Identities/MBR-027791

Gold, golden identity

Peter F Smith

6 source records from 2 feeds.

MBR-027791Verified6 records

Golden record

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

First nameENR: Peter
Middle nameENR: F
Last nameENR: Smith
Date of birthENR: 1974-03-13
GenderENR: M
Member IDENR: UHC-20983-31
SSNCLM: •••-••-0243
PhoneENR: 9274995109
Email—: —
AddressENR: 1657 Highland Ave
CityENR: Fresno
StateENR: CA
ZIPENR: 93778
GroupENR: GRP-7270
PlanENR: MEDICARE-ADV-A

Min confidence

1.00

Sources

CLM ×5ENR ×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-425080	CLM	2026-04-26	Peter Smithflagged	1974-03-13	—	9274995109	1657 Highland Ave, Fresno, CA	Scored	1.00	—
CLM-425084	CLM	2026-06-14	Peter Smithflagged	1974-03-13	UHC-20983-31	—	1657 Highland Ave, Fresno, CA	Scored	1.00	—
CLM-425083	CLM	2026-07-14	Peter Smithflagged	1974-03-13	UHC-20983-31	9274995109	1657 Highland Ave, Fresno, CA	Scored	1.00	—
ENR-132789	ENR	2026-08-04	Peter Smithflagged	1974-03-13	UHC-20983-31	9274995109	1657 Highland Ave, Fresno, CA	Scored	1.00	—
CLM-425082	CLM	2026-08-24	Peter Smithflagged	1974-03-13	—	—	1657 Highland Ave, Fresno, CA	Scored	1.00	—
CLM-425081	CLM	2026-09-26	Peter Smithflagged	1974-03-13	UHC-20983-31	9274995109	1657 Highland Ave, Fresno, CA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-425080CLMCLM-425081CLM 1.00Scoredweighted 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-425082CLMCLM-425081CLM 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-425080CLMCLM-425082CLM1.00Scoredweighted 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-425084CLMCLM-425082CLM1.00Scoredweighted 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-425083CLMCLM-425082CLM1.00Scoredweighted 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-132789ENRCLM-425082CLM1.00Scoredweighted 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-425080CLMCLM-425083CLM1.00Scoredweighted 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-425080CLMCLM-425084CLM1.00Scoredweighted 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-425080CLMENR-132789ENR1.00Scoredweighted 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-425084CLMCLM-425081CLM 0.99RuleD1 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-425083CLMCLM-425081CLM 0.99RuleD1 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

▶ENR-132789ENRCLM-425081CLM 0.99RuleD1 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-425084CLMCLM-425083CLM0.99RuleD1 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-425084CLMENR-132789ENR0.99RuleD1 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-425083CLMENR-132789ENR0.99RuleD1 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-425080 → UHC-20983-31 (Peter Smith)
ACT-002622, Claims processor
Orphan claim re-pointedExecuted
CLM-425082 → UHC-20983-31 (Peter Smith)
ACT-007853, Claims processor
Care coordination outreachProposed
Peter Smith: 5 claims, no attributed provider
ACT-019385, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically0e696aec16
scoring_agent, CLM-425081, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:54:38Record linked automaticallya0ec2b99d6
scoring_agent, CLM-425082, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:54:38Record linked automatically9f84773ab4
scoring_agent, ENR-132789, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:54:38Record linked automatically8f71ad25f1
scoring_agent, CLM-425083, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:54:38Record linked automaticallyeb3b3b6714
scoring_agent, CLM-425084, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:54:38Record linked automatically817fa3895c
scoring_agent, CLM-425080, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425084, policy version 1
2026-10-19 19:52:09Record linked automatically05c5ec18cc
scoring_agent, CLM-425081, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:52:09Record linked automatically0e52bd76a4
scoring_agent, CLM-425082, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:52:09Record linked automatically2d946f37f8
scoring_agent, ENR-132789, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:52:09Record linked automatically19fc1ca658
scoring_agent, CLM-425083, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:52:09Record linked automatically76bfaa9aca
scoring_agent, CLM-425084, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:52:09Record linked automatically8124d65c04
scoring_agent, CLM-425080, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425084, policy version 1
2026-10-19 19:45:42Record linked automatically9128f993b1
scoring_agent, CLM-425081, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:45:42Record linked automaticallye2e94eb64c
scoring_agent, CLM-425082, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:45:42Record linked automatically87fbffcd5f
scoring_agent, ENR-132789, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:45:42Record linked automaticallyf6039de080
scoring_agent, CLM-425083, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:45:42Record linked automatically6850e125d2
scoring_agent, CLM-425084, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:45:42Record linked automatically58ef7581a0
scoring_agent, CLM-425080, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425084, policy version 1
2026-10-19 19:32:31Record linked automatically08c3092534
scoring_agent, CLM-425081, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:32:31Record linked automaticallye0ced8b06a
scoring_agent, CLM-425082, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:32:31Record linked automaticallya63cc90dbe
scoring_agent, ENR-132789, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:32:31Record linked automaticallyc6f5c5f098
scoring_agent, CLM-425083, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:32:31Record linked automatically1b3162d0d5
scoring_agent, CLM-425084, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425080, policy version 1
2026-10-19 19:32:31Record linked automaticallyad8c3955a2
scoring_agent, CLM-425080, identity id MBR-027791, confidence 1, method probabilistic, matched record CLM-425084, policy version 1
2026-10-19 19:31:28Record linked automatically261430a98a
matching_agent, ENR-132789, identity id MBR-043556, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424909
2026-10-19 19:31:28Record linked automatically6c2d351773
scoring_agent, CLM-425083, identity id MBR-013765, confidence 1, method probabilistic, matched record TPA-61039, policy version 1
2026-10-19 19:31:28Record linked automatically4426aae8e1
matching_agent, CLM-425082, identity id MBR-010428, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133048
2026-10-19 19:31:28Record linked automatically6611f217b7
matching_agent, CLM-425081, identity id MBR-010428, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133048
2026-10-19 19:31:28Record linked automatically4cfb9ad92f
scoring_agent, CLM-425080, identity id MBR-010428, confidence 1, method probabilistic, matched record PRV-27403, policy version 1
2026-10-19 19:31:28Record linked automaticallyc5327ce4ce
scoring_agent, CLM-425084, identity id MBR-003361, confidence 1, method probabilistic, matched record PRV-27404, policy version 1

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-2026-030157	2026-09-09	Northgate Medical Group in network	93000, 99214	$371.00	—	Needs review	Needs review
CLM-2026-024662	2026-08-01	Desert Primary Care Associates in network	99214	$229.00	$121.98	Approved	Approved
CLM-2026-016893	2026-06-29	Sunrise Behavioral Health in network	90791	$355.00	$145.10	Approved	Approved
CLM-2026-007540	2026-06-11	Heritage Primary Care Associates in network	99214	$296.00	$163.52	Approved	Approved
CLM-2026-004856	2026-03-22	Sunrise Bone and Joint Center in network	29881	$8,873.00	$3,562.86	Approved	Approved