Identities/MBR-027694

Gold, golden identity

Joseph V Wheeler

6 source records from 3 feeds.

MBR-027694Verified6 records

Golden record

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

First nameENR: Joseph
Middle nameCLM: V
Last nameENR: Wheeler
Date of birthENR: 1991-05-12
GenderCLM: M
Member IDENR: UHC-73218-61
SSNENR: •••-••-5995
PhoneENR: 6936081788
EmailENR: joseph.wheeler@proton.me
AddressCLM: 3173 Willow Ct # 168
CityENR: Sacramento
StateENR: CA
ZIPENR: 95892
GroupENR: GRP-3811
PlanENR: NAVIGATE-HMO

Min confidence

0.99

Sources

CLM ×4ENR ×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
CLM-417720	CLM	2026-04-25	Joseph Wheelerflagged	1991-05-12	UHC-73218-61	—	—	Rule	0.99	D1 member id + dob exact
ENR-123332	ENR	2026-05-11	Joseph Wheelerflagged	1991-05-12	UHC-73218-61	6936081788	3173 Willow Ct, Sacramento, CA	Scored	1.00	—
CLM-417721	CLM	2026-06-06	Joey Wheelerflagged	1991-05-12	—	—	3173 Willow Ct, Sacramento, CA	Scored	1.00	—
TPA-57822	TPA	2026-08-09	Joseph Wheelerflagged	1991-05-12	—	—	3173 Willow Ct, Sacramento, CA	Scored	1.00	—
CLM-417718	CLM	2026-08-28	Joseph Wheelerflagged	1991-05-12	UHC-73218-61	—	3173 Willow Ct # 168, Sacramento, CA	Scored	1.00	—
CLM-417719	CLM	2026-08-28	Joseph Wheelerflagged	1991-05-12	UHC-73218-61	—	3173 Willow Ct # 168, Sacramento, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-417721CLMCLM-417718CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-57822TPA CLM-417718CLM1.00Scoredweighted 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-417721CLMCLM-417719CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-57822TPA CLM-417719CLM1.00Scoredweighted 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-123332ENRTPA-57822TPA 1.00Scoredweighted 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-417721CLMTPA-57822TPA 1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-417720CLM CLM-417718CLM0.99RuleD1 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

▶ENR-123332ENRCLM-417718CLM0.99RuleD1 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

▶CLM-417720CLM CLM-417719CLM0.99RuleD1 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

▶ENR-123332ENRCLM-417719CLM0.99RuleD1 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

▶CLM-417718CLMCLM-417719CLM0.99RuleD1 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

