Identities/MBR-027067

Gold, golden identity

Luis Y Miller

5 source records from 4 feeds.

MBR-027067Verified5 records

Golden record

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

First nameENR: Luis
Middle nameENR: Y
Last nameENR: Miller
Date of birthENR: 1998-03-25
GenderENR: M
Member IDENR: UHC-85826-69
SSNENR: •••-••-7930
PhoneTPA: 3764862465
EmailENR: luis.miller@outlook.com
AddressENR: 6417 Apache Blvd
CityENR: Fresno
StateENR: CA
ZIPENR: 93795
GroupENR: GRP-2163
PlanENR: CORE-HMO

Min confidence

1.00

Sources

TPA ×2CLM ×1PRV ×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
TPA-56324	TPA	2026-04-21	Luis Millerflagged	1998-03-25	—	—	6417 Apache Blvd, Fresno, CA	Scored	1.00	—
CLM-414326	CLM	2026-04-27	Luis Millerflagged	1998-03-25	—	—	6417 Apache Blvd, Fresno, CA	Scored	1.00	—
TPA-56325	TPA	2026-05-22	Luis Millerflagged	1998-03-25	—	3764862465	6417 Apache Blvd, Fresno, CA	Scored	1.00	—
PRV-24198	PRV	2026-09-28	Luis Millerflagged	1998-03-25	UHC-85826-69	—	6417 Apache Blvd, Fresno, CA	Scored	1.00	—
ENR-118859	ENR	2026-10-09	Luis Millerflagged	1998-03-25	UHC-85826-69	—	6417 Apache Blvd, Fresno, CA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-56324TPACLM-414326CLM1.00Scoredweighted 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-414326CLMENR-118859 ENR1.00Scoredweighted 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

▶TPA-56325TPAENR-118859 ENR1.00Scoredweighted 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

▶TPA-56324TPAPRV-24198PRV1.00Scoredweighted 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-414326CLMPRV-24198PRV1.00Scoredweighted 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

▶TPA-56325TPAPRV-24198PRV1.00Scoredweighted 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

▶TPA-56324TPATPA-56325TPA1.00Scoredweighted 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-414326CLMTPA-56325TPA1.00Scoredweighted 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-24198PRVENR-118859 ENR0.99RuleD1 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

