Identities/MBR-026549

Gold, golden identity

Terry C Payne

5 source records from 4 feeds.

MBR-026549Verified5 records

Golden record

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

First nameENR: Terry
Middle nameENR: C
Last nameENR: Payne
Date of birthENR: 2007-04-07
GenderENR: M
Member IDENR: UHC-95731-30
SSNENR: •••-••-8098
PhoneENR: 7303294495
EmailENR: terry.payne@gmail.com
AddressENR: 1535 Apache Blvd
CityENR: Atlanta
StateENR: GA
ZIPENR: 30323
GroupENR: GRP-6109
PlanENR: NAVIGATE-HMO

Min confidence

0.99

Sources

CLM ×2PRV ×1ENR ×1TPA ×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-430308	CLM	2026-04-18	Payne Terryflagged	2007-04-07	UHC-95731-30	7303294495	1535 Apache Blvd, Atlanta, GA	Rule	0.99	D1 member id + dob exact
PRV-28874	PRV	2026-05-31	Terry Payneflagged	2007-04-07	UHC-95731-30	7303294495	1535 Apache Blvd, Atlanta, GA	Scored	1.00	—
ENR-139781	ENR	2026-07-19	Terry Payneflagged	2007-04-07	UHC-95731-30	7303294495	1535 Apache Blvd, Atlanta, GA	Scored	1.00	—
TPA-63376	TPA	2026-08-29	Terry Payneflagged	2007-04-07	—	—	1535 Apache Blvd, Atlanta, GA	Scored	1.00	—
CLM-430309	CLM	2026-10-07	Terry Payneflagged	2007-04-07	UHC-95731-30	7303294495	1535 Apache Blvd, Atlanta, GA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-63376TPACLM-430309CLM1.00Scoredweighted 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

▶PRV-28874PRVTPA-63376TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-139781ENRTPA-63376TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-28874PRVCLM-430309CLM0.99RuleD1 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-139781ENRCLM-430309CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-430308CLMCLM-430309CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	1.00	3	exact
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

▶PRV-28874PRVENR-139781ENR0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-430308CLMENR-139781ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	1.00	3	exact
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

▶CLM-430308CLMPRV-28874PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
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

