John M Hayes

2 source records from 2 feeds.

MBR-035535Verified2 recordsOpen steward case

Golden record

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

First namePRV: John
Middle nameCLM: M
Last namePRV: Hayes
Date of birthPRV: 2002-11-20
GenderPRV: F
Member IDPRV: UHC-59901-87
SSNPRV: •••-••-2629
PhonePRV: 8908777429
Email—: —
AddressCLM: 2300 Broadway
CityCLM: Tampa
StateCLM: FL
ZIPCLM: 33631
GroupCLM: GRP-3610
PlanPRV: NAVIGATE-HMO

Min confidence

0.99

Sources

CLM ×1PRV ×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-426028	CLM	2026-06-19	John Hayesflagged	2002-11-20	UHC-59901-87	8908777429	2300 Broadway, Tampa, FL	Rule	0.99	D1 member id + dob exact
PRV-27670	PRV	2026-08-16	John Hayesflagged	2002-11-20	UHC-59901-87	8908777429	—	Rule	0.99	D1 member id + dob exact

Evidence

1 scored pair among these records, expand a row for the per-field comparison

Score

Method

Rule

Decision

▶CLM-426028CLMPRV-27670PRV0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

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

2026-10-22 12:43:55Record linked automatically34aca310b3
matching_agent, PRV-27670, identity id MBR-035535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426028
2026-10-22 12:43:55Record linked automatically14f85d9fae
matching_agent, CLM-426028, identity id MBR-035535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27670
2026-10-19 19:54:39Record linked automatically10d5405974
matching_agent, PRV-27670, identity id MBR-035535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426028
2026-10-19 19:54:39Record linked automaticallyc3b0f7a6cf
matching_agent, CLM-426028, identity id MBR-035535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27670
2026-10-19 19:52:09Record linked automaticallyc1e50e11bd
matching_agent, PRV-27670, identity id MBR-035535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426028
2026-10-19 19:52:09Record linked automatically7e58ad58fd
matching_agent, CLM-426028, identity id MBR-035535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27670
2026-10-19 19:45:42Record linked automaticallyd458f1297e
matching_agent, PRV-27670, identity id MBR-035535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426028
2026-10-19 19:45:42Record linked automaticallybf2c714466
matching_agent, CLM-426028, identity id MBR-035535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27670
2026-10-19 19:32:31Record linked automatically03611d49f5
matching_agent, PRV-27670, identity id MBR-035535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426028
2026-10-19 19:32:31Record linked automaticallyd478e594d5
matching_agent, CLM-426028, identity id MBR-035535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27670
2026-10-19 19:31:28Record linked automaticallyfc9386b628
scoring_agent, PRV-27670, identity id MBR-020617, confidence 1, method probabilistic, matched record CLM-426047, 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-2026-005572	2026-05-17	Canyon Regional Medical Center in network	99283, 96374, 99284	$2,705.00	$1,237.75	Approved	Approved