Identities/MBR-029549

Gold, golden identity

Luis Payne

5 source records from 4 feeds.

MBR-029549Verified5 records

Golden record

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

First nameENR: Luis
Middle name—: —
Last nameENR: Payne
Date of birthENR: 1986-12-14
GenderENR: M
Member IDENR: UHC-63005-41
SSNENR: •••-••-2732
PhoneENR: 7828538699
EmailENR: luis.payne@aol.com
AddressENR: 8681 Park Pl
CityENR: Fresno
StateENR: CA
ZIPENR: 93788
GroupENR: GRP-4751
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.99

Sources

PRV ×1CLM ×1TPA ×1ENR ×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-20817	PRV	2026-05-07	Luis Payneflagged	1986-12-14	—	—	5466 Mesa Dr, Gilbert, AZ	Scored	1.00	—
CLM-402870	CLM	2026-08-04	Luis Payneflagged	1986-12-14	UHC-63005-41	7828538699	5466 Mesa Dr, Gilbert, AZ	Scored	1.00	—
TPA-51229	TPA	2026-08-12	Luis Payneflagged	1986-12-14	—	7828538699	—	Scored	1.00	—
ENR-103704	ENR	2026-08-17	Luis Payneflagged	1986-12-14	UHC-63005-41	7828538699	8681 Park Pl, Fresno, CA	Scored	1.00	—
ENR-103703	ENR	2026-08-24	Luuis Payneflagged	1986-12-14	UHC-63005-41	—	8681 Park Pl, Fresno, CA	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶PRV-20817PRVCLM-402870CLM1.00Scoredweighted 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

▶TPA-51229 TPAENR-103704 ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-402870CLMTPA-51229 TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-402870CLMENR-103703ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-103704 ENRENR-103703ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-402870CLMENR-103704 ENR0.99RuleD1 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	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-51229 TPAENR-103703ENR0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶PRV-20817PRVTPA-51229 TPA0.83Scoredweighted 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

▶PRV-20817PRVENR-103704 ENR0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶PRV-20817PRVENR-103703ENR0.74Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Duplicate member record retiredExecuted
Luis Payne: 2 enrollment records collapsed into UHC-63005-41
ACT-025608, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically1af7140f5d
matching_agent, ENR-103703, identity id MBR-029549, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402870
2026-10-22 12:43:54Record linked automatically748c2c0c51
scoring_agent, ENR-103704, identity id MBR-029549, confidence 1, method probabilistic, matched record TPA-51229, policy version 1
2026-10-22 12:43:54Record linked automaticallyf84875d408
scoring_agent, TPA-51229, identity id MBR-029549, confidence 1, method probabilistic, matched record CLM-402870, policy version 1
2026-10-22 12:43:54Record linked automatically9663d22d21
scoring_agent, CLM-402870, identity id MBR-029549, confidence 1, method probabilistic, matched record PRV-20817, policy version 1
2026-10-22 12:43:54Record linked automatically74b70cabdb
scoring_agent, PRV-20817, identity id MBR-029549, confidence 1, method probabilistic, matched record CLM-402870, policy version 1
2026-10-19 19:54:38Record linked automatically435cc2a71c
matching_agent, ENR-103703, identity id MBR-029549, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402870
2026-10-19 19:54:38Record linked automatically0d904a213e
scoring_agent, ENR-103704, identity id MBR-029549, confidence 1, method probabilistic, matched record TPA-51229, policy version 1
2026-10-19 19:54:38Record linked automaticallyb5368e880a
scoring_agent, TPA-51229, identity id MBR-029549, confidence 1, method probabilistic, matched record CLM-402870, policy version 1
2026-10-19 19:54:38Record linked automatically71fec1fa60
scoring_agent, CLM-402870, identity id MBR-029549, confidence 1, method probabilistic, matched record PRV-20817, policy version 1
2026-10-19 19:54:38Record linked automatically9333e5c8f9
scoring_agent, PRV-20817, identity id MBR-029549, confidence 1, method probabilistic, matched record CLM-402870, policy version 1
2026-10-19 19:52:09Record linked automatically6e356a1c41
matching_agent, ENR-103703, identity id MBR-029549, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402870
2026-10-19 19:52:09Record linked automaticallyc97686d4d7
scoring_agent, ENR-103704, identity id MBR-029549, confidence 1, method probabilistic, matched record TPA-51229, policy version 1
2026-10-19 19:52:09Record linked automaticallyd88809fd72
scoring_agent, TPA-51229, identity id MBR-029549, confidence 1, method probabilistic, matched record CLM-402870, policy version 1
2026-10-19 19:52:09Record linked automatically7af16bd161
scoring_agent, CLM-402870, identity id MBR-029549, confidence 1, method probabilistic, matched record PRV-20817, policy version 1
2026-10-19 19:52:09Record linked automaticallyfd78124e65
scoring_agent, PRV-20817, identity id MBR-029549, confidence 1, method probabilistic, matched record CLM-402870, policy version 1
2026-10-19 19:45:42Record linked automatically291853eb9a
matching_agent, ENR-103703, identity id MBR-029549, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402870
2026-10-19 19:45:42Record linked automatically53d16e730b
scoring_agent, ENR-103704, identity id MBR-029549, confidence 1, method probabilistic, matched record TPA-51229, policy version 1
2026-10-19 19:45:42Record linked automaticallyd10ae0b307
scoring_agent, TPA-51229, identity id MBR-029549, confidence 1, method probabilistic, matched record CLM-402870, policy version 1
2026-10-19 19:45:42Record linked automaticallya97612c620
scoring_agent, CLM-402870, identity id MBR-029549, confidence 1, method probabilistic, matched record PRV-20817, policy version 1
2026-10-19 19:45:42Record linked automaticallyf26351af5e
scoring_agent, PRV-20817, identity id MBR-029549, confidence 1, method probabilistic, matched record CLM-402870, policy version 1
2026-10-19 19:32:31Record linked automatically3b45671c4d
matching_agent, ENR-103703, identity id MBR-029549, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402870
2026-10-19 19:32:31Record linked automaticallyb5555ad812
scoring_agent, ENR-103704, identity id MBR-029549, confidence 1, method probabilistic, matched record TPA-51229, policy version 1
2026-10-19 19:32:31Record linked automatically88a2917f1b
scoring_agent, TPA-51229, identity id MBR-029549, confidence 1, method probabilistic, matched record CLM-402870, policy version 1
2026-10-19 19:32:31Record linked automatically6cb6af2298
scoring_agent, CLM-402870, identity id MBR-029549, confidence 1, method probabilistic, matched record PRV-20817, policy version 1
2026-10-19 19:32:31Record linked automatically0b597ef689
scoring_agent, PRV-20817, identity id MBR-029549, confidence 1, method probabilistic, matched record CLM-402870, policy version 1
2026-10-19 19:31:28Record linked automaticallye5903e518c
matching_agent, CLM-402870, identity id MBR-019942, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-103770
2026-10-19 19:31:28Record linked automaticallyb28adbb9fe
scoring_agent, PRV-20817, identity id MBR-019014, confidence 1, method probabilistic, matched record CLM-402689, 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-2026-012196	2026-06-28	Meadow Primary Care Associates in network	90471, 99213	$219.00	$115.78	Approved	Approved