Identities/MBR-035022

Gold, golden identity

Juan Y Williams

5 source records from 3 feeds.

MBR-035022Verified5 records

Golden record

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

First nameENR: Juan
Middle nameTPA: Y
Last nameENR: Williams
Date of birthENR: 1981-08-04
GenderENR: M
Member IDENR: UHC-72484-78
SSNENR: •••-••-0069
PhoneENR: 8432327017
Email—: —
AddressENR: 7824 Sunset Blvd
CityENR: Los Angeles
StateENR: CA
ZIPENR: 90049
GroupENR: GRP-2510
PlanENR: OPTIONS-PPO

Min confidence

1.00

Sources

CLM ×3ENR ×1TPA ×1

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
CLM-431841	CLM	2026-06-15	Juan Williamsflagged	1981-08-04	—	8432327017	7824 Sunset Blvd, Los Angeles, CA	Scored	1.00	—
CLM-431842	CLM	2026-06-20	Juan Williamsflagged	1981-08-04	—	8432327017	7824 Sunset Blvd, Los Angeles, CA	Scored	1.00	—
ENR-141780	ENR	2026-08-03	Juan Williamsflagged	1981-08-04	UHC-72484-78	8432327017	7824 Sunset Blvd, Los Angeles, CA	Scored	1.00	—
CLM-431843	CLM	2026-09-08	Juan Willliamsflagged	1981-08-04	—	8432327017	7824 Sunset Blvd, Los Angeles, CA	Scored	1.00	—
TPA-64041	TPA	2026-09-09	Juan Williamsflagged	1981-08-04	—	8432327017	7824 Sunset Blvd, Los Angeles, CA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-431841CLMCLM-431842CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431841CLMENR-141780ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431842CLMENR-141780ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431841CLMTPA-64041TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431842CLMTPA-64041TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431841CLMCLM-431843CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431842CLMCLM-431843CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-141780ENRCLM-431843CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-141780ENRTPA-64041TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-431843CLMTPA-64041TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-431841 → UHC-72484-78 (Juan Williams)
ACT-005522, Claims processor
Orphan claim re-pointedExecuted
CLM-431843 → UHC-72484-78 (Juan Williams)
ACT-006067, Claims processor
Orphan claim re-pointedExecuted
CLM-431842 → UHC-72484-78 (Juan Williams)
ACT-006744, Claims processor
Care coordination outreachProposed
Juan Williams: 3 claims, no attributed provider
ACT-019526, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:55Record linked automaticallycf4fc1679c
scoring_agent, TPA-64041, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431841, policy version 1
2026-10-22 12:43:55Record linked automaticallydfdfd3b46f
scoring_agent, CLM-431843, identity id MBR-035022, confidence 1.00, method probabilistic, matched record CLM-431841, policy version 1
2026-10-22 12:43:55Record linked automaticallyb76bb62f8e
scoring_agent, ENR-141780, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431841, policy version 1
2026-10-22 12:43:55Record linked automaticallyf7b09af126
scoring_agent, CLM-431842, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431841, policy version 1
2026-10-22 12:43:55Record linked automatically016a190ab5
scoring_agent, CLM-431841, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431842, policy version 1
2026-10-19 19:54:39Record linked automatically369a468543
scoring_agent, TPA-64041, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431841, policy version 1
2026-10-19 19:54:39Record linked automatically3a92e81cef
scoring_agent, CLM-431843, identity id MBR-035022, confidence 1.00, method probabilistic, matched record CLM-431841, policy version 1
2026-10-19 19:54:39Record linked automatically8704b140d6
scoring_agent, ENR-141780, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431841, policy version 1
2026-10-19 19:54:39Record linked automaticallye4a8cec9cf
scoring_agent, CLM-431842, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431841, policy version 1
2026-10-19 19:54:39Record linked automatically34def9089c
scoring_agent, CLM-431841, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431842, policy version 1
2026-10-19 19:52:09Record linked automaticallyf3e52288b2
scoring_agent, TPA-64041, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431841, policy version 1
2026-10-19 19:52:09Record linked automaticallye47ffcb23e
scoring_agent, CLM-431843, identity id MBR-035022, confidence 1.00, method probabilistic, matched record CLM-431841, policy version 1
2026-10-19 19:52:09Record linked automatically60e7a654e3
scoring_agent, ENR-141780, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431841, policy version 1
2026-10-19 19:52:09Record linked automatically4d92138fa5
scoring_agent, CLM-431842, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431841, policy version 1
2026-10-19 19:52:09Record linked automatically93640868bd
scoring_agent, CLM-431841, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431842, policy version 1
2026-10-19 19:45:42Record linked automatically09828d4815
scoring_agent, TPA-64041, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431841, policy version 1
2026-10-19 19:45:42Record linked automatically782b54e9aa
scoring_agent, CLM-431843, identity id MBR-035022, confidence 1.00, method probabilistic, matched record CLM-431841, policy version 1
2026-10-19 19:45:42Record linked automaticallydad6a1662f
scoring_agent, ENR-141780, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431841, policy version 1
2026-10-19 19:45:42Record linked automatically15f6ed9475
scoring_agent, CLM-431842, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431841, policy version 1
2026-10-19 19:45:42Record linked automatically578e82fa26
scoring_agent, CLM-431841, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431842, policy version 1
2026-10-19 19:32:31Record linked automaticallyd0a384c25c
scoring_agent, TPA-64041, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431841, policy version 1
2026-10-19 19:32:31Record linked automaticallyb76efb1dc4
scoring_agent, CLM-431843, identity id MBR-035022, confidence 1.00, method probabilistic, matched record CLM-431841, policy version 1
2026-10-19 19:32:31Record linked automatically354ea6bada
scoring_agent, ENR-141780, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431841, policy version 1
2026-10-19 19:32:31Record linked automaticallyfff303598f
scoring_agent, CLM-431842, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431841, policy version 1
2026-10-19 19:32:31Record linked automatically8a061ff68b
scoring_agent, CLM-431841, identity id MBR-035022, confidence 1, method probabilistic, matched record CLM-431842, policy version 1
2026-10-19 19:31:28Record linked automaticallyb458afe5a1
matching_agent, CLM-431841, identity id MBR-011950, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-142033
2026-10-19 19:31:28Record linked automatically1bf303fd82
scoring_agent, TPA-64041, identity id MBR-010260, confidence 1, method probabilistic, matched record TPA-64040, policy version 1
2026-10-19 19:31:28Record linked automatically29f73c177e
matching_agent, CLM-431842, identity id MBR-005071, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-142035
2026-10-19 19:31:28Record linked automatically5f812e96c3
matching_agent, ENR-141780, identity id MBR-004427, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431647

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-017787	2026-08-17	Unity Primary Care Associates in network	99213, 36415	$201.00	$104.62	Approved	Approved
CLM-2026-020363	2026-05-30	Mesa Reference Lab in network	80061, 83036	$127.00	$0.00	Approved	Approved
CLM-2026-015860	2026-05-30	Summit Cardiovascular Associates in network	93015	$533.00	$0.00	Approved	Approved