Identities/MBR-028841
Gold, golden identity

Mark Edwards

5 source records from 2 feeds.

MBR-028841Verified5 records

Golden record

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

First nameCLM
Mark
Middle name—
—
Last nameENR
Edwards
Date of birthENR
2001-10-26
GenderENR
M
Member IDENR
UHC-99615-18
SSNENR
•••-••-0177
PhoneENR
6315712522
EmailENR
mark.edwards@hotmail.com
AddressENR
8838 Mesa Dr
CityENR
San Antonio
StateENR
TX
ZIPENR
78247
GroupENR
GRP-7652
PlanENR
SELECT-EPO
Min confidence
0.99
Sources
CLM ×4ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.991.001.000.99CLMCLM-417662ENRENR-123270CLMCLM-417664CLMCLM-417663CLMCLM-417661IDMBR-028841
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
CLM-417662CLM2026-05-02Mark Edwardsflagged2001-10-26——8838 Mesa Dr, San Antonio, TXScored1.00—
ENR-123270ENR2026-06-05Mrak Edwardsflagged2001-10-26UHC-99615-1863157125228838 Mesa Dr, San Antonio, TXRule0.99D1 member id + dob exact
CLM-417664CLM2026-06-07Mark Edwardsflagged2001-10-26UHC-99615-18—8838 Mesa Dr, San Antonio, TXScored1.00—
CLM-417663CLM2026-08-18Mark Edwardsflagged2001-10-26UHC-99615-18—8838 Mesa Dr, San Antonio, TXScored1.00—
CLM-417661CLM2026-10-02Mark Edwardsflagged2001-10-26UHC-99615-18——Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-417662CLMCLM-417663CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-417662CLMCLM-417664CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-123270ENRCLM-417661CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-417664CLMCLM-417661CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-417663CLMCLM-417661CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-123270ENRCLM-417663CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-417664CLMCLM-417663CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-123270ENRCLM-417664CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-417662CLMENR-123270ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-417662CLMCLM-417661CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-417662 → UHC-99615-18 (Mark Edwards)
    ACT-010367, Claims processor
  • Care coordination outreachProposed
    Mark Edwards: 4 claims, no attributed provider
    ACT-019421, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallye862f856aa
    matching_agent, CLM-417661, identity id MBR-028841, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123270
  • 2026-10-22 12:43:54Record linked automatically4b6f3870bf
    scoring_agent, CLM-417663, identity id MBR-028841, confidence 1, method probabilistic, matched record CLM-417662, policy version 1
  • 2026-10-22 12:43:54Record linked automatically5ccd5dd3aa
    scoring_agent, CLM-417664, identity id MBR-028841, confidence 1, method probabilistic, matched record CLM-417662, policy version 1
  • 2026-10-22 12:43:54Record linked automatically254ca2dd7e
    matching_agent, ENR-123270, identity id MBR-028841, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417664
  • 2026-10-22 12:43:54Record linked automatically0659f85a0b
    scoring_agent, CLM-417662, identity id MBR-028841, confidence 1, method probabilistic, matched record CLM-417664, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5fe6516f9e
    matching_agent, CLM-417661, identity id MBR-028841, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123270
  • 2026-10-19 19:54:38Record linked automatically5fdb7e14cf
    scoring_agent, CLM-417663, identity id MBR-028841, confidence 1, method probabilistic, matched record CLM-417662, policy version 1
  • 2026-10-19 19:54:38Record linked automatically059577d87f
    scoring_agent, CLM-417664, identity id MBR-028841, confidence 1, method probabilistic, matched record CLM-417662, policy version 1
  • 2026-10-19 19:54:38Record linked automatically467d828cb2
    matching_agent, ENR-123270, identity id MBR-028841, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417664
  • 2026-10-19 19:54:38Record linked automaticallyae45c619e2
    scoring_agent, CLM-417662, identity id MBR-028841, confidence 1, method probabilistic, matched record CLM-417664, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb11ca9c792
    matching_agent, CLM-417661, identity id MBR-028841, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123270
  • 2026-10-19 19:52:09Record linked automaticallyd0d3929180
    scoring_agent, CLM-417663, identity id MBR-028841, confidence 1, method probabilistic, matched record CLM-417662, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4a402a54c7
    scoring_agent, CLM-417664, identity id MBR-028841, confidence 1, method probabilistic, matched record CLM-417662, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6f13179231
    matching_agent, ENR-123270, identity id MBR-028841, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417664
  • 2026-10-19 19:52:09Record linked automatically53e75b2dcc
    scoring_agent, CLM-417662, identity id MBR-028841, confidence 1, method probabilistic, matched record CLM-417664, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallycc9f8ae1f4
    matching_agent, CLM-417661, identity id MBR-028841, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123270
  • 2026-10-19 19:45:42Record linked automatically1163d0c15f
    scoring_agent, CLM-417663, identity id MBR-028841, confidence 1, method probabilistic, matched record CLM-417662, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc663e6079a
    scoring_agent, CLM-417664, identity id MBR-028841, confidence 1, method probabilistic, matched record CLM-417662, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya1060ea996
    matching_agent, ENR-123270, identity id MBR-028841, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417664
  • 2026-10-19 19:45:42Record linked automaticallyae17cace09
    scoring_agent, CLM-417662, identity id MBR-028841, confidence 1, method probabilistic, matched record CLM-417664, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9b8d6dc05e
    matching_agent, CLM-417661, identity id MBR-028841, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123270
  • 2026-10-19 19:32:31Record linked automaticallyecfc5e36d8
    scoring_agent, CLM-417663, identity id MBR-028841, confidence 1, method probabilistic, matched record CLM-417662, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd60ec150cb
    scoring_agent, CLM-417664, identity id MBR-028841, confidence 1, method probabilistic, matched record CLM-417662, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyed9fc9e5cd
    matching_agent, ENR-123270, identity id MBR-028841, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417664
  • 2026-10-19 19:32:31Record linked automaticallyec3998271a
    scoring_agent, CLM-417662, identity id MBR-028841, confidence 1, method probabilistic, matched record CLM-417664, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya64c28f4d8
    matching_agent, CLM-417663, identity id MBR-025064, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417664
  • 2026-10-19 19:31:28Record linked automaticallya88195a0d2
    matching_agent, CLM-417664, identity id MBR-025064, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417663
  • 2026-10-19 19:31:28Record linked automatically61a14599a4
    matching_agent, CLM-417661, identity id MBR-021289, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123105

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0298462026-09-15Lakeside Dermatology Clinic
in network
11102$225.00$79.50ApprovedApproved
CLM-2026-0123522026-07-11Summit Cardiovascular Associates
in network
93224$301.00$126.62ApprovedApproved
CLM-2026-0049272026-05-29Pinecrest Medical Group
in network
99215$377.00$203.74ApprovedApproved
CLM-2026-0343402026-04-04Desert Medical Group
in network
99232$186.00$0.00ApprovedApproved