▶CLM-417720CLM ENR-123332ENR0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-417720CLM CLM-417721CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-123332ENRCLM-417721CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-417720CLM TPA-57822TPA 0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-417721 → UHC-73218-61 (Joseph Wheeler)
ACT-001721, Claims processor
Outreach address correctedProposed
Joseph Wheeler: 3173 Willow Ct, Sacramento → 3173 Willow Ct # 168, Sacramento
ACT-012785, Outreach
Care coordination outreachProposed
Joseph Wheeler: 4 claims, no attributed provider
ACT-019381, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically9cb6ece59e
scoring_agent, CLM-417719, identity id MBR-027694, confidence 1, method probabilistic, matched record CLM-417721, policy version 1
2026-10-19 19:54:38Record linked automatically46ff172a6d
scoring_agent, CLM-417718, identity id MBR-027694, confidence 1, method probabilistic, matched record CLM-417721, policy version 1
2026-10-19 19:54:38Record linked automatically286fa25f8e
scoring_agent, TPA-57822, identity id MBR-027694, confidence 1, method probabilistic, matched record ENR-123332, policy version 1
2026-10-19 19:54:38Record linked automatically57d9d42f2f
scoring_agent, CLM-417721, identity id MBR-027694, confidence 1, method probabilistic, matched record TPA-57822, policy version 1
2026-10-19 19:54:38Record linked automatically6e373e09e0
scoring_agent, ENR-123332, identity id MBR-027694, confidence 1, method probabilistic, matched record TPA-57822, policy version 1
2026-10-19 19:54:38Record linked automatically0ff135f124
matching_agent, CLM-417720, identity id MBR-027694, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123332
2026-10-19 19:52:09Record linked automaticallyc5df18b54c
scoring_agent, CLM-417719, identity id MBR-027694, confidence 1, method probabilistic, matched record CLM-417721, policy version 1
2026-10-19 19:52:09Record linked automaticallyaacb3367b3
scoring_agent, CLM-417718, identity id MBR-027694, confidence 1, method probabilistic, matched record CLM-417721, policy version 1
2026-10-19 19:52:09Record linked automaticallyd75741b756
scoring_agent, TPA-57822, identity id MBR-027694, confidence 1, method probabilistic, matched record ENR-123332, policy version 1
2026-10-19 19:52:09Record linked automaticallyab8cca0b97
scoring_agent, CLM-417721, identity id MBR-027694, confidence 1, method probabilistic, matched record TPA-57822, policy version 1
2026-10-19 19:52:09Record linked automaticallybcac3edc58
scoring_agent, ENR-123332, identity id MBR-027694, confidence 1, method probabilistic, matched record TPA-57822, policy version 1
2026-10-19 19:52:09Record linked automatically26c101396a
matching_agent, CLM-417720, identity id MBR-027694, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123332
2026-10-19 19:45:42Record linked automatically44f7d87d1b
scoring_agent, CLM-417719, identity id MBR-027694, confidence 1, method probabilistic, matched record CLM-417721, policy version 1
2026-10-19 19:45:42Record linked automatically353cd59bab
scoring_agent, CLM-417718, identity id MBR-027694, confidence 1, method probabilistic, matched record CLM-417721, policy version 1
2026-10-19 19:45:42Record linked automaticallye007b00036
scoring_agent, TPA-57822, identity id MBR-027694, confidence 1, method probabilistic, matched record ENR-123332, policy version 1
2026-10-19 19:45:42Record linked automatically7a3cf61e0f
scoring_agent, CLM-417721, identity id MBR-027694, confidence 1, method probabilistic, matched record TPA-57822, policy version 1
2026-10-19 19:45:42Record linked automatically86c400581f
scoring_agent, ENR-123332, identity id MBR-027694, confidence 1, method probabilistic, matched record TPA-57822, policy version 1
2026-10-19 19:45:42Record linked automaticallydb238e7cbe
matching_agent, CLM-417720, identity id MBR-027694, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123332
2026-10-19 19:32:31Record linked automatically536ccabb84
scoring_agent, CLM-417719, identity id MBR-027694, confidence 1, method probabilistic, matched record CLM-417721, policy version 1
2026-10-19 19:32:31Record linked automaticallybf3a99c7d5
scoring_agent, CLM-417718, identity id MBR-027694, confidence 1, method probabilistic, matched record CLM-417721, policy version 1
2026-10-19 19:32:31Record linked automatically606cf9ff76
scoring_agent, TPA-57822, identity id MBR-027694, confidence 1, method probabilistic, matched record ENR-123332, policy version 1
2026-10-19 19:32:31Record linked automatically9fcdf0e568
scoring_agent, CLM-417721, identity id MBR-027694, confidence 1, method probabilistic, matched record TPA-57822, policy version 1
2026-10-19 19:32:31Record linked automatically4baad86ccb
scoring_agent, ENR-123332, identity id MBR-027694, confidence 1, method probabilistic, matched record TPA-57822, policy version 1
2026-10-19 19:32:31Record linked automaticallyf4e9447a88
matching_agent, CLM-417720, identity id MBR-027694, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123332
2026-10-19 19:31:28Record linked automatically84b679ed12
scoring_agent, ENR-123332, identity id MBR-032248, confidence 1, method probabilistic, matched record CLM-417831, policy version 1
2026-10-19 19:31:28Record linked automaticallyce5c5787fd
matching_agent, CLM-417720, identity id MBR-029962, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-123173
2026-10-19 19:31:28Record linked automaticallycbff27dfb1
matching_agent, CLM-417718, identity id MBR-022744, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-57737
2026-10-19 19:31:28Record linked automaticallye899c88424
scoring_agent, TPA-57822, identity id MBR-021923, confidence 1, method probabilistic, matched record ENR-123428, policy version 1
2026-10-19 19:31:28Record linked automatically54534e244f
matching_agent, CLM-417719, identity id MBR-020220, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123172
2026-10-19 19:31:28Record linked automaticallya800c17ea2
matching_agent, CLM-417721, identity id MBR-004965, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-123174

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-2026-023266	2026-08-24	Mesa Cardiovascular Associates in network	99214, 93224	$602.00	$298.24	Approved	Approved
CLM-2026-000405	2026-08-17	Mesa GI Associates in network	88305, 43239, 45378	$3,389.00	$873.32	Approved	Approved
CLM-2026-001525	2026-05-07	Canyon Community Hospital out of network	99283, 96374	$900.00	$155.00	Approved	Approved
CLM-2026-003926	2026-04-18	Riverside Clinical Laboratories in network	80061, 83036, 80053	$187.00	—	Denied	Denied
CLM-2026-003925	2026-04-18	Riverside Clinical Laboratories in network	80061, 83036, 80053	$187.00	$0.00	Approved	Approved