Identities/MBR-000636

Gold, golden identity

Jessica C Vargas

5 source records from 2 feeds.

MBR-000636Verified5 records

Golden record

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

First nameCLM: Jessica
Middle nameCLM: C
Last nameCLM: Vargas
Date of birthCLM: 1971-11-27
GenderCLM: F
Member IDCLM: UHC-34912-78
SSNCLM: •••-••-0271
PhoneCLM: 4374826481
Email—: —
AddressCLM: 4014 Sunset Blvd
CityCLM: Glendale
StateCLM: AZ
ZIPCLM: 85329
GroupCLM: GRP-3565
PlanCLM: CHOICE-PLUS-PPO

Min confidence

0.99

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-411258	CLM	2026-01-02	Jessica Vargasflagged	1971-11-27	—	4374826481	4014 Sunset Blvd, Glendale, AZ	Scored	1.00	—
TPA-54942	TPA	2026-02-01	Jessica Vargasflagged	1971-11-27	—	—	4014 Sunset Blvd, Glendale, AZ	Scored	1.00	—
CLM-411257	CLM	2026-03-13	Jess Vargasflagged	1971-11-27	—	4374826481	4014 Sunset Blvd, Glendale, AZ	Scored	1.00	—
CLM-411259	CLM	2026-07-04	Jessica Vargasflagged	1971-11-27	UHC-34912-78	4374826481	4014 Sunset Blvd, Glendale, AZ	Scored	1.00	—
CLM-411256	CLM	2026-09-01	Jessica Varggasflagged	1971-11-27	UHC-34912-78	4374826481	—	Scored	0.99	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-411258CLMCLM-411257CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54942TPACLM-411257CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-411258CLMCLM-411259CLM1.00Scoredweighted 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

