Identities/MBR-028726
Gold, golden identity

Thomas Morales

4 source records from 2 feeds.

MBR-028726Verified4 records

Golden record

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

First nameCLM
Thomas
Middle name—
—
Last nameCLM
Morales
Date of birthCLM
1965-01-26
GenderCLM
M
Member IDCLM
UHC-74441-71
SSNCLM
•••-••-1527
PhoneCLM
7658409003
Email—
—
AddressCLM
5241 Jefferson Ave
CityCLM
Denver
StateCLM
CO
ZIPCLM
80274
GroupCLM
GRP-0617
PlanCLM
MEDICARE-ADV-B
Min confidence
0.96
Sources
TPA ×1CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

0.990.960.990.99TPATPA-50909CLMCLM-402145CLMCLM-402146CLMCLM-402147IDMBR-028726
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
TPA-50909TPA2026-05-02Thomas Moralesflagged1965-01-26UHC-74441-7176584090035241 Jefferson Ave, Denver, CORule0.99D1 member id + dob exact
CLM-402145CLM2026-08-30Thomas Moralesflagged1965-10-26UHC-74441-7176584090035241 Jefferson Ave, Denver, CORule0.96D3 member id + name
CLM-402146CLM2026-10-07Thomas Moralesflagged1965-01-26UHC-74441-7176584090035241 Jefferson Ave, Denver, CORule0.99D1 member id + dob exact
CLM-402147CLM2026-10-07Thomas Moralesflagged1965-01-26UHC-74441-7176584090035241 Jefferson Ave, Denver, CORule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶TPA-50909TPACLM-402146CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-50909TPACLM-402147CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-402146CLMCLM-402147CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-50909TPACLM-402145CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-402145CLMCLM-402146CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-402145CLMCLM-402147CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Thomas Morales: 2 plan codes across sources → canonical MEDICARE-ADV-B
    ACT-001113, Eligibility engine
  • Care coordination outreachProposed
    Thomas Morales: 3 claims, no attributed provider
    ACT-019419, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically8dc142ff42
    matching_agent, CLM-402147, identity id MBR-028726, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-50909
  • 2026-10-19 19:54:38Record linked automaticallyfe5a3784d9
    matching_agent, CLM-402146, identity id MBR-028726, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-50909
  • 2026-10-19 19:54:38Record linked automatically882f592da6
    matching_agent, CLM-402145, identity id MBR-028726, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-50909
  • 2026-10-19 19:54:38Record linked automaticallyc94bc9dcf5
    matching_agent, TPA-50909, identity id MBR-028726, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402146
  • 2026-10-19 19:52:09Record linked automaticallyfb1db63ee9
    matching_agent, CLM-402147, identity id MBR-028726, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-50909
  • 2026-10-19 19:52:09Record linked automatically6b400692dc
    matching_agent, CLM-402146, identity id MBR-028726, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-50909
  • 2026-10-19 19:52:09Record linked automatically92c9cfe181
    matching_agent, CLM-402145, identity id MBR-028726, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-50909
  • 2026-10-19 19:52:09Record linked automatically315260cbd8
    matching_agent, TPA-50909, identity id MBR-028726, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402146
  • 2026-10-19 19:45:42Record linked automatically5d0632d0ca
    matching_agent, CLM-402147, identity id MBR-028726, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-50909
  • 2026-10-19 19:45:42Record linked automaticallye653b73bbc
    matching_agent, CLM-402146, identity id MBR-028726, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-50909
  • 2026-10-19 19:45:42Record linked automatically514fbbb298
    matching_agent, CLM-402145, identity id MBR-028726, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-50909
  • 2026-10-19 19:45:42Record linked automatically3261c235a8
    matching_agent, TPA-50909, identity id MBR-028726, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402146
  • 2026-10-19 19:32:31Record linked automaticallybab9f3bb31
    matching_agent, CLM-402147, identity id MBR-028726, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-50909
  • 2026-10-19 19:32:31Record linked automatically5a4fc11fe3
    matching_agent, CLM-402146, identity id MBR-028726, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-50909
  • 2026-10-19 19:32:31Record linked automatically3ef86266cb
    matching_agent, CLM-402145, identity id MBR-028726, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-50909
  • 2026-10-19 19:32:31Record linked automatically1825ba1d38
    matching_agent, TPA-50909, identity id MBR-028726, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402146
  • 2026-10-19 19:31:28Record linked automatically91b630e517
    matching_agent, CLM-402146, identity id MBR-038826, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-102798
  • 2026-10-19 19:31:28Record linked automatically068ae43028
    scoring_agent, TPA-50909, identity id MBR-029675, confidence 1, method probabilistic, matched record CLM-402031, policy version 1
  • 2026-10-19 19:31:28Record linked automatically3f64aa0ae7
    matching_agent, CLM-402147, identity id MBR-007532, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102799

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0023352026-09-14Harbor Digestive Health Center
in network
99214$211.00$90.82ApprovedApproved
CLM-2026-0011972026-09-29Unity Physical Therapy
in network
97110, 97140$400.00$223.00ApprovedApproved
CLM-2026-0273272026-07-28Sunrise Dermatology Clinic
out of network
11403$719.00—Needs reviewNeeds review
CLM-2026-0273262026-07-28Sunrise Dermatology Clinic
out of network
11403$719.00$283.55ApprovedApproved