38Record linked automatically721c2c32aa
scoring_agent, CLM-412999, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-19 19:54:38Record linked automatically79f51323b0
scoring_agent, ENR-117072, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-19 19:54:38Record linked automatically39aabf495f
scoring_agent, TPA-55718, identity id MBR-025300, confidence 1, method probabilistic, matched record CLM-413000, policy version 1
2026-10-19 19:54:38Record linked automaticallyf0f4560cd8
scoring_agent, CLM-413001, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-19 19:54:38Record linked automatically0f099612bd
scoring_agent, CLM-413000, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-19 19:52:09Record linked automatically0c4e47cf5c
scoring_agent, CLM-412999, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-19 19:52:09Record linked automaticallye03d52d987
scoring_agent, ENR-117072, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-19 19:52:09Record linked automatically24e0a32cd3
scoring_agent, TPA-55718, identity id MBR-025300, confidence 1, method probabilistic, matched record CLM-413000, policy version 1
2026-10-19 19:52:09Record linked automaticallyb0e0e415eb
scoring_agent, CLM-413001, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-19 19:52:09Record linked automaticallyaefde7488a
scoring_agent, CLM-413000, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-19 19:45:42Record linked automatically6327a783cc
scoring_agent, CLM-412999, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-19 19:45:42Record linked automatically24c5118ac3
scoring_agent, ENR-117072, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-19 19:45:42Record linked automatically270aea245d
scoring_agent, TPA-55718, identity id MBR-025300, confidence 1, method probabilistic, matched record CLM-413000, policy version 1
2026-10-19 19:45:42Record linked automaticallyf6fa8ac5d4
scoring_agent, CLM-413001, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-19 19:45:42Record linked automatically31befb7e2d
scoring_agent, CLM-413000, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-19 19:32:31Record linked automatically8d072a2552
scoring_agent, CLM-412999, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-19 19:32:31Record linked automatically1d2b5ba431
scoring_agent, ENR-117072, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-19 19:32:31Record linked automatically68d749f3d8
scoring_agent, TPA-55718, identity id MBR-025300, confidence 1, method probabilistic, matched record CLM-413000, policy version 1
2026-10-19 19:32:31Record linked automatically7d30bb113e
scoring_agent, CLM-413001, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-19 19:32:31Record linked automatically83a888280f
scoring_agent, CLM-413000, identity id MBR-025300, confidence 1, method probabilistic, matched record TPA-55718, policy version 1
2026-10-19 19:31:28Record linked automatically14828fbb56
matching_agent, CLM-412999, identity id MBR-032339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117179
2026-10-19 19:31:28Record linked automatically64c76e5fd9
matching_agent, ENR-117072, identity id MBR-015821, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412922
2026-10-19 19:31:28Record linked automatically14e5ac29d6
matching_agent, CLM-413001, identity id MBR-013561, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117182
2026-10-19 19:31:28Record linked automatically10a172b367
scoring_agent, CLM-413000, identity id MBR-013561, confidence 0.94, method probabilistic, matched record ENR-117182, policy version 1
2026-10-19 19:31:28Record linked automaticallyf178b3c877
scoring_agent, TPA-55718, identity id MBR-001800, confidence 0.97, method probabilistic, matched record ENR-117244, 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-2026-030632	2026-06-19	Riverside Primary Care Associates in network	99203, 99214	$432.00	$227.84	Approved	Approved
CLM-2026-004557	2026-04-21	Sunrise Bone and Joint Center in network	20610	$283.00	$115.46	Approved	Approved
CLM-2026-021448	2026-03-23	Cornerstone Internal Medicine Associates in network	99232	$193.00	$0.00	Approved	Approved