Identities/MBR-034172
Gold, golden identity

Roy G Burns

4 source records from 2 feeds.

MBR-034172Verified4 records

Golden record

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

First nameCLM
Roy
Middle nameCLM
G
Last nameCLM
Burns
Date of birthCLM
1996-01-06
GenderCLM
F
Member IDCLM
UHC-22217-24
SSNCLM
•••-••-6683
Phone—
—
EmailTPA
roy.burns@yahoo.com
AddressCLM
1170 Church St
CityCLM
Denver
StateCLM
CO
ZIPCLM
80296
GroupCLM
GRP-2544
PlanCLM
NAVIGATE-HMO
Min confidence
0.97
Sources
TPA ×2CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.971.001.000.99TPATPA-62216CLMCLM-427637TPATPA-62217CLMCLM-427638IDMBR-034172
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-62216TPA2026-06-08Roy Bunrsflagged1996-01-06——1170 Church St, Denver, CORule0.97D2 ssn4 + dob + last name
CLM-427637CLM2026-06-19Roy Burnsflagged1996-01-06UHC-22217-24—1170 Church St, Denver, COScored1.00—
TPA-62217TPA2026-09-24Roy Burnsflagged1996-01-06——1170 Church St, Denver, COScored1.00—
CLM-427638CLM2026-10-18Roy Burnsflagged1996-01-06UHC-22217-24——Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-427637CLMTPA-62217TPA 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-427637CLMCLM-427638CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-62216TPACLM-427637CLM0.97RuleD2 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
▶TPA-62216TPACLM-427638CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-62217TPA CLM-427638CLM0.83Scoredweighted 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

No actions yet
Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:39Record linked automaticallyf24882b61d
    matching_agent, CLM-427638, identity id MBR-034172, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427637
  • 2026-10-19 19:54:39Record linked automatically6a1e30bf89
    scoring_agent, TPA-62217, identity id MBR-034172, confidence 1, method probabilistic, matched record CLM-427637, policy version 1
  • 2026-10-19 19:54:39Record linked automatically8c634a8a59
    scoring_agent, CLM-427637, identity id MBR-034172, confidence 1, method probabilistic, matched record TPA-62217, policy version 1
  • 2026-10-19 19:54:39Record linked automatically0118db0963
    matching_agent, TPA-62216, identity id MBR-034172, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-427637
  • 2026-10-19 19:52:09Record linked automatically5e8be5234f
    matching_agent, CLM-427638, identity id MBR-034172, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427637
  • 2026-10-19 19:52:09Record linked automatically59815900ae
    scoring_agent, TPA-62217, identity id MBR-034172, confidence 1, method probabilistic, matched record CLM-427637, policy version 1
  • 2026-10-19 19:52:09Record linked automatically70577e53ae
    scoring_agent, CLM-427637, identity id MBR-034172, confidence 1, method probabilistic, matched record TPA-62217, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3f2dd677fe
    matching_agent, TPA-62216, identity id MBR-034172, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-427637
  • 2026-10-19 19:45:42Record linked automatically85720ba2f7
    matching_agent, CLM-427638, identity id MBR-034172, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427637
  • 2026-10-19 19:45:42Record linked automatically519d3b53e2
    scoring_agent, TPA-62217, identity id MBR-034172, confidence 1, method probabilistic, matched record CLM-427637, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd8a1ed4f5a
    scoring_agent, CLM-427637, identity id MBR-034172, confidence 1, method probabilistic, matched record TPA-62217, policy version 1
  • 2026-10-19 19:45:42Record linked automatically82bae86d30
    matching_agent, TPA-62216, identity id MBR-034172, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-427637
  • 2026-10-19 19:32:31Record linked automaticallyc82e928139
    matching_agent, CLM-427638, identity id MBR-034172, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427637
  • 2026-10-19 19:32:31Record linked automatically5c204e6829
    scoring_agent, TPA-62217, identity id MBR-034172, confidence 1, method probabilistic, matched record CLM-427637, policy version 1
  • 2026-10-19 19:32:31Record linked automatically64552bfe3f
    scoring_agent, CLM-427637, identity id MBR-034172, confidence 1, method probabilistic, matched record TPA-62217, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc5ccba5432
    matching_agent, TPA-62216, identity id MBR-034172, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-427637
  • 2026-10-19 19:31:28Record linked automatically0eb3bce5fb
    scoring_agent, TPA-62216, identity id MBR-035144, confidence 1, method probabilistic, matched record ENR-136778, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6da03fb0ba
    scoring_agent, TPA-62217, identity id MBR-024669, confidence 0.99, method probabilistic, matched record CLM-427788, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye6691f6fb7
    matching_agent, CLM-427637, identity id MBR-022000, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136587
  • 2026-10-19 19:31:28Record linked automatically83416165b2
    matching_agent, CLM-427638, identity id MBR-001225, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-136589

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0029282026-09-07Lakeside Internal Medicine Associates
in network
99232$178.00$0.00ApprovedApproved
CLM-2026-0308302026-05-22Sunrise Digestive Health Center
in network
45378$2,211.00$298.77ApprovedApproved