Billy M Burns

4 source records from 2 feeds.

MBR-027815Verified4 records

Golden record

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

First namePRV: Billy
Middle namePRV: M
Last namePRV: Burns
Date of birthPRV: 1994-09-28
GenderPRV: M
Member IDPRV: UHC-06095-01
SSNPRV: •••-••-7207
PhonePRV: 6327330132
EmailPRV: billy.burns@hotmail.com
AddressPRV: 1909 River Rd
CityPRV: Columbus
StatePRV: OH
ZIPPRV: 43251
Group—: —
PlanCLM: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

PRV ×2CLM ×2

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
PRV-27180	PRV	2026-04-26	Billy Burnsflagged	1994-09-28	—	6327330132	1909 River Rd, Columbus, OH	Scored	1.00	—
CLM-424368	CLM	2026-06-20	Billy Burnsflagged	1994-09-28	—	—	1909 River Rd, Columbus, OH	Scored	1.00	—
PRV-27179	PRV	2026-06-26	Billy Burnsflagged	1994-09-28	UHC-06095-01	6327330132	1909 River Rd, Columbus, OH	Scored	1.00	—
CLM-424367	CLM	2026-09-23	Billy Burnsflagged	1994-09-28	UHC-06095-01	—	1909 River Rd, Columbus, OH	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-27180PRVCLM-424367CLM1.00Scoredweighted 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-27180PRVCLM-424368CLM1.00Scoredweighted 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-27180PRVPRV-27179PRV1.00Scoredweighted 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

▶PRV-27179PRVCLM-424367CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-424368CLMCLM-424367CLM0.97RuleD2 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

▶CLM-424368CLMPRV-27179PRV0.97RuleD2 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-424368 → UHC-06095-01 (Billy Burns)
ACT-005028, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallyccf937eac0
scoring_agent, CLM-424367, identity id MBR-027815, confidence 1, method probabilistic, matched record PRV-27180, policy version 1
2026-10-22 12:43:54Record linked automatically9fea080702
scoring_agent, PRV-27179, identity id MBR-027815, confidence 1, method probabilistic, matched record PRV-27180, policy version 1
2026-10-22 12:43:54Record linked automaticallyf117ac6c19
scoring_agent, CLM-424368, identity id MBR-027815, confidence 1, method probabilistic, matched record PRV-27180, policy version 1
2026-10-22 12:43:54Record linked automatically72b07e49f1
scoring_agent, PRV-27180, identity id MBR-027815, confidence 1, method probabilistic, matched record CLM-424368, policy version 1
2026-10-19 19:54:38Record linked automatically41cd68225d
scoring_agent, CLM-424367, identity id MBR-027815, confidence 1, method probabilistic, matched record PRV-27180, policy version 1
2026-10-19 19:54:38Record linked automatically761895122b
scoring_agent, PRV-27179, identity id MBR-027815, confidence 1, method probabilistic, matched record PRV-27180, policy version 1
2026-10-19 19:54:38Record linked automatically15226b48fa
scoring_agent, CLM-424368, identity id MBR-027815, confidence 1, method probabilistic, matched record PRV-27180, policy version 1
2026-10-19 19:54:38Record linked automatically8822b3eb4c
scoring_agent, PRV-27180, identity id MBR-027815, confidence 1, method probabilistic, matched record CLM-424368, policy version 1
2026-10-19 19:52:09Record linked automaticallyf3863b7c31
scoring_agent, CLM-424367, identity id MBR-027815, confidence 1, method probabilistic, matched record PRV-27180, policy version 1
2026-10-19 19:52:09Record linked automatically968437afc8
scoring_agent, PRV-27179, identity id MBR-027815, confidence 1, method probabilistic, matched record PRV-27180, policy version 1
2026-10-19 19:52:09Record linked automatically1a655ee931
scoring_agent, CLM-424368, identity id MBR-027815, confidence 1, method probabilistic, matched record PRV-27180, policy version 1
2026-10-19 19:52:09Record linked automaticallya540a43ff7
scoring_agent, PRV-27180, identity id MBR-027815, confidence 1, method probabilistic, matched record CLM-424368, policy version 1
2026-10-19 19:45:42Record linked automatically8ba30beb60
scoring_agent, CLM-424367, identity id MBR-027815, confidence 1, method probabilistic, matched record PRV-27180, policy version 1
2026-10-19 19:45:42Record linked automaticallya3befd78bf
scoring_agent, PRV-27179, identity id MBR-027815, confidence 1, method probabilistic, matched record PRV-27180, policy version 1
2026-10-19 19:45:42Record linked automatically003bc6374d
scoring_agent, CLM-424368, identity id MBR-027815, confidence 1, method probabilistic, matched record PRV-27180, policy version 1
2026-10-19 19:45:42Record linked automaticallydd7b24656b
scoring_agent, PRV-27180, identity id MBR-027815, confidence 1, method probabilistic, matched record CLM-424368, policy version 1
2026-10-19 19:32:31Record linked automatically9fb7e17399
scoring_agent, CLM-424367, identity id MBR-027815, confidence 1, method probabilistic, matched record PRV-27180, policy version 1
2026-10-19 19:32:31Record linked automatically66cd48482b
scoring_agent, PRV-27179, identity id MBR-027815, confidence 1, method probabilistic, matched record PRV-27180, policy version 1
2026-10-19 19:32:31Record linked automaticallyefc73e3911
scoring_agent, CLM-424368, identity id MBR-027815, confidence 1, method probabilistic, matched record PRV-27180, policy version 1
2026-10-19 19:32:31Record linked automaticallyd995f0cd63
scoring_agent, PRV-27180, identity id MBR-027815, confidence 1, method probabilistic, matched record CLM-424368, policy version 1
2026-10-19 19:31:28Record linked automatically973698b3ab
matching_agent, PRV-27180, identity id MBR-044619, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132011
2026-10-19 19:31:28Record linked automatically518625834b
scoring_agent, PRV-27179, identity id MBR-034263, confidence 0.99, method probabilistic, matched record CLM-424323, policy version 1
2026-10-19 19:31:28Record linked automatically24e8fb74d5
matching_agent, CLM-424368, identity id MBR-025920, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424367
2026-10-19 19:31:28Record linked automaticallybfd293bb4c
scoring_agent, CLM-424367, identity id MBR-025920, confidence 1, method probabilistic, matched record TPA-60720, 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-2026-032507	2026-09-02	Meadow Skin Care Associates in network	11102, 99213	$415.00	$217.30	Approved	Approved
CLM-2026-013954	2026-06-12	Northgate Counseling Center in network	90834	$221.00	$97.02	Approved	Approved