Identities/MBR-031146
Gold, golden identity

Michael B Evans

5 source records from 3 feeds.

MBR-031146Verified5 records

Golden record

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

First nameENR
Michael
Middle nameENR
B
Last nameENR
Evans
Date of birthENR
2006-09-04
GenderENR
M
Member IDENR
UHC-53781-65
SSNENR
•••-••-8105
PhoneENR
9145837414
Email—
—
AddressCLM
8354 Maple Ave Apt 7
CityENR
Orlando
StateENR
FL
ZIPCLM
32856
GroupENR
GRP-6224
PlanENR
CORE-HMO
Min confidence
0.97
Sources
TPA ×1CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.990.970.97TPATPA-54495CLMCLM-410266ENRENR-113506CLMCLM-410267CLMCLM-410268IDMBR-031146
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-54495TPA2026-05-17Michael Evansflagged2006-09-04——2201 Elm St, Nashville, TNScored1.00—
CLM-410266CLM2026-06-18Michael Evansflagged2006-09-04UHC-53781-65—2201 Elm St, Nashville, TNScored1.00—
ENR-113506ENR2026-06-27Michael Evansflagged2006-09-04UHC-53781-6591458374148354 Maple Ave, Orlando, FLRule0.99D1 member id + dob exact
CLM-410267CLM2026-08-04Michael Evansflagged2006-09-04—91458374148354 Maple Ave, Orlando, FLRule0.97D2 ssn4 + dob + last name
CLM-410268CLM2026-10-02Mike Evansflagged2006-09-04——8354 Maple Ave Apt 7, Orlando, FLRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶TPA-54495TPACLM-410266CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410266CLM ENR-113506ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-410266CLM CLM-410267 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-113506ENRCLM-410267 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-410266CLM CLM-410268CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-113506ENRCLM-410268CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-410267 CLMCLM-410268CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-54495TPACLM-410267 CLM0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none
▶TPA-54495TPACLM-410268CLM0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none
▶TPA-54495TPAENR-113506ENR0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-410267 → UHC-53781-65 (Michael Evans)
    ACT-001697, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-410268 → UHC-53781-65 (Michael Evans)
    ACT-006121, Claims processor
  • Outreach address correctedProposed
    Michael Evans: 8354 Maple Ave, Orlando → 8354 Maple Ave Apt 7, Orlando
    ACT-012982, Outreach
  • Care coordination outreachProposed
    Michael Evans: 3 claims, no attributed provider
    ACT-019467, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically5dbdbe94ad
    matching_agent, CLM-410268, identity id MBR-031146, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410266
  • 2026-10-19 19:54:38Record linked automatically8212719ed9
    matching_agent, CLM-410267, identity id MBR-031146, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410266
  • 2026-10-19 19:54:38Record linked automatically430cc59ff1
    matching_agent, ENR-113506, identity id MBR-031146, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410266
  • 2026-10-19 19:54:38Record linked automatically143165314d
    scoring_agent, CLM-410266, identity id MBR-031146, confidence 1, method probabilistic, matched record TPA-54495, policy version 1
  • 2026-10-19 19:54:38Record linked automatically81166c4dbf
    scoring_agent, TPA-54495, identity id MBR-031146, confidence 1, method probabilistic, matched record CLM-410266, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0f615393a3
    matching_agent, CLM-410268, identity id MBR-031146, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410266
  • 2026-10-19 19:52:09Record linked automaticallydf1d0a4e25
    matching_agent, CLM-410267, identity id MBR-031146, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410266
  • 2026-10-19 19:52:09Record linked automaticallyaaffeb71d2
    matching_agent, ENR-113506, identity id MBR-031146, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410266
  • 2026-10-19 19:52:09Record linked automaticallyd266f45226
    scoring_agent, CLM-410266, identity id MBR-031146, confidence 1, method probabilistic, matched record TPA-54495, policy version 1
  • 2026-10-19 19:52:09Record linked automatically856a515366
    scoring_agent, TPA-54495, identity id MBR-031146, confidence 1, method probabilistic, matched record CLM-410266, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye360f9acea
    matching_agent, CLM-410268, identity id MBR-031146, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410266
  • 2026-10-19 19:45:42Record linked automatically51db4aaef9
    matching_agent, CLM-410267, identity id MBR-031146, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410266
  • 2026-10-19 19:45:42Record linked automatically4738a84984
    matching_agent, ENR-113506, identity id MBR-031146, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410266
  • 2026-10-19 19:45:42Record linked automaticallybbce236ed7
    scoring_agent, CLM-410266, identity id MBR-031146, confidence 1, method probabilistic, matched record TPA-54495, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyabe2f3f72a
    scoring_agent, TPA-54495, identity id MBR-031146, confidence 1, method probabilistic, matched record CLM-410266, policy version 1
  • 2026-10-19 19:32:31Record linked automatically43c4dccbe3
    matching_agent, CLM-410268, identity id MBR-031146, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410266
  • 2026-10-19 19:32:31Record linked automaticallyd98fddd8b0
    matching_agent, CLM-410267, identity id MBR-031146, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410266
  • 2026-10-19 19:32:31Record linked automatically6f1f52ffc1
    matching_agent, ENR-113506, identity id MBR-031146, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410266
  • 2026-10-19 19:32:31Record linked automatically44db83a614
    scoring_agent, CLM-410266, identity id MBR-031146, confidence 1, method probabilistic, matched record TPA-54495, policy version 1
  • 2026-10-19 19:32:31Record linked automatically23f700653a
    scoring_agent, TPA-54495, identity id MBR-031146, confidence 1, method probabilistic, matched record CLM-410266, policy version 1
  • 2026-10-19 19:31:28Record linked automatically927f57038d
    matching_agent, CLM-410267, identity id MBR-021597, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113556
  • 2026-10-19 19:31:28Record linked automatically6a06c08931
    scoring_agent, TPA-54495, identity id MBR-018160, confidence 1, method probabilistic, matched record ENR-113306, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye44e4b5fd9
    matching_agent, CLM-410266, identity id MBR-008291, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-23054
  • 2026-10-19 19:31:28Record linked automaticallya354e1bb18
    matching_agent, CLM-410268, identity id MBR-007169, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113557

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0179822026-09-09Summit Cardiovascular Associates
in network
93224$466.00$228.92ApprovedApproved
CLM-2026-0014412026-07-31Summit Reference Lab
out of network
80061, 87086$74.00—DeniedDenied
CLM-2026-0092232026-05-30Lakeside Medical Group
out of network
36415$16.00—DeniedDenied