Identities/MBR-036725
Gold, golden identity

Philip S Crawford

3 source records from 2 feeds.

MBR-036725Verified3 records

Golden record

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

First nameENR
Philip
Middle nameENR
S
Last nameENR
Crawford
Date of birthENR
1964-08-16
GenderENR
F
Member IDENR
UHC-09959-89
SSNENR
•••-••-9098
PhoneCLM
3057207867
EmailENR
philip.crawford20@yahoo.com
AddressENR
9494 Maple Ave
CityENR
Los Angeles
StateENR
CA
ZIP—
—
GroupENR
GRP-1198
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
CLM ×2ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.991.00CLMCLM-402583ENRENR-103307CLMCLM-402582IDMBR-036725
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
CLM-402583CLM2026-06-30Philip Crawfordflagged1964-08-16UHC-09959-893057207867—Scored1.00—
ENR-103307ENR2026-08-15Philip Crawfordflagged1964-08-16UHC-09959-89—9494 Maple Ave, Los Angeles, CARule0.99D1 member id + dob exact
CLM-402582CLM2026-08-21Philip Crawfordflagged1964-08-16—30572078679494 Maple Ave, Los Angeles, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-402583CLMCLM-402582CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402583CLMENR-103307ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-103307ENRCLM-402582CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-402582 → UHC-09959-89 (Philip Crawford)
    ACT-004038, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:55Record linked automatically099545addf
    scoring_agent, CLM-402582, identity id MBR-036725, confidence 1, method probabilistic, matched record CLM-402583, policy version 1
  • 2026-10-22 12:43:55Record linked automatically2b55642599
    matching_agent, ENR-103307, identity id MBR-036725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402583
  • 2026-10-22 12:43:55Record linked automatically85edbdd1f8
    scoring_agent, CLM-402583, identity id MBR-036725, confidence 1, method probabilistic, matched record CLM-402582, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallye951a4859d
    scoring_agent, CLM-402582, identity id MBR-036725, confidence 1, method probabilistic, matched record CLM-402583, policy version 1
  • 2026-10-19 19:54:39Record linked automatically2e0a17c959
    matching_agent, ENR-103307, identity id MBR-036725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402583
  • 2026-10-19 19:54:39Record linked automaticallyf1d39e5c91
    scoring_agent, CLM-402583, identity id MBR-036725, confidence 1, method probabilistic, matched record CLM-402582, policy version 1
  • 2026-10-19 19:52:09Record linked automatically00a22c42f4
    scoring_agent, CLM-402582, identity id MBR-036725, confidence 1, method probabilistic, matched record CLM-402583, policy version 1
  • 2026-10-19 19:52:09Record linked automatically99ecb46089
    matching_agent, ENR-103307, identity id MBR-036725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402583
  • 2026-10-19 19:52:09Record linked automatically1683ef036f
    scoring_agent, CLM-402583, identity id MBR-036725, confidence 1, method probabilistic, matched record CLM-402582, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9adea618ab
    scoring_agent, CLM-402582, identity id MBR-036725, confidence 1, method probabilistic, matched record CLM-402583, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb2f85c5673
    matching_agent, ENR-103307, identity id MBR-036725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402583
  • 2026-10-19 19:45:42Record linked automatically9e02fe12fd
    scoring_agent, CLM-402583, identity id MBR-036725, confidence 1, method probabilistic, matched record CLM-402582, policy version 1
  • 2026-10-19 19:32:31Record linked automatically709148e341
    scoring_agent, CLM-402582, identity id MBR-036725, confidence 1, method probabilistic, matched record CLM-402583, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4725ae40ed
    matching_agent, ENR-103307, identity id MBR-036725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402583
  • 2026-10-19 19:32:31Record linked automaticallyb0e2a71e63
    scoring_agent, CLM-402583, identity id MBR-036725, confidence 1, method probabilistic, matched record CLM-402582, policy version 1
  • 2026-10-19 19:31:28Record linked automatically40ff7ffb7c
    scoring_agent, CLM-402582, identity id MBR-016880, confidence 1, method probabilistic, matched record PRV-20795, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd728bdf2ce
    matching_agent, CLM-402583, identity id MBR-008213, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103396

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0103472026-08-13Cornerstone Reference Lab
in network
80053, 87086$81.00—Needs reviewNeeds review
CLM-2026-0103462026-08-13Mesa Reference Lab
in network
80053, 87086$81.00$0.00ApprovedApproved
CLM-2026-0223852026-06-18Desert Medical Group
in network
99214$262.00$122.44ApprovedApproved