▶TPA-54942TPACLM-411259CLM1.00Scoredweighted 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-411257CLMCLM-411259CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-411258CLMTPA-54942TPA1.00Scoredweighted 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-411258CLMCLM-411256CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-411257CLMCLM-411256CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-411259CLMCLM-411256CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-54942TPACLM-411256CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Jessica Vargas: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
ACT-000032, Eligibility engine
Orphan claim re-pointedExecuted
CLM-411257 → UHC-34912-78 (Jessica Vargas)
ACT-002740, Claims processor
Orphan claim re-pointedExecuted
CLM-411258 → UHC-34912-78 (Jessica Vargas)
ACT-005968, Claims processor
Care coordination outreachProposed
Jessica Vargas: 4 claims, no attributed provider
ACT-017815, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallydf1f57a74f
scoring_agent, CLM-411256, identity id MBR-000636, confidence 0.99, method probabilistic, matched record CLM-411258, policy version 1
2026-10-19 19:54:38Record linked automaticallyad9828e38c
scoring_agent, CLM-411259, identity id MBR-000636, confidence 1, method probabilistic, matched record CLM-411258, policy version 1
2026-10-19 19:54:38Record linked automatically42d9ec8073
scoring_agent, CLM-411257, identity id MBR-000636, confidence 1, method probabilistic, matched record CLM-411258, policy version 1
2026-10-19 19:54:38Record linked automatically316f66984f
scoring_agent, TPA-54942, identity id MBR-000636, confidence 1, method probabilistic, matched record CLM-411258, policy version 1
2026-10-19 19:54:38Record linked automatically2877e65780
scoring_agent, CLM-411258, identity id MBR-000636, confidence 1, method probabilistic, matched record TPA-54942, policy version 1
2026-10-19 19:52:08Record linked automatically5a348d1687
scoring_agent, CLM-411256, identity id MBR-000636, confidence 0.99, method probabilistic, matched record CLM-411258, policy version 1
2026-10-19 19:52:08Record linked automaticallyb5ffbd783d
scoring_agent, CLM-411259, identity id MBR-000636, confidence 1, method probabilistic, matched record CLM-411258, policy version 1
2026-10-19 19:52:08Record linked automatically5d4b59d00b
scoring_agent, CLM-411257, identity id MBR-000636, confidence 1, method probabilistic, matched record CLM-411258, policy version 1
2026-10-19 19:52:08Record linked automatically3493a30a3d
scoring_agent, TPA-54942, identity id MBR-000636, confidence 1, method probabilistic, matched record CLM-411258, policy version 1
2026-10-19 19:52:08Record linked automaticallyb68069830c
scoring_agent, CLM-411258, identity id MBR-000636, confidence 1, method probabilistic, matched record TPA-54942, policy version 1
2026-10-19 19:45:41Record linked automatically02d7caa24c
scoring_agent, CLM-411256, identity id MBR-000636, confidence 0.99, method probabilistic, matched record CLM-411258, policy version 1
2026-10-19 19:45:41Record linked automatically52a8eeb7fa
scoring_agent, CLM-411259, identity id MBR-000636, confidence 1, method probabilistic, matched record CLM-411258, policy version 1
2026-10-19 19:45:41Record linked automatically9290549cee
scoring_agent, CLM-411257, identity id MBR-000636, confidence 1, method probabilistic, matched record CLM-411258, policy version 1
2026-10-19 19:45:41Record linked automatically3b463e557e
scoring_agent, TPA-54942, identity id MBR-000636, confidence 1, method probabilistic, matched record CLM-411258, policy version 1
2026-10-19 19:45:41Record linked automaticallyb0b5f7ce13
scoring_agent, CLM-411258, identity id MBR-000636, confidence 1, method probabilistic, matched record TPA-54942, policy version 1
2026-10-19 19:32:31Record linked automaticallyf01b4d9a4a
scoring_agent, CLM-411256, identity id MBR-000636, confidence 0.99, method probabilistic, matched record CLM-411258, policy version 1
2026-10-19 19:32:31Record linked automatically71488f72fd
scoring_agent, CLM-411259, identity id MBR-000636, confidence 1, method probabilistic, matched record CLM-411258, policy version 1
2026-10-19 19:32:31Record linked automatically92bed970d9
scoring_agent, CLM-411257, identity id MBR-000636, confidence 1, method probabilistic, matched record CLM-411258, policy version 1
2026-10-19 19:32:31Record linked automatically1caf07364d
scoring_agent, TPA-54942, identity id MBR-000636, confidence 1, method probabilistic, matched record CLM-411258, policy version 1
2026-10-19 19:32:31Record linked automatically1376f51ec4
scoring_agent, CLM-411258, identity id MBR-000636, confidence 1, method probabilistic, matched record TPA-54942, policy version 1
2026-10-19 19:31:28Record linked automatically05da659be0
scoring_agent, CLM-411256, identity id MBR-040228, confidence 1, method probabilistic, matched record ENR-114903, policy version 1
2026-10-19 19:31:28Record linked automatically55ed494b88
scoring_agent, TPA-54942, identity id MBR-021749, confidence 1, method probabilistic, matched record PRV-23312, policy version 1
2026-10-19 19:31:28Record linked automaticallyed0c91e4a3
matching_agent, CLM-411259, identity id MBR-017303, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114908
2026-10-19 19:31:28Record linked automaticallyd0de6aae89
matching_agent, CLM-411257, identity id MBR-008509, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114904

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-2026-027214	2026-08-01	Northgate Primary Care Associates out of network	90471	$26.00	$0.00	Approved	Approved
CLM-2026-012850	2026-06-24	Lakeside Medical Group out of network	99214, 36415	$277.00	$104.65	Approved	Approved
CLM-2026-005312	2026-02-02	Pinecrest Physical Therapy in network	97110	$152.00	$74.24	Approved	Approved
CLM-2026-017386	2025-12-27	Summit Regional Medical Center in network	99285, 99284	$3,909.00	$1,799.95	Approved	Approved