Richard H Hamilton

3 source records from 2 feeds.

MBR-038779Verified3 recordsOpen steward case

Golden record

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

First nameCLM: Richard
Middle nameTPA: H
Last nameTPA: Hamilton
Date of birthCLM: 2001-10-03
GenderCLM: F
Member IDCLM: UHC-08968-49
SSNTPA: •••-••-2363
PhoneCLM: 2156053528
EmailTPA: richard.hamilton@hotmail.com
AddressTPA: 4119 Highland Ave Apt 15
CityCLM: Columbus
StateCLM: OH
ZIPTPA: 43201
Group—: —
Plan—: —

Min confidence

0.93

Sources

TPA ×2CLM ×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
TPA-59520	TPA	2026-07-18	Dick Hamiltonflagged	2000-10-03	UHC-08968-49	—	4119 Highland Ave # 996, Columbus, OH	Rule	0.96	D3 member id + name
CLM-421667	CLM	2026-08-22	Richard Hamilltonflagged	2001-10-03	UHC-08968-49	2156053528	4119 Highland Ave, Columbus, OH	Rule	0.96	D3 member id + name
TPA-59519	TPA	2026-10-08	Richard Hamiltonflagged	2001-10-03	—	2156053528	4119 Highland Ave Apt 15, Columbus, OH	Scored	0.93	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-59520TPACLM-421667CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3	nickname
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-421667CLMTPA-59519TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-59520TPATPA-59519TPA0.74Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	0.50	3	one_digit
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: 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 automaticallyb027cb299a
scoring_agent, TPA-59519, identity id MBR-038779, confidence 0.93, method probabilistic, matched record CLM-421667, policy version 1
2026-10-22 12:43:55Record linked automaticallyd62d36aff1
matching_agent, CLM-421667, identity id MBR-038779, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-59520
2026-10-22 12:43:55Record linked automatically720221c704
matching_agent, TPA-59520, identity id MBR-038779, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-421667
2026-10-19 19:54:39Record linked automatically8f9cfc4023
scoring_agent, TPA-59519, identity id MBR-038779, confidence 0.93, method probabilistic, matched record CLM-421667, policy version 1
2026-10-19 19:54:39Record linked automatically491f4ace58
matching_agent, CLM-421667, identity id MBR-038779, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-59520
2026-10-19 19:54:39Record linked automatically427ae3f5dc
matching_agent, TPA-59520, identity id MBR-038779, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-421667
2026-10-19 19:52:09Record linked automatically1d17df6d32
scoring_agent, TPA-59519, identity id MBR-038779, confidence 0.93, method probabilistic, matched record CLM-421667, policy version 1
2026-10-19 19:52:09Record linked automatically3313e1dc6d
matching_agent, CLM-421667, identity id MBR-038779, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-59520
2026-10-19 19:52:09Record linked automatically91aad8383c
matching_agent, TPA-59520, identity id MBR-038779, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-421667
2026-10-19 19:45:42Record linked automaticallyb1d1df1550
scoring_agent, TPA-59519, identity id MBR-038779, confidence 0.93, method probabilistic, matched record CLM-421667, policy version 1
2026-10-19 19:45:42Record linked automaticallyae02b68e1b
matching_agent, CLM-421667, identity id MBR-038779, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-59520
2026-10-19 19:45:42Record linked automatically36f3d9fc20
matching_agent, TPA-59520, identity id MBR-038779, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-421667
2026-10-19 19:32:31Record linked automatically25859bd2ea
scoring_agent, TPA-59519, identity id MBR-038779, confidence 0.93, method probabilistic, matched record CLM-421667, policy version 1
2026-10-19 19:32:31Record linked automatically5bdfd79922
matching_agent, CLM-421667, identity id MBR-038779, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-59520
2026-10-19 19:32:31Record linked automatically488fa97291
matching_agent, TPA-59520, identity id MBR-038779, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-421667
2026-10-19 19:31:28Record linked automaticallyd742cba766
matching_agent, CLM-421667, identity id MBR-043240, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-26359
2026-10-19 19:31:28Record linked automatically88b1e50a8d
scoring_agent, TPA-59519, identity id MBR-026758, confidence 1, method probabilistic, matched record PRV-26401, policy version 1
2026-10-19 19:31:28Record linked automatically6e6c71001f
scoring_agent, TPA-59520, identity id MBR-003132, confidence 1, method probabilistic, matched record ENR-128625, 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-2026-001910	2026-07-26	Sunrise Digestive Health Center in network	45378	$2,745.00	$1,207.06	Approved	Approved