Identities/MBR-001278
Gold, golden identity

Joseph S Flores

4 source records from 2 feeds.

MBR-001278Verified4 recordsOpen steward case

Golden record

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

First nameENR
Joseph
Middle nameENR
S
Last nameENR
Flores
Date of birthENR
1958-02-10
GenderCLM
F
Member IDENR
UHC-70640-04
SSNENR
•••-••-2994
PhoneENR
2515019194
Email—
—
AddressENR
5047 Sage Ct
CityENR
Phoenix
StateENR
AZ
ZIPENR
85044
GroupENR
GRP-3511
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.001.001.00CLMCLM-426651ENRENR-134952CLMCLM-426652CLMCLM-426654IDMBR-001278
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-426651CLM2026-01-05Joseph Floresflagged1958-02-10UHC-70640-042515019194—Rule0.99D1 member id + dob exact
ENR-134952ENR2026-04-26Joseph Floresflagged1958-02-10UHC-70640-0425150191945047 Sage Ct, Phoenix, AZScored1.00—
CLM-426652CLM2026-05-17Joseph Floresflagged1958-02-10UHC-70640-0425150191945047 Sage Ct, Phoenix, AZScored1.00—
CLM-426654CLM2026-09-18Joseph Floresflagged1958-02-10——5047 Sage Ct, Phoenix, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-134952ENRCLM-426654CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-426652CLMCLM-426654CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-426651CLMCLM-426652CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-134952ENRCLM-426652CLM0.99RuleD1 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-426651CLMENR-134952ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-426651CLMCLM-426654CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-426654 → UHC-70640-04 (Joseph Flores)
    ACT-007611, Claims processor
  • Care coordination outreachProposed
    Joseph Flores: 3 claims, no attributed provider
    ACT-017870, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically7ad81c8923
    scoring_agent, CLM-426654, identity id MBR-001278, confidence 1, method probabilistic, matched record ENR-134952, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc67b771433
    scoring_agent, CLM-426652, identity id MBR-001278, confidence 1, method probabilistic, matched record CLM-426654, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc1a0edd9ad
    scoring_agent, ENR-134952, identity id MBR-001278, confidence 1, method probabilistic, matched record CLM-426654, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya6c6d5f2ce
    matching_agent, CLM-426651, identity id MBR-001278, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134952
  • 2026-10-19 19:52:08Record linked automatically2ed477f5bb
    scoring_agent, CLM-426654, identity id MBR-001278, confidence 1, method probabilistic, matched record ENR-134952, policy version 1
  • 2026-10-19 19:52:08Record linked automatically539450b2f5
    scoring_agent, CLM-426652, identity id MBR-001278, confidence 1, method probabilistic, matched record CLM-426654, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyab6b2969c6
    scoring_agent, ENR-134952, identity id MBR-001278, confidence 1, method probabilistic, matched record CLM-426654, policy version 1
  • 2026-10-19 19:52:08Record linked automatically6d11f4f543
    matching_agent, CLM-426651, identity id MBR-001278, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134952
  • 2026-10-19 19:45:41Record linked automatically452844c035
    scoring_agent, CLM-426654, identity id MBR-001278, confidence 1, method probabilistic, matched record ENR-134952, policy version 1
  • 2026-10-19 19:45:41Record linked automatically74554079ec
    scoring_agent, CLM-426652, identity id MBR-001278, confidence 1, method probabilistic, matched record CLM-426654, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallya8a87e7dd8
    scoring_agent, ENR-134952, identity id MBR-001278, confidence 1, method probabilistic, matched record CLM-426654, policy version 1
  • 2026-10-19 19:45:41Record linked automatically64efd05a1d
    matching_agent, CLM-426651, identity id MBR-001278, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134952
  • 2026-10-19 19:32:31Record linked automatically82bcc7602a
    scoring_agent, CLM-426654, identity id MBR-001278, confidence 1, method probabilistic, matched record ENR-134952, policy version 1
  • 2026-10-19 19:32:31Record linked automatically14e12dc269
    scoring_agent, CLM-426652, identity id MBR-001278, confidence 1, method probabilistic, matched record CLM-426654, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6a7ee35ce4
    scoring_agent, ENR-134952, identity id MBR-001278, confidence 1, method probabilistic, matched record CLM-426654, policy version 1
  • 2026-10-19 19:32:31Record linked automatically024dcef6a9
    matching_agent, CLM-426651, identity id MBR-001278, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134952
  • 2026-10-19 19:31:28Record linked automatically2edf27f932
    matching_agent, CLM-426654, identity id MBR-034046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135258
  • 2026-10-19 19:31:28Record linked automatically3063d765b3
    scoring_agent, CLM-426652, identity id MBR-014786, confidence 1, method probabilistic, matched record ENR-135255, policy version 1
  • 2026-10-19 19:31:28Record linked automatically59cc516fd7
    matching_agent, ENR-134952, identity id MBR-013179, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-426424
  • 2026-10-19 19:31:28Record linked automatically9dd027fb4e
    scoring_agent, CLM-426651, identity id MBR-007877, confidence 1.00, method probabilistic, matched record ENR-135254, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0237872026-09-12Heritage Imaging Center
in network
77067$351.00$0.00ApprovedApproved
CLM-2026-0338122026-04-04Summit Community Hospital
in network
96374, 99285$1,874.00$908.05ApprovedApproved
CLM-2026-0094162025-12-04Northgate Medical Group
in network
70553$2,513.00—Needs reviewNeeds review