Identities/MBR-000324
Gold, golden identity

Lori Contreras

5 source records from 2 feeds.

MBR-000324Verified5 records

Golden record

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

First nameENR
Lori
Middle name—
—
Last nameENR
Contreras
Date of birthENR
1964-02-14
GenderENR
M
Member IDENR
UHC-34891-72
SSNENR
•••-••-3326
PhoneENR
8594720235
EmailENR
lori.contreras@proton.me
AddressENR
5981 Maple Ave
CityENR
Dallas
StateENR
TX
ZIPENR
75273
GroupENR
GRP-2666
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×3ENR ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.001.001.001.00CLMCLM-417712ENRENR-123330CLMCLM-417713CLMCLM-417714ENRENR-123329IDMBR-000324
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-417712CLM2026-01-02Lori Contrerasflagged1964-02-14UHC-34891-7285947202355981 Maple Ave, Dallas, TXRule0.99D1 member id + dob exact
ENR-123330ENR2026-02-06Lori Contrerasflagged1964-02-14UHC-34891-7285947202355981 Maple Ave, Dallas, TXScored1.00—
CLM-417713CLM2026-04-25Lori Contrerasflagged1964-02-14—85947202355981 Maple Ave, Dallas, TXScored1.00—
CLM-417714CLM2026-05-04Lori Contrerasflagged1964-02-14UHC-34891-728594720235—Scored1.00—
ENR-123329ENR2026-09-10Lori Contrerasflagged1964-02-14UHC-34891-7285947202355981 Maple Ave, Dallas, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-123330ENRCLM-417713CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-417713CLMCLM-417714CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-417713CLMENR-123329ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-417712CLMCLM-417714CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-123330ENRCLM-417714CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-417712CLMENR-123329ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-123330ENRENR-123329ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-417714CLMENR-123329ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-417712CLMENR-123330ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-417712CLMCLM-417713CLM0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-417713 → UHC-34891-72 (Lori Contreras)
    ACT-006312, Claims processor
  • Care coordination outreachProposed
    Lori Contreras: 3 claims, no attributed provider
    ACT-017793, Next-best-action
  • Duplicate member record retiredExecuted
    Lori Contreras: 2 enrollment records collapsed into UHC-34891-72
    ACT-021717, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyca459a9acc
    scoring_agent, ENR-123329, identity id MBR-000324, confidence 1, method probabilistic, matched record CLM-417713, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb26b2e6f9b
    scoring_agent, CLM-417714, identity id MBR-000324, confidence 1, method probabilistic, matched record CLM-417713, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1b5e92c7a8
    scoring_agent, CLM-417713, identity id MBR-000324, confidence 1, method probabilistic, matched record ENR-123330, policy version 1
  • 2026-10-19 19:54:38Record linked automatically519b27960d
    scoring_agent, ENR-123330, identity id MBR-000324, confidence 1, method probabilistic, matched record CLM-417713, policy version 1
  • 2026-10-19 19:54:38Record linked automatically003969b7d4
    matching_agent, CLM-417712, identity id MBR-000324, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123330
  • 2026-10-19 19:52:08Record linked automatically65f66d746f
    scoring_agent, ENR-123329, identity id MBR-000324, confidence 1, method probabilistic, matched record CLM-417713, policy version 1
  • 2026-10-19 19:52:08Record linked automatically1bf5a365cb
    scoring_agent, CLM-417714, identity id MBR-000324, confidence 1, method probabilistic, matched record CLM-417713, policy version 1
  • 2026-10-19 19:52:08Record linked automatically0b9438e0bc
    scoring_agent, CLM-417713, identity id MBR-000324, confidence 1, method probabilistic, matched record ENR-123330, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallycdd0015938
    scoring_agent, ENR-123330, identity id MBR-000324, confidence 1, method probabilistic, matched record CLM-417713, policy version 1
  • 2026-10-19 19:52:08Record linked automatically543b136a41
    matching_agent, CLM-417712, identity id MBR-000324, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123330
  • 2026-10-19 19:45:41Record linked automatically2787738a8c
    scoring_agent, ENR-123329, identity id MBR-000324, confidence 1, method probabilistic, matched record CLM-417713, policy version 1
  • 2026-10-19 19:45:41Record linked automatically0cc5726779
    scoring_agent, CLM-417714, identity id MBR-000324, confidence 1, method probabilistic, matched record CLM-417713, policy version 1
  • 2026-10-19 19:45:41Record linked automatically8e419908b7
    scoring_agent, CLM-417713, identity id MBR-000324, confidence 1, method probabilistic, matched record ENR-123330, policy version 1
  • 2026-10-19 19:45:41Record linked automatically2758f03dc3
    scoring_agent, ENR-123330, identity id MBR-000324, confidence 1, method probabilistic, matched record CLM-417713, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyfaa74b6d02
    matching_agent, CLM-417712, identity id MBR-000324, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123330
  • 2026-10-19 19:32:31Record linked automatically4c91234950
    scoring_agent, ENR-123329, identity id MBR-000324, confidence 1, method probabilistic, matched record CLM-417713, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4c68873f46
    scoring_agent, CLM-417714, identity id MBR-000324, confidence 1, method probabilistic, matched record CLM-417713, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8fb02c1435
    scoring_agent, CLM-417713, identity id MBR-000324, confidence 1, method probabilistic, matched record ENR-123330, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybc8db177c5
    scoring_agent, ENR-123330, identity id MBR-000324, confidence 1, method probabilistic, matched record CLM-417713, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfb2ca54c02
    matching_agent, CLM-417712, identity id MBR-000324, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123330
  • 2026-10-19 19:31:28Record linked automatically3e7817d9e6
    matching_agent, ENR-123329, identity id MBR-028784, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-57796
  • 2026-10-19 19:31:28Record linked automatically98f4deb878
    scoring_agent, ENR-123330, identity id MBR-020085, confidence 1, method probabilistic, matched record TPA-57797, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallydda27b7b3f
    scoring_agent, CLM-417713, identity id MBR-007531, confidence 1, method probabilistic, matched record ENR-123165, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyfee5dafe15
    matching_agent, CLM-417712, identity id MBR-007531, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-57736

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0197422026-04-08Riverside Community Hospital
in network
71046$170.00$0.00ApprovedApproved
CLM-2026-0187642026-04-03Riverside Clinical Laboratories
in network
80061$62.00$0.00ApprovedApproved
CLM-2026-0153752025-12-10Summit Digestive Health Center
in network
88305$239.00$0.00ApprovedApproved