Identities/MBR-000951
Gold, golden identity

Donald U Gonzales

5 source records from 3 feeds.

MBR-000951Verified5 records

Golden record

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

First nameCLM
Donald
Middle nameENR
U
Last nameENR
Gonzales
Date of birthENR
2006-10-09
GenderENR
M
Member IDENR
UHC-12549-84
SSNENR
•••-••-3715
PhoneCLM
9435833336
EmailENR
donald.gonzales26@gmail.com
AddressENR
179 Forest Ave
CityENR
Jacksonville
StateENR
FL
ZIPCLM
32280
GroupENR
GRP-3461
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
TPA ×1ENR ×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

1.000.991.001.001.00TPATPA-56549ENRENR-119537CLMCLM-414854CLMCLM-414856CLMCLM-414855IDMBR-000951
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-56549TPA2026-01-03Donald Gonzalesflagged2006-10-09—9435833336179 Forest Ave, Jacksonville, FLScored1.00—
ENR-119537ENR2026-02-15Don Gonzalesflagged2006-10-09UHC-12549-84—179 Forest Ave, Jacksonville, FLRule0.99D1 member id + dob exact
CLM-414854CLM2026-03-17Donald Gonzalesflagged2006-10-09UHC-12549-849435833336179 Forest Ave, Jacksonville, FLScored1.00—
CLM-414856CLM2026-09-25Donald Gonzalesflagged2006-10-09—9435833336179 Forest Ave, Jacksonville, FLScored1.00—
CLM-414855CLM2026-10-18Donald Gonzalesflagged2006-10-09UHC-12549-849435833336—Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-56549 TPACLM-414854CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-56549 TPACLM-414855CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414856CLMCLM-414855CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-56549 TPACLM-414856CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414854CLMCLM-414856CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-119537 ENRCLM-414854CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-119537 ENRCLM-414855CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414854CLMCLM-414855CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-119537 ENRCLM-414856CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-56549 TPAENR-119537 ENR0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-414856 → UHC-12549-84 (Donald Gonzales)
    ACT-007358, Claims processor
  • Care coordination outreachProposed
    Donald Gonzales: 3 claims, no attributed provider
    ACT-017844, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyf208bd1b70
    scoring_agent, CLM-414855, identity id MBR-000951, confidence 1, method probabilistic, matched record TPA-56549, policy version 1
  • 2026-10-19 19:54:38Record linked automatically80c663367c
    scoring_agent, CLM-414856, identity id MBR-000951, confidence 1, method probabilistic, matched record TPA-56549, policy version 1
  • 2026-10-19 19:54:38Record linked automatically948cc1fbb3
    scoring_agent, CLM-414854, identity id MBR-000951, confidence 1, method probabilistic, matched record TPA-56549, policy version 1
  • 2026-10-19 19:54:38Record linked automatically240e53676c
    matching_agent, ENR-119537, identity id MBR-000951, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414854
  • 2026-10-19 19:54:38Record linked automatically8c2d2b98be
    scoring_agent, TPA-56549, identity id MBR-000951, confidence 1, method probabilistic, matched record CLM-414854, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyd7e636b3db
    scoring_agent, CLM-414855, identity id MBR-000951, confidence 1, method probabilistic, matched record TPA-56549, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyc9b9888fd5
    scoring_agent, CLM-414856, identity id MBR-000951, confidence 1, method probabilistic, matched record TPA-56549, policy version 1
  • 2026-10-19 19:52:08Record linked automatically7d64dd5362
    scoring_agent, CLM-414854, identity id MBR-000951, confidence 1, method probabilistic, matched record TPA-56549, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyf93a4f9e63
    matching_agent, ENR-119537, identity id MBR-000951, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414854
  • 2026-10-19 19:52:08Record linked automaticallyd6f76747e6
    scoring_agent, TPA-56549, identity id MBR-000951, confidence 1, method probabilistic, matched record CLM-414854, policy version 1
  • 2026-10-19 19:45:41Record linked automatically267cd33d5c
    scoring_agent, CLM-414855, identity id MBR-000951, confidence 1, method probabilistic, matched record TPA-56549, policy version 1
  • 2026-10-19 19:45:41Record linked automatically1cb763dbf7
    scoring_agent, CLM-414856, identity id MBR-000951, confidence 1, method probabilistic, matched record TPA-56549, policy version 1
  • 2026-10-19 19:45:41Record linked automatically5def0739a8
    scoring_agent, CLM-414854, identity id MBR-000951, confidence 1, method probabilistic, matched record TPA-56549, policy version 1
  • 2026-10-19 19:45:41Record linked automatically2cd64cb342
    matching_agent, ENR-119537, identity id MBR-000951, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414854
  • 2026-10-19 19:45:41Record linked automatically6d766e40b1
    scoring_agent, TPA-56549, identity id MBR-000951, confidence 1, method probabilistic, matched record CLM-414854, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf652f79c9e
    scoring_agent, CLM-414855, identity id MBR-000951, confidence 1, method probabilistic, matched record TPA-56549, policy version 1
  • 2026-10-19 19:32:31Record linked automatically343f986d29
    scoring_agent, CLM-414856, identity id MBR-000951, confidence 1, method probabilistic, matched record TPA-56549, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc966ee6477
    scoring_agent, CLM-414854, identity id MBR-000951, confidence 1, method probabilistic, matched record TPA-56549, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3e68f1f7eb
    matching_agent, ENR-119537, identity id MBR-000951, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414854
  • 2026-10-19 19:32:31Record linked automatically6d9abfdef3
    scoring_agent, TPA-56549, identity id MBR-000951, confidence 1, method probabilistic, matched record CLM-414854, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7fa227ddfd
    matching_agent, CLM-414856, identity id MBR-026982, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119463
  • 2026-10-19 19:31:28Record linked automatically6a742ad97f
    scoring_agent, CLM-414854, identity id MBR-026634, confidence 1, method probabilistic, matched record TPA-56455, policy version 1
  • 2026-10-19 19:31:28Record linked automatically53209b51fb
    matching_agent, TPA-56549, identity id MBR-024775, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-119720
  • 2026-10-19 19:31:28Record linked automatically399499156c
    matching_agent, CLM-414855, identity id MBR-007031, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-119459

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0180592026-09-16Riverside Regional Medical Center
out of network
99284, 99283$2,310.00$789.50ApprovedApproved
CLM-2026-0227572026-09-06Sunrise Internal Medicine Associates
in network
93000$108.00$26.96ApprovedApproved
CLM-2026-0052642026-03-09Northgate Medical Group
in network
90471$45.00$0.00ApprovedApproved