Identities/MBR-036473

Gold, golden identity

Larry C Morales

5 source records from 3 feeds.

MBR-036473Verified5 records

Golden record

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

First nameENR: Larry
Middle nameENR: C
Last nameENR: Morales
Date of birthENR: 1941-06-09
GenderENR: F
Member IDENR: UHC-93326-04
SSNENR: •••-••-8763
PhoneENR: 6054619166
EmailENR: larry.morales@aol.com
AddressENR: 3047 Main St
CityENR: Nashville
StateENR: TN
ZIPENR: 37222
GroupENR: GRP-7830
PlanENR: CORE-HMO

Min confidence

1.00

Sources

TPA ×2ENR ×1CLM ×2

Updated

2026-10-19 19:54:36

run-mvfoap9e

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
TPA-59583	TPA	2026-06-27	Larry Moralesflagged	1941-06-09	—	6054619166	3047 Main St, Nashville, TN	Scored	1.00	—
TPA-59584	TPA	2026-08-09	Larry Moralesflagged	1941-06-09	—	—	3047 Main St, Nashville, TN	Scored	1.00	—
ENR-128548	ENR	2026-08-09	Larry Moralesflagged	1941-06-09	UHC-93326-04	6054619166	3047 Main St, Nashville, TN	Scored	1.00	—
CLM-421819	CLM	2026-08-26	Larry Moralesflagged	1941-06-09	—	—	3047 Main St, Nashville, TN	Scored	1.00	—
CLM-421818	CLM	2026-09-11	Larry Moralesflagged	1941-06-09	—	—	3047 Main St, Nashville, TN	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-59583TPACLM-421818CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-59584TPACLM-421818CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-128548ENRCLM-421818CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-421819CLMCLM-421818CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-59583TPACLM-421819CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-59584TPACLM-421819CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-128548ENRCLM-421819CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-59583TPAENR-128548ENR0.97RuleD2 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

▶TPA-59584TPAENR-128548ENR0.97RuleD2 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-59583TPATPA-59584TPA0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-421818 → UHC-93326-04 (Larry Morales)
ACT-005753, Claims processor
Orphan claim re-pointedExecuted
CLM-421819 → UHC-93326-04 (Larry Morales)
ACT-008625, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:39Record linked automaticallyc5fa236756
scoring_agent, CLM-421818, identity id MBR-036473, confidence 1, method probabilistic, matched record TPA-59583, policy version 1
2026-10-19 19:54:39Record linked automatically418fd93ede
scoring_agent, CLM-421819, identity id MBR-036473, confidence 1, method probabilistic, matched record CLM-421818, policy version 1
2026-10-19 19:54:39Record linked automaticallye83ccc690e
scoring_agent, ENR-128548, identity id MBR-036473, confidence 1, method probabilistic, matched record CLM-421818, policy version 1
2026-10-19 19:54:39Record linked automatically16163d6257
scoring_agent, TPA-59584, identity id MBR-036473, confidence 1, method probabilistic, matched record CLM-421818, policy version 1
2026-10-19 19:54:39Record linked automaticallybc2344bfef
scoring_agent, TPA-59583, identity id MBR-036473, confidence 1, method probabilistic, matched record CLM-421818, policy version 1
2026-10-19 19:52:09Record linked automatically07b3c01e04
scoring_agent, CLM-421818, identity id MBR-036473, confidence 1, method probabilistic, matched record TPA-59583, policy version 1
2026-10-19 19:52:09Record linked automaticallyc013e92aca
scoring_agent, CLM-421819, identity id MBR-036473, confidence 1, method probabilistic, matched record CLM-421818, policy version 1
2026-10-19 19:52:09Record linked automatically2dc491a6e0
scoring_agent, ENR-128548, identity id MBR-036473, confidence 1, method probabilistic, matched record CLM-421818, policy version 1
2026-10-19 19:52:09Record linked automatically1c01648ead
scoring_agent, TPA-59584, identity id MBR-036473, confidence 1, method probabilistic, matched record CLM-421818, policy version 1
2026-10-19 19:52:09Record linked automaticallyeae3ba428c
scoring_agent, TPA-59583, identity id MBR-036473, confidence 1, method probabilistic, matched record CLM-421818, policy version 1
2026-10-19 19:45:42Record linked automaticallye85dddc547
scoring_agent, CLM-421818, identity id MBR-036473, confidence 1, method probabilistic, matched record TPA-59583, policy version 1
2026-10-19 19:45:42Record linked automaticallyc29ffd028b
scoring_agent, CLM-421819, identity id MBR-036473, confidence 1, method probabilistic, matched record CLM-421818, policy version 1
2026-10-19 19:45:42Record linked automaticallydc383c406a
scoring_agent, ENR-128548, identity id MBR-036473, confidence 1, method probabilistic, matched record CLM-421818, policy version 1
2026-10-19 19:45:42Record linked automatically82abe7f663
scoring_agent, TPA-59584, identity id MBR-036473, confidence 1, method probabilistic, matched record CLM-421818, policy version 1
2026-10-19 19:45:42Record linked automatically416d64e7ec
scoring_agent, TPA-59583, identity id MBR-036473, confidence 1, method probabilistic, matched record CLM-421818, policy version 1
2026-10-19 19:32:31Record linked automatically75e3b8ad91
scoring_agent, CLM-421818, identity id MBR-036473, confidence 1, method probabilistic, matched record TPA-59583, policy version 1
2026-10-19 19:32:31Record linked automatically373fee9746
scoring_agent, CLM-421819, identity id MBR-036473, confidence 1, method probabilistic, matched record CLM-421818, policy version 1
2026-10-19 19:32:31Record linked automatically9c9db0536e
scoring_agent, ENR-128548, identity id MBR-036473, confidence 1, method probabilistic, matched record CLM-421818, policy version 1
2026-10-19 19:32:31Record linked automaticallyee070534dc
scoring_agent, TPA-59584, identity id MBR-036473, confidence 1, method probabilistic, matched record CLM-421818, policy version 1
2026-10-19 19:32:31Record linked automatically874157ef30
scoring_agent, TPA-59583, identity id MBR-036473, confidence 1, method probabilistic, matched record CLM-421818, policy version 1
2026-10-19 19:31:28Record linked automatically6bb77669fb
matching_agent, CLM-421819, identity id MBR-021015, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421820
2026-10-19 19:31:28Record linked automatically43f726ef6c
scoring_agent, CLM-421818, identity id MBR-020379, confidence 1, method probabilistic, matched record TPA-59536, policy version 1
2026-10-19 19:31:28Record linked automaticallyad218b2b81
scoring_agent, TPA-59583, identity id MBR-000316, confidence 1, method probabilistic, matched record TPA-59584, policy version 1
2026-10-19 19:31:28Record linked automaticallyb596054e0e
scoring_agent, TPA-59584, identity id MBR-000316, confidence 1, method probabilistic, matched record TPA-59583, policy version 1
2026-10-19 19:31:28Record linked automatically93a1807036
matching_agent, ENR-128548, identity id MBR-000113, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421721

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-2026-016654	2026-08-07	Meadow Heart Institute in network	93458, 93306	$8,064.00	—	Denied	Denied
CLM-2026-027602	2026-07-27	Cornerstone Regional Medical Center in network	99284, 99285	$3,453.00	—	Denied	Denied
CLM-2026-027601	2026-07-27	Cornerstone Regional Medical Center in network	99284, 99285	$3,453.00	$1,649.15	Approved	Approved