Identities/MBR-037465
Gold, golden identity

Elijah N Bishop

4 source records from 2 feeds.

MBR-037465Verified4 records

Golden record

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

First nameCLM
Elijah
Middle nameCLM
N
Last nameCLM
Bishop
Date of birthCLM
1965-08-08
GenderCLM
M
Member IDCLM
UHC-69416-72
SSNCLM
•••-••-1545
PhoneCLM
4468109924
EmailCLM
elijah.bishop@gmail.com
AddressCLM
3542 Apache Blvd
CityCLM
Atlanta
StateCLM
GA
ZIPCLM
30346
GroupCLM
GRP-1315
PlanCLM
SELECT-EPO
Min confidence
0.96
Sources
CLM ×3TPA ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.961.001.001.00CLMCLM-404780TPATPA-52089CLMCLM-404781CLMCLM-404779IDMBR-037465
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-404780CLM2026-07-06Elijah Bishopflagged1964-08-08UHC-69416-7244681099243542 Apache Blvd, Atlanta, GARule0.96D3 member id + name
TPA-52089TPA2026-07-26Elijah Bishopflagged1965-08-08—4468109924—Scored1.00—
CLM-404781CLM2026-09-05Elijah Bishopflagged1965-08-08—44681099243542 Apache Blvd, Atlanta, GAScored1.00—
CLM-404779CLM2026-09-08Elijah Bishopflagged1965-08-08UHC-69416-7244681099243542 Apache Blvd, Atlanta, GAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-52089TPACLM-404779CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-404781CLMCLM-404779CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-52089TPACLM-404781CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Email1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-404780CLMCLM-404779CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-404780CLMCLM-404781CLM0.84Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-404780CLMTPA-52089TPA0.80Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-404781 → UHC-69416-72 (Elijah Bishop)
    ACT-003033, Claims processor
  • Care coordination outreachProposed
    Elijah Bishop: 3 claims, no attributed provider
    ACT-019559, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:55Record linked automatically671ae5e243
    scoring_agent, CLM-404779, identity id MBR-037465, confidence 1, method probabilistic, matched record TPA-52089, policy version 1
  • 2026-10-22 12:43:55Record linked automatically4fb8e29df9
    scoring_agent, CLM-404781, identity id MBR-037465, confidence 1, method probabilistic, matched record TPA-52089, policy version 1
  • 2026-10-22 12:43:55Record linked automatically931913472f
    scoring_agent, TPA-52089, identity id MBR-037465, confidence 1, method probabilistic, matched record CLM-404781, policy version 1
  • 2026-10-22 12:43:55Record linked automatically934094bb1a
    matching_agent, CLM-404780, identity id MBR-037465, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-404779
  • 2026-10-19 19:54:39Record linked automatically13aaf53805
    scoring_agent, CLM-404779, identity id MBR-037465, confidence 1, method probabilistic, matched record TPA-52089, policy version 1
  • 2026-10-19 19:54:39Record linked automatically553cec8c91
    scoring_agent, CLM-404781, identity id MBR-037465, confidence 1, method probabilistic, matched record TPA-52089, policy version 1
  • 2026-10-19 19:54:39Record linked automatically0199785bd3
    scoring_agent, TPA-52089, identity id MBR-037465, confidence 1, method probabilistic, matched record CLM-404781, policy version 1
  • 2026-10-19 19:54:39Record linked automatically9ab3d17138
    matching_agent, CLM-404780, identity id MBR-037465, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-404779
  • 2026-10-19 19:52:09Record linked automatically762597a723
    scoring_agent, CLM-404779, identity id MBR-037465, confidence 1, method probabilistic, matched record TPA-52089, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyfeba304807
    scoring_agent, CLM-404781, identity id MBR-037465, confidence 1, method probabilistic, matched record TPA-52089, policy version 1
  • 2026-10-19 19:52:09Record linked automatically07b6d55aec
    scoring_agent, TPA-52089, identity id MBR-037465, confidence 1, method probabilistic, matched record CLM-404781, policy version 1
  • 2026-10-19 19:52:09Record linked automatically552bb8e59c
    matching_agent, CLM-404780, identity id MBR-037465, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-404779
  • 2026-10-19 19:45:42Record linked automatically3546e0a6a6
    scoring_agent, CLM-404779, identity id MBR-037465, confidence 1, method probabilistic, matched record TPA-52089, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6a0a8b1fe8
    scoring_agent, CLM-404781, identity id MBR-037465, confidence 1, method probabilistic, matched record TPA-52089, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4e7d021502
    scoring_agent, TPA-52089, identity id MBR-037465, confidence 1, method probabilistic, matched record CLM-404781, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2a6efbe047
    matching_agent, CLM-404780, identity id MBR-037465, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-404779
  • 2026-10-19 19:32:31Record linked automatically317f06462b
    scoring_agent, CLM-404779, identity id MBR-037465, confidence 1, method probabilistic, matched record TPA-52089, policy version 1
  • 2026-10-19 19:32:31Record linked automatically16b10a9ab3
    scoring_agent, CLM-404781, identity id MBR-037465, confidence 1, method probabilistic, matched record TPA-52089, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6ef1b342ce
    scoring_agent, TPA-52089, identity id MBR-037465, confidence 1, method probabilistic, matched record CLM-404781, policy version 1
  • 2026-10-19 19:32:31Record linked automatically087bbce2dd
    matching_agent, CLM-404780, identity id MBR-037465, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-404779
  • 2026-10-19 19:31:28Record linked automaticallya9bf670849
    matching_agent, CLM-404779, identity id MBR-026557, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-106236
  • 2026-10-19 19:31:28Record linked automatically8b8c0deff0
    matching_agent, CLM-404781, identity id MBR-020187, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-106241
  • 2026-10-19 19:31:28Record linked automatically1e6baa6236
    matching_agent, CLM-404780, identity id MBR-004749, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106239

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0127142026-08-07Heritage Digestive Health Center
in network
88305$271.00$0.00ApprovedApproved
CLM-2026-0064692026-07-28Unity Family Practice
in network
99395, 99213$499.00$289.38ApprovedApproved
CLM-2026-0185432026-06-02Pinecrest Regional Medical Center
in network
99284, 99283$1,742.00—Needs reviewNeeds review
CLM-2026-0185422026-06-02Summit Regional Medical Center
in network
99284, 99283$1,742.00$708.10ApprovedApproved