Identities/MBR-000400

Gold, golden identity

Patrick Valdez

5 source records from 2 feeds.

MBR-000400Verified5 records

Golden record

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

First nameCLM: Patrick
Middle name—: —
Last nameCLM: Valdez
Date of birthCLM: 1950-04-27
GenderCLM: F
Member IDCLM: UHC-71408-63
SSNCLM: •••-••-3757
PhoneCLM: 6383743885
Email—: —
AddressCLM: 5078 Canyon Rd Apt 38
CityCLM: Minneapolis
StateCLM: MN
ZIPCLM: 55432
GroupCLM: GRP-8637
PlanCLM: CORE-HMO

Min confidence

0.94

Sources

CLM ×4TPA ×1

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-420461	CLM	2026-01-02	Patrick Valdezflagged	1950-04-27	—	6383743885	5078 Canyon Rd, Minneapolis, MN	Scored	1.00	—
CLM-420462	CLM	2026-01-07	Patrick Valdezflagged	1950-04-27	—	6383743885	5078 Canyon Rd, Minneapolis, MN	Scored	0.94	—
CLM-420463	CLM	2026-02-15	Patrick Valdezflagged	1950-04-27	UHC-71408-63	—	—	Rule	0.99	D1 member id + dob exact
TPA-59001	TPA	2026-06-01	Patrick Valdezflagged	1950-04-27	—	6383743885	5078 Canyon Rd, Minneapolis, MN	Scored	1.00	—
CLM-420464	CLM	2026-07-23	Patrick Valdezflagged	1950-04-27	UHC-71408-63	—	5078 Canyon Rd Apt 38, Minneapolis, MN	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-420461CLMCLM-420464CLM 1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-420461CLMTPA-59001TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420463CLMCLM-420464CLM 0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-59001TPACLM-420464CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420461CLMCLM-420462CLM0.94Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420462CLMTPA-59001TPA0.94Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420462CLMCLM-420464CLM 0.93Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-420461CLMCLM-420463CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-420462CLMCLM-420463CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-420463CLMTPA-59001TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-420462 → UHC-71408-63 (Patrick Valdez)
ACT-002034, Claims processor
Orphan claim re-pointedExecuted
CLM-420461 → UHC-71408-63 (Patrick Valdez)
ACT-004304, Claims processor
Care coordination outreachProposed
Patrick Valdez: 4 claims, no attributed provider
ACT-017796, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyc37d2dfd64
scoring_agent, CLM-420464, identity id MBR-000400, confidence 1, method probabilistic, matched record CLM-420461, policy version 1
2026-10-19 19:54:38Record linked automatically098545d09e
scoring_agent, TPA-59001, identity id MBR-000400, confidence 1, method probabilistic, matched record CLM-420461, policy version 1
2026-10-19 19:54:38Record linked automaticallyf1493d9f4a
matching_agent, CLM-420463, identity id MBR-000400, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420464
2026-10-19 19:54:38Record linked automatically2c40926ddc
scoring_agent, CLM-420462, identity id MBR-000400, confidence 0.94, method probabilistic, matched record CLM-420461, policy version 1
2026-10-19 19:54:38Record linked automatically1ff5c6f33d
scoring_agent, CLM-420461, identity id MBR-000400, confidence 1, method probabilistic, matched record TPA-59001, policy version 1
2026-10-19 19:52:08Record linked automatically504323dfe3
scoring_agent, CLM-420464, identity id MBR-000400, confidence 1, method probabilistic, matched record CLM-420461, policy version 1
2026-10-19 19:52:08Record linked automaticallyfd338b6708
scoring_agent, TPA-59001, identity id MBR-000400, confidence 1, method probabilistic, matched record CLM-420461, policy version 1
2026-10-19 19:52:08Record linked automatically4e97d4728f
matching_agent, CLM-420463, identity id MBR-000400, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420464
2026-10-19 19:52:08Record linked automatically8dc5bbcd3e
scoring_agent, CLM-420462, identity id MBR-000400, confidence 0.94, method probabilistic, matched record CLM-420461, policy version 1
2026-10-19 19:52:08Record linked automaticallyef56a99ef0
scoring_agent, CLM-420461, identity id MBR-000400, confidence 1, method probabilistic, matched record TPA-59001, policy version 1
2026-10-19 19:45:41Record linked automatically356b643929
scoring_agent, CLM-420464, identity id MBR-000400, confidence 1, method probabilistic, matched record CLM-420461, policy version 1
2026-10-19 19:45:41Record linked automaticallyab8b831f71
scoring_agent, TPA-59001, identity id MBR-000400, confidence 1, method probabilistic, matched record CLM-420461, policy version 1
2026-10-19 19:45:41Record linked automatically6cff844f06
matching_agent, CLM-420463, identity id MBR-000400, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420464
2026-10-19 19:45:41Record linked automatically8988aa1dc9
scoring_agent, CLM-420462, identity id MBR-000400, confidence 0.94, method probabilistic, matched record CLM-420461, policy version 1
2026-10-19 19:45:41Record linked automatically1e2537d7fa
scoring_agent, CLM-420461, identity id MBR-000400, confidence 1, method probabilistic, matched record TPA-59001, policy version 1
2026-10-19 19:32:31Record linked automatically9d2da4c5c2
scoring_agent, CLM-420464, identity id MBR-000400, confidence 1, method probabilistic, matched record CLM-420461, policy version 1
2026-10-19 19:32:31Record linked automaticallybb932bb5da
scoring_agent, TPA-59001, identity id MBR-000400, confidence 1, method probabilistic, matched record CLM-420461, policy version 1
2026-10-19 19:32:31Record linked automatically25320942c9
matching_agent, CLM-420463, identity id MBR-000400, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420464
2026-10-19 19:32:31Record linked automaticallya6a9081111
scoring_agent, CLM-420462, identity id MBR-000400, confidence 0.94, method probabilistic, matched record CLM-420461, policy version 1
2026-10-19 19:32:31Record linked automaticallyd0b3558138
scoring_agent, CLM-420461, identity id MBR-000400, confidence 1, method probabilistic, matched record TPA-59001, policy version 1
2026-10-19 19:31:28Record linked automaticallyb277f21a22
matching_agent, CLM-420464, identity id MBR-031198, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-58930
2026-10-19 19:31:28Record linked automatically6c36374568
scoring_agent, CLM-420461, identity id MBR-026450, confidence 1, method probabilistic, matched record CLM-420460, policy version 1
2026-10-19 19:31:28Record linked automatically3c7832ca67
matching_agent, CLM-420463, identity id MBR-000413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126858

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-2026-023211	2026-06-22	Harbor Clinical Laboratories out of network	87086, 85025, 80053	$182.00	$0.00	Approved	Approved
CLM-2026-019473	2026-01-24	Mesa Family Practice in network	90471, 36415	$50.00	$11.78	Approved	Approved
CLM-2026-002692	2025-12-17	Desert Cardiovascular Associates in network	93224	$394.00	$194.28	Approved	Approved
CLM-2026-011361	2025-12-27	Sunrise Imaging Center out of network	76700	$463.00	$0.00	Approved	Approved