Gold, golden identity
Richard F James
2 source records from 1 feed.
MBR-041408Verified2 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameCLM
- Richard
- Middle nameCLM
- F
- Last nameCLM
- James
- Date of birthCLM
- 1974-11-02
- GenderCLM
- F
- Member IDCLM
- UHC-68219-53
- SSNCLM
- •••-••-4015
- PhoneCLM
- 6854676221
- Email—
- —
- AddressCLM
- 3898 Highland Ave
- CityCLM
- Houston
- StateCLM
- TX
- ZIPCLM
- 77095
- GroupCLM
- GRP-6467
- PlanCLM
- CHOICE-PLUS-PPO
Min confidence
1.00
Sources
CLM ×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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CLM-427017 | CLM | 2026-08-13 | Richard Jamesflagged | 1974-11-02 | — | 6854676221 | 3898 Highland Ave, Houston, TX | Scored | 1.00 | — |
| CLM-427018 | CLM | 2026-09-05 | Richard Jamesflagged | 1974-11-02 | UHC-68219-53 | 6854676221 | — | Scored | 1.00 | — |
Evidence
1 scored pair among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-427017CLMCLM-427018CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-427017 → UHC-68219-53 (Richard James)ACT-006844, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:39Record linked automatically0f197769d0scoring_agent, CLM-427018, identity id MBR-041408, confidence 1, method probabilistic, matched record CLM-427017, policy version 1
- 2026-10-19 19:54:39Record linked automatically9cbc1136cbscoring_agent, CLM-427017, identity id MBR-041408, confidence 1, method probabilistic, matched record CLM-427018, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyfe204965dbscoring_agent, CLM-427018, identity id MBR-041408, confidence 1, method probabilistic, matched record CLM-427017, policy version 1
- 2026-10-19 19:52:09Record linked automaticallybca9b5cbc5scoring_agent, CLM-427017, identity id MBR-041408, confidence 1, method probabilistic, matched record CLM-427018, policy version 1
- 2026-10-19 19:45:42Record linked automatically798834f412scoring_agent, CLM-427018, identity id MBR-041408, confidence 1, method probabilistic, matched record CLM-427017, policy version 1
- 2026-10-19 19:45:42Record linked automaticallycc02a1ce88scoring_agent, CLM-427017, identity id MBR-041408, confidence 1, method probabilistic, matched record CLM-427018, policy version 1
- 2026-10-19 19:32:31Record linked automatically0fc350a81dscoring_agent, CLM-427018, identity id MBR-041408, confidence 1, method probabilistic, matched record CLM-427017, policy version 1
- 2026-10-19 19:32:31Record linked automatically51377bb414scoring_agent, CLM-427017, identity id MBR-041408, confidence 1, method probabilistic, matched record CLM-427018, policy version 1
- 2026-10-19 19:31:28Record linked automatically32403a3d5dmatching_agent, CLM-427018, identity id MBR-037494, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135729
- 2026-10-19 19:31:28Record linked automaticallyaebefbef89scoring_agent, CLM-427017, identity id MBR-008428, confidence 1, method probabilistic, matched record CLM-427016, policy version 1
Claims for this member
Claims attached through the identity graph; holds follow open steward cases automatically
| Claim | Service | Provider | Procedures | Billed | Plan paid | Rules | Status |
|---|---|---|---|---|---|---|---|
| CLM-2026-001862 | 2026-08-30 | Harbor Medical Group in network | 80053, 99215 | $422.00 | $241.64 | Approved | Approved |
| CLM-2026-020717 | 2026-07-07 | Lakeside Physical Therapy in network | 97110 | $224.00 | — | Denied | Denied |