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallyc5d1299d2f
scoring_agent, CLM-430309, identity id MBR-026549, confidence 1, method probabilistic, matched record TPA-63376, policy version 1
2026-10-22 12:43:54Record linked automatically8913ff6909
scoring_agent, TPA-63376, identity id MBR-026549, confidence 1, method probabilistic, matched record PRV-28874, policy version 1
2026-10-22 12:43:54Record linked automatically9ff36484a0
scoring_agent, ENR-139781, identity id MBR-026549, confidence 1, method probabilistic, matched record TPA-63376, policy version 1
2026-10-22 12:43:54Record linked automaticallyd37a3fd104
scoring_agent, PRV-28874, identity id MBR-026549, confidence 1, method probabilistic, matched record TPA-63376, policy version 1
2026-10-22 12:43:54Record linked automatically107008c9a6
matching_agent, CLM-430308, identity id MBR-026549, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28874
2026-10-19 19:54:38Record linked automatically6d1a747cd1
scoring_agent, CLM-430309, identity id MBR-026549, confidence 1, method probabilistic, matched record TPA-63376, policy version 1
2026-10-19 19:54:38Record linked automaticallye20fc78bdc
scoring_agent, TPA-63376, identity id MBR-026549, confidence 1, method probabilistic, matched record PRV-28874, policy version 1
2026-10-19 19:54:38Record linked automatically7511f49d3a
scoring_agent, ENR-139781, identity id MBR-026549, confidence 1, method probabilistic, matched record TPA-63376, policy version 1
2026-10-19 19:54:38Record linked automaticallyda5e6443a3
scoring_agent, PRV-28874, identity id MBR-026549, confidence 1, method probabilistic, matched record TPA-63376, policy version 1
2026-10-19 19:54:38Record linked automatically67de8598f9
matching_agent, CLM-430308, identity id MBR-026549, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28874
2026-10-19 19:52:09Record linked automaticallycdc36bfd2d
scoring_agent, CLM-430309, identity id MBR-026549, confidence 1, method probabilistic, matched record TPA-63376, policy version 1
2026-10-19 19:52:09Record linked automatically0b43e1e903
scoring_agent, TPA-63376, identity id MBR-026549, confidence 1, method probabilistic, matched record PRV-28874, policy version 1
2026-10-19 19:52:09Record linked automaticallyf46edb6d67
scoring_agent, ENR-139781, identity id MBR-026549, confidence 1, method probabilistic, matched record TPA-63376, policy version 1
2026-10-19 19:52:09Record linked automatically855d17dd40
scoring_agent, PRV-28874, identity id MBR-026549, confidence 1, method probabilistic, matched record TPA-63376, policy version 1
2026-10-19 19:52:09Record linked automaticallyc8c1582d4e
matching_agent, CLM-430308, identity id MBR-026549, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28874
2026-10-19 19:45:42Record linked automatically17a23cf486
scoring_agent, CLM-430309, identity id MBR-026549, confidence 1, method probabilistic, matched record TPA-63376, policy version 1
2026-10-19 19:45:42Record linked automatically471e60f847
scoring_agent, TPA-63376, identity id MBR-026549, confidence 1, method probabilistic, matched record PRV-28874, policy version 1
2026-10-19 19:45:42Record linked automaticallyac8b96b924
scoring_agent, ENR-139781, identity id MBR-026549, confidence 1, method probabilistic, matched record TPA-63376, policy version 1
2026-10-19 19:45:42Record linked automatically81a5e709be
scoring_agent, PRV-28874, identity id MBR-026549, confidence 1, method probabilistic, matched record TPA-63376, policy version 1
2026-10-19 19:45:42Record linked automaticallyb6fe1ae821
matching_agent, CLM-430308, identity id MBR-026549, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28874
2026-10-19 19:32:31Record linked automaticallyee828e4ecc
scoring_agent, CLM-430309, identity id MBR-026549, confidence 1, method probabilistic, matched record TPA-63376, policy version 1
2026-10-19 19:32:31Record linked automaticallyaa93c8b11c
scoring_agent, TPA-63376, identity id MBR-026549, confidence 1, method probabilistic, matched record PRV-28874, policy version 1
2026-10-19 19:32:31Record linked automaticallyd973997f1f
scoring_agent, ENR-139781, identity id MBR-026549, confidence 1, method probabilistic, matched record TPA-63376, policy version 1
2026-10-19 19:32:31Record linked automatically2c05683d3d
scoring_agent, PRV-28874, identity id MBR-026549, confidence 1, method probabilistic, matched record TPA-63376, policy version 1
2026-10-19 19:32:31Record linked automaticallyf89de19a92
matching_agent, CLM-430308, identity id MBR-026549, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28874
2026-10-19 19:31:28Record linked automatically1863f2dda1
matching_agent, CLM-430309, identity id MBR-034794, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139959
2026-10-19 19:31:28Record linked automatically928dae2bdb
matching_agent, PRV-28874, identity id MBR-014233, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430328
2026-10-19 19:31:28Record linked automatically8b0991d177
scoring_agent, TPA-63376, identity id MBR-011230, confidence 1, method probabilistic, matched record ENR-140214, policy version 1
2026-10-19 19:31:28Record linked automatically3734f663d4
matching_agent, CLM-430308, identity id MBR-002755, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430306

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-2026-013435	2026-09-15	Summit Digestive Health Center in network	45378	$2,157.00	$448.41	Approved	Approved
CLM-2026-015449	2026-03-27	Canyon Primary Care Associates in network	99213, 90471	$197.00	$92.14	Approved	Approved