Identities/MBR-036828
Gold, golden identity

Eugene Q Edwards

4 source records from 3 feeds.

MBR-036828Verified4 records

Golden record

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

First nameENR
Eugene
Middle nameENR
Q
Last nameENR
Edwards
Date of birthENR
1968-07-25
GenderENR
M
Member IDENR
UHC-48436-70
SSNENR
•••-••-8241
PhoneENR
8592826276
Email—
—
AddressENR
4403 Highland Ave
CityENR
Plano
StateENR
TX
ZIPENR
75001
GroupENR
GRP-6560
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
TPA ×1CLM ×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

0.990.990.990.99TPATPA-63666CLMCLM-430907ENRENR-140605CLMCLM-430906IDMBR-036828
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-63666TPA2026-06-30Eugene Edwardsflagged1968-07-25—85928262766041 Ridge Rd, Mesa, AZScored0.99—
CLM-430907CLM2026-07-18Eugne Edwardsflagged1968-07-25——6041 Ridge Rd, Mesa, AZScored0.99—
ENR-140605ENR2026-08-09Eugene Edwardsflagged1968-07-25UHC-48436-7085928262764403 Highland Ave, Plano, TXRule0.99D1 member id + dob exact
CLM-430906CLM2026-09-24Eugene Edwardsflagged1968-07-25UHC-48436-7085928262764403 Highland Ave, Plano, TXRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-140605ENRCLM-430906CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-63666TPACLM-430907CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-430907CLMENR-140605ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-63666TPACLM-430906CLM0.79Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-63666TPAENR-140605ENR0.79Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-430907CLMCLM-430906CLM0.74Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Eugene Edwards: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-001265, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-430907 → UHC-48436-70 (Eugene Edwards)
    ACT-006599, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:55Record linked automatically0c5cad7ed1
    matching_agent, CLM-430906, identity id MBR-036828, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140605
  • 2026-10-22 12:43:55Record linked automatically17c81ad02e
    matching_agent, ENR-140605, identity id MBR-036828, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430906
  • 2026-10-22 12:43:55Record linked automatically2ff2035e30
    scoring_agent, CLM-430907, identity id MBR-036828, confidence 0.99, method probabilistic, matched record TPA-63666, policy version 1
  • 2026-10-22 12:43:55Record linked automaticallye7f6720cb4
    scoring_agent, TPA-63666, identity id MBR-036828, confidence 0.99, method probabilistic, matched record CLM-430907, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallye1ebed2c1d
    matching_agent, CLM-430906, identity id MBR-036828, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140605
  • 2026-10-19 19:54:39Record linked automaticallybf430607eb
    matching_agent, ENR-140605, identity id MBR-036828, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430906
  • 2026-10-19 19:54:39Record linked automatically80efd835ef
    scoring_agent, CLM-430907, identity id MBR-036828, confidence 0.99, method probabilistic, matched record TPA-63666, policy version 1
  • 2026-10-19 19:54:39Record linked automatically5882b32f43
    scoring_agent, TPA-63666, identity id MBR-036828, confidence 0.99, method probabilistic, matched record CLM-430907, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb3678780e3
    matching_agent, CLM-430906, identity id MBR-036828, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140605
  • 2026-10-19 19:52:09Record linked automatically0c2cacb9d1
    matching_agent, ENR-140605, identity id MBR-036828, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430906
  • 2026-10-19 19:52:09Record linked automatically4fd4f77a7f
    scoring_agent, CLM-430907, identity id MBR-036828, confidence 0.99, method probabilistic, matched record TPA-63666, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3d21992371
    scoring_agent, TPA-63666, identity id MBR-036828, confidence 0.99, method probabilistic, matched record CLM-430907, policy version 1
  • 2026-10-19 19:45:42Record linked automatically48789a3bd1
    matching_agent, CLM-430906, identity id MBR-036828, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140605
  • 2026-10-19 19:45:42Record linked automatically3b27c3cc06
    matching_agent, ENR-140605, identity id MBR-036828, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430906
  • 2026-10-19 19:45:42Record linked automatically1719e31adc
    scoring_agent, CLM-430907, identity id MBR-036828, confidence 0.99, method probabilistic, matched record TPA-63666, policy version 1
  • 2026-10-19 19:45:42Record linked automatically68e5f5c2ab
    scoring_agent, TPA-63666, identity id MBR-036828, confidence 0.99, method probabilistic, matched record CLM-430907, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6755836cd1
    matching_agent, CLM-430906, identity id MBR-036828, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140605
  • 2026-10-19 19:32:31Record linked automatically046b7d7775
    matching_agent, ENR-140605, identity id MBR-036828, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430906
  • 2026-10-19 19:32:31Record linked automaticallycf4be33656
    scoring_agent, CLM-430907, identity id MBR-036828, confidence 0.99, method probabilistic, matched record TPA-63666, policy version 1
  • 2026-10-19 19:32:31Record linked automatically57b7e752f7
    scoring_agent, TPA-63666, identity id MBR-036828, confidence 0.99, method probabilistic, matched record CLM-430907, policy version 1
  • 2026-10-19 19:31:28Record linked automatically52ca88a0fc
    matching_agent, ENR-140605, identity id MBR-041587, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63495
  • 2026-10-19 19:31:28Record linked automatically150ba34a3e
    matching_agent, CLM-430907, identity id MBR-016495, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140791
  • 2026-10-19 19:31:28Record linked automatically176a780084
    scoring_agent, TPA-63666, identity id MBR-004619, confidence 1, method probabilistic, matched record ENR-141164, policy version 1
  • 2026-10-19 19:31:28Record linked automatically4e9ef5f2b0
    scoring_agent, CLM-430906, identity id MBR-001809, confidence 1, method probabilistic, matched record PRV-29039, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0329492026-09-01Evergreen Counseling Center
in network
90834$220.00—DeniedDenied
CLM-2026-0198112026-06-19Pinecrest Family Practice
in network
36415, 99214$238.00$138.26ApprovedApproved