Identities/MBR-000541
Gold, golden identity

Willie Garcia

6 source records from 3 feeds.

MBR-000541Verified6 records

Golden record

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

First nameENR
Willie
Middle name—
—
Last nameENR
Garcia
Date of birthENR
1939-05-09
GenderENR
F
Member IDENR
UHC-41138-39
SSNENR
•••-••-0533
PhoneENR
5952969080
Email—
—
AddressENR
2073 Church St
CityENR
Sacramento
StateENR
CA
ZIPENR
95855
GroupENR
GRP-3309
PlanENR
SELECT-EPO
Min confidence
0.97
Sources
TPA ×2ENR ×1CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.970.991.000.991.001.00TPATPA-58585ENRENR-125618CLMCLM-419450CLMCLM-419452TPATPA-58586CLMCLM-419451IDMBR-000541
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
TPA-58585TPA2026-01-02Willie Garciaflagged1939-05-09——2073 Church St, Sacramento, CARule0.97D2 ssn4 + dob + last name
ENR-125618ENR2026-04-23Willie Garciaflagged1939-05-09UHC-41138-3959529690802073 Church St, Sacramento, CARule0.99D1 member id + dob exact
CLM-419450CLM2026-06-29Willie Garciaflagged1939-05-09—59529690802073 Church St, Sacramento, CAScored1.00—
CLM-419452CLM2026-09-02Garcia Willieflagged1939-05-09UHC-41138-3959529690802073 Church St, Sacramento, CARule0.99D1 member id + dob exact
TPA-58586TPA2026-09-28Willie Garciaflagged1939-05-09—59529690802073 Church St, Sacramento, CAScored1.00—
CLM-419451CLM2026-10-01Willie Garciaflagged1939-05-09UHC-41138-3959529690802073 Church St, Sacramento, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-419450CLMCLM-419451CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-58586TPACLM-419451CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-125618ENRCLM-419451CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-419452CLMCLM-419451CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-125618ENRCLM-419452CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-419450CLMCLM-419452CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-419452CLMTPA-58586TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-58585TPACLM-419450CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-125618ENRCLM-419450CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-58585TPAENR-125618ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-58585TPATPA-58586TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-125618ENRTPA-58586TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-419450CLMTPA-58586TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-58585TPACLM-419452CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-58585TPACLM-419451CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Willie Garcia: 2 plan codes across sources → canonical SELECT-EPO
    ACT-000023, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-419450 → UHC-41138-39 (Willie Garcia)
    ACT-008960, Claims processor
  • Care coordination outreachProposed
    Willie Garcia: 3 claims, no attributed provider
    ACT-017805, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyf114aa25d3
    scoring_agent, CLM-419451, identity id MBR-000541, confidence 1, method probabilistic, matched record CLM-419450, policy version 1
  • 2026-10-19 19:54:38Record linked automatically05b0b036ef
    scoring_agent, TPA-58586, identity id MBR-000541, confidence 1, method probabilistic, matched record CLM-419451, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc4f781377d
    matching_agent, CLM-419452, identity id MBR-000541, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125618
  • 2026-10-19 19:54:38Record linked automatically7fe5f1752b
    scoring_agent, CLM-419450, identity id MBR-000541, confidence 1, method probabilistic, matched record CLM-419451, policy version 1
  • 2026-10-19 19:54:38Record linked automatically50e42e2ad4
    matching_agent, ENR-125618, identity id MBR-000541, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419452
  • 2026-10-19 19:54:38Record linked automatically5638ef8239
    matching_agent, TPA-58585, identity id MBR-000541, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-125618
  • 2026-10-19 19:52:08Record linked automaticallyc5710d3dec
    scoring_agent, CLM-419451, identity id MBR-000541, confidence 1, method probabilistic, matched record CLM-419450, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallycce3077bbf
    scoring_agent, TPA-58586, identity id MBR-000541, confidence 1, method probabilistic, matched record CLM-419451, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyb713de7738
    matching_agent, CLM-419452, identity id MBR-000541, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125618
  • 2026-10-19 19:52:08Record linked automatically76121227c5
    scoring_agent, CLM-419450, identity id MBR-000541, confidence 1, method probabilistic, matched record CLM-419451, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallya505c9602a
    matching_agent, ENR-125618, identity id MBR-000541, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419452
  • 2026-10-19 19:52:08Record linked automatically6e0134fe4c
    matching_agent, TPA-58585, identity id MBR-000541, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-125618
  • 2026-10-19 19:45:41Record linked automatically78bb559788
    scoring_agent, CLM-419451, identity id MBR-000541, confidence 1, method probabilistic, matched record CLM-419450, policy version 1
  • 2026-10-19 19:45:41Record linked automatically06af9a8f23
    scoring_agent, TPA-58586, identity id MBR-000541, confidence 1, method probabilistic, matched record CLM-419451, policy version 1
  • 2026-10-19 19:45:41Record linked automatically2f398f8a94
    matching_agent, CLM-419452, identity id MBR-000541, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125618
  • 2026-10-19 19:45:41Record linked automatically5b3b106c85
    scoring_agent, CLM-419450, identity id MBR-000541, confidence 1, method probabilistic, matched record CLM-419451, policy version 1
  • 2026-10-19 19:45:41Record linked automatically9f0cace3e0
    matching_agent, ENR-125618, identity id MBR-000541, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419452
  • 2026-10-19 19:45:41Record linked automaticallydf8c15a3a4
    matching_agent, TPA-58585, identity id MBR-000541, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-125618
  • 2026-10-19 19:32:31Record linked automatically31a5e351a0
    scoring_agent, CLM-419451, identity id MBR-000541, confidence 1, method probabilistic, matched record CLM-419450, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc38dda4237
    scoring_agent, TPA-58586, identity id MBR-000541, confidence 1, method probabilistic, matched record CLM-419451, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf2f1a83782
    matching_agent, CLM-419452, identity id MBR-000541, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125618
  • 2026-10-19 19:32:31Record linked automatically01564656ef
    scoring_agent, CLM-419450, identity id MBR-000541, confidence 1, method probabilistic, matched record CLM-419451, policy version 1
  • 2026-10-19 19:32:31Record linked automatically75ec314314
    matching_agent, ENR-125618, identity id MBR-000541, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419452
  • 2026-10-19 19:32:31Record linked automatically42d782d247
    matching_agent, TPA-58585, identity id MBR-000541, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-125618
  • 2026-10-19 19:31:28Record linked automatically7f1feafe97
    matching_agent, TPA-58586, identity id MBR-034888, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125845
  • 2026-10-19 19:31:28Record linked automaticallyb197d4e955
    matching_agent, CLM-419452, identity id MBR-023194, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125522
  • 2026-10-19 19:31:28Record linked automatically8c65baf82f
    matching_agent, ENR-125618, identity id MBR-012243, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-25714
  • 2026-10-19 19:31:28Record linked automaticallyac9f5a57f4
    scoring_agent, CLM-419450, identity id MBR-012176, confidence 0.99, method probabilistic, matched record CLM-419451, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyae44cc28e9
    scoring_agent, CLM-419451, identity id MBR-012176, confidence 0.99, method probabilistic, matched record CLM-419450, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0280982026-09-07Northgate Imaging Center
out of network
77067, 76700$546.00—DeniedDenied
CLM-2026-0174132026-08-18Evergreen Medical Group
in network
99203, 36415, 99395$501.00$280.62ApprovedApproved
CLM-2026-0288472026-06-01Sunrise Internal Medicine Associates
in network
99215$398.00$216.76ApprovedApproved