▶TPA-56324TPAENR-118859 ENR0.97RuleD2 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-414326 → UHC-85826-69 (Luis Miller)
ACT-007590, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallyb8ac2140d5
scoring_agent, ENR-118859, identity id MBR-027067, confidence 1, method probabilistic, matched record CLM-414326, policy version 1
2026-10-22 12:43:54Record linked automaticallyf45a713234
scoring_agent, PRV-24198, identity id MBR-027067, confidence 1, method probabilistic, matched record TPA-56324, policy version 1
2026-10-22 12:43:54Record linked automaticallydec3f54380
scoring_agent, TPA-56325, identity id MBR-027067, confidence 1, method probabilistic, matched record TPA-56324, policy version 1
2026-10-22 12:43:54Record linked automaticallya8744488a1
scoring_agent, CLM-414326, identity id MBR-027067, confidence 1, method probabilistic, matched record TPA-56324, policy version 1
2026-10-22 12:43:54Record linked automatically17af9d8f27
scoring_agent, TPA-56324, identity id MBR-027067, confidence 1, method probabilistic, matched record CLM-414326, policy version 1
2026-10-19 19:54:38Record linked automaticallya7710d6b3a
scoring_agent, ENR-118859, identity id MBR-027067, confidence 1, method probabilistic, matched record CLM-414326, policy version 1
2026-10-19 19:54:38Record linked automatically2ca6843d26
scoring_agent, PRV-24198, identity id MBR-027067, confidence 1, method probabilistic, matched record TPA-56324, policy version 1
2026-10-19 19:54:38Record linked automatically152d0931eb
scoring_agent, TPA-56325, identity id MBR-027067, confidence 1, method probabilistic, matched record TPA-56324, policy version 1
2026-10-19 19:54:38Record linked automaticallya087e1efef
scoring_agent, CLM-414326, identity id MBR-027067, confidence 1, method probabilistic, matched record TPA-56324, policy version 1
2026-10-19 19:54:38Record linked automaticallyac066bb386
scoring_agent, TPA-56324, identity id MBR-027067, confidence 1, method probabilistic, matched record CLM-414326, policy version 1
2026-10-19 19:52:09Record linked automaticallya83c3751be
scoring_agent, ENR-118859, identity id MBR-027067, confidence 1, method probabilistic, matched record CLM-414326, policy version 1
2026-10-19 19:52:09Record linked automatically39d3d60d35
scoring_agent, PRV-24198, identity id MBR-027067, confidence 1, method probabilistic, matched record TPA-56324, policy version 1
2026-10-19 19:52:09Record linked automaticallye562f42907
scoring_agent, TPA-56325, identity id MBR-027067, confidence 1, method probabilistic, matched record TPA-56324, policy version 1
2026-10-19 19:52:09Record linked automaticallye6b27835a1
scoring_agent, CLM-414326, identity id MBR-027067, confidence 1, method probabilistic, matched record TPA-56324, policy version 1
2026-10-19 19:52:09Record linked automaticallyc697d233e3
scoring_agent, TPA-56324, identity id MBR-027067, confidence 1, method probabilistic, matched record CLM-414326, policy version 1
2026-10-19 19:45:42Record linked automaticallyaddbd1ff44
scoring_agent, ENR-118859, identity id MBR-027067, confidence 1, method probabilistic, matched record CLM-414326, policy version 1
2026-10-19 19:45:42Record linked automatically32bb58abce
scoring_agent, PRV-24198, identity id MBR-027067, confidence 1, method probabilistic, matched record TPA-56324, policy version 1
2026-10-19 19:45:42Record linked automatically464fbcf327
scoring_agent, TPA-56325, identity id MBR-027067, confidence 1, method probabilistic, matched record TPA-56324, policy version 1
2026-10-19 19:45:42Record linked automaticallyc9bf389881
scoring_agent, CLM-414326, identity id MBR-027067, confidence 1, method probabilistic, matched record TPA-56324, policy version 1
2026-10-19 19:45:42Record linked automaticallyed257e69a8
scoring_agent, TPA-56324, identity id MBR-027067, confidence 1, method probabilistic, matched record CLM-414326, policy version 1
2026-10-19 19:32:31Record linked automaticallyfdffa685de
scoring_agent, ENR-118859, identity id MBR-027067, confidence 1, method probabilistic, matched record CLM-414326, policy version 1
2026-10-19 19:32:31Record linked automatically93df6ed83d
scoring_agent, PRV-24198, identity id MBR-027067, confidence 1, method probabilistic, matched record TPA-56324, policy version 1
2026-10-19 19:32:31Record linked automaticallya0bf4b30c0
scoring_agent, TPA-56325, identity id MBR-027067, confidence 1, method probabilistic, matched record TPA-56324, policy version 1
2026-10-19 19:32:31Record linked automatically6912d62bf9
scoring_agent, CLM-414326, identity id MBR-027067, confidence 1, method probabilistic, matched record TPA-56324, policy version 1
2026-10-19 19:32:31Record linked automatically8c908b4520
scoring_agent, TPA-56324, identity id MBR-027067, confidence 1, method probabilistic, matched record CLM-414326, policy version 1
2026-10-19 19:31:28Record linked automaticallyea7b93a5b1
scoring_agent, TPA-56325, identity id MBR-036313, confidence 1, method probabilistic, matched record CLM-414553, policy version 1
2026-10-19 19:31:28Record linked automatically40c4432a8c
scoring_agent, PRV-24198, identity id MBR-023589, confidence 1, method probabilistic, matched record ENR-118716, policy version 1
2026-10-19 19:31:28Record linked automatically49be7ba7f3
matching_agent, ENR-118859, identity id MBR-006920, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-118858
2026-10-19 19:31:28Record linked automaticallydc35b17196
matching_agent, CLM-414326, identity id MBR-004940, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-414328

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-023670	2026-03-31	Sunrise Community Hospital out of network	96374	$148.00	—	Needs review	Needs review