Identities/MBR-030960
Gold, golden identity

Willie Cole

4 source records from 2 feeds.

MBR-030960Verified4 records

Golden record

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

First nameCLM
Willie
Middle name—
—
Last nameCLM
Cole
Date of birthCLM
1985-09-21
GenderCLM
F
Member IDCLM
UHC-94020-81
SSNCLM
•••-••-7177
PhoneCLM
5026621678
Email—
—
AddressCLM
1476 Sunset Blvd
CityCLM
Nashville
StateCLM
TN
ZIPCLM
37296
GroupCLM
GRP-8181
PlanCLM
CORE-HMO
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

0.980.960.980.98TPATPA-52196CLMCLM-405022CLMCLM-405024CLMCLM-405023IDMBR-030960
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-52196TPA2026-05-16Willie Coleflagged1985-09-21—5026621678—Scored0.98—
CLM-405022CLM2026-05-18Willie Coleflagged1958-09-21UHC-94020-81—1476 Sunset Blvd, Nashville, TNRule0.96D3 member id + name
CLM-405024CLM2026-05-27Willie Coleflagged1985-09-21UHC-94020-81—1476 Sunset Blvd, Nashville, TNScored0.98—
CLM-405023CLM2026-07-20Wille Colleflagged1985-09-21—50266216781476 Sunset Blvd, Nashville, TNScored0.98—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-405024CLMCLM-405023CLM0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-52196TPACLM-405023CLM0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-52196TPACLM-405024CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-405022CLMCLM-405024CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-405022CLMCLM-405023CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.963
Date of birth0.603transposition
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-52196TPACLM-405022CLM0.80Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-405023 → UHC-94020-81 (Willie Cole)
    ACT-007433, Claims processor
  • Care coordination outreachProposed
    Willie Cole: 3 claims, no attributed provider
    ACT-019460, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically23ec7bded7
    scoring_agent, CLM-405023, identity id MBR-030960, confidence 0.98, method probabilistic, matched record CLM-405024, policy version 1
  • 2026-10-19 19:54:38Record linked automatically52899dbf09
    scoring_agent, CLM-405024, identity id MBR-030960, confidence 0.98, method probabilistic, matched record CLM-405023, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallydbcbbb07d9
    matching_agent, CLM-405022, identity id MBR-030960, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-405024
  • 2026-10-19 19:54:38Record linked automatically70dd994eca
    scoring_agent, TPA-52196, identity id MBR-030960, confidence 0.98, method probabilistic, matched record CLM-405023, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2431c5ad4b
    scoring_agent, CLM-405023, identity id MBR-030960, confidence 0.98, method probabilistic, matched record CLM-405024, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallydebb7f9831
    scoring_agent, CLM-405024, identity id MBR-030960, confidence 0.98, method probabilistic, matched record CLM-405023, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc65ec8a5ae
    matching_agent, CLM-405022, identity id MBR-030960, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-405024
  • 2026-10-19 19:52:09Record linked automaticallye44a2797ce
    scoring_agent, TPA-52196, identity id MBR-030960, confidence 0.98, method probabilistic, matched record CLM-405023, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye9640a9462
    scoring_agent, CLM-405023, identity id MBR-030960, confidence 0.98, method probabilistic, matched record CLM-405024, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5f17a4e6ca
    scoring_agent, CLM-405024, identity id MBR-030960, confidence 0.98, method probabilistic, matched record CLM-405023, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye3b2507869
    matching_agent, CLM-405022, identity id MBR-030960, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-405024
  • 2026-10-19 19:45:42Record linked automaticallyee59ab8c5a
    scoring_agent, TPA-52196, identity id MBR-030960, confidence 0.98, method probabilistic, matched record CLM-405023, policy version 1
  • 2026-10-19 19:32:31Record linked automatically296204c00e
    scoring_agent, CLM-405023, identity id MBR-030960, confidence 0.98, method probabilistic, matched record CLM-405024, policy version 1
  • 2026-10-19 19:32:31Record linked automatically900a50c8a6
    scoring_agent, CLM-405024, identity id MBR-030960, confidence 0.98, method probabilistic, matched record CLM-405023, policy version 1
  • 2026-10-19 19:32:31Record linked automatically088f668ede
    matching_agent, CLM-405022, identity id MBR-030960, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-405024
  • 2026-10-19 19:32:31Record linked automatically9a6777e7e9
    scoring_agent, TPA-52196, identity id MBR-030960, confidence 0.98, method probabilistic, matched record CLM-405023, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7f0b2ff2f5
    scoring_agent, CLM-405023, identity id MBR-023552, confidence 1, method probabilistic, matched record CLM-405022, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc1a9650599
    scoring_agent, CLM-405022, identity id MBR-023552, confidence 1, method probabilistic, matched record CLM-405023, policy version 1
  • 2026-10-19 19:31:28Record linked automatically698fced495
    scoring_agent, TPA-52196, identity id MBR-019209, confidence 1.00, method probabilistic, matched record ENR-106431, policy version 1
  • 2026-10-19 19:31:28Record linked automatically05bcb0d729
    scoring_agent, CLM-405024, identity id MBR-011875, confidence 1, method probabilistic, matched record PRV-21490, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0230572026-07-01Heritage Primary Care Associates
in network
90471, 99395$294.00$156.86ApprovedApproved
CLM-2026-0233082026-05-01Northgate Medical Group
in network
36415$17.00—DeniedDenied
CLM-2026-0233072026-05-01Northgate Medical Group
in network
36415$17.00$0.00ApprovedApproved
CLM-2026-0048552025-11-25Lakeside Behavioral Health
out of network
90837$283.00—DeniedDenied