Identities/MBR-001698

Gold, golden identity

Priya Garcia

5 source records from 3 feeds.

MBR-001698Verified5 recordsOpen steward case

Golden record

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

First nameENR: Priya
Middle name—: —
Last nameENR: Garcia
Date of birthENR: 1967-07-19
GenderENR: M
Member IDENR: UHC-44713-38
SSNENR: •••-••-7437
PhoneENR: 7749041908
EmailENR: priya.garcia@icloud.com
AddressENR: 2276 Broadway
CityENR: Dallas
StateENR: TX
ZIPENR: 75216
GroupENR: GRP-0784
PlanENR: MEDICARE-ADV-B

Min confidence

0.99

Sources

TPA ×2ENR ×2CLM ×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
TPA-61845	TPA	2026-01-06	Garcia Priyaflagged	1967-07-19	—	—	2276 Broadway, Dallas, TX	Scored	0.99	—
ENR-135181	ENR	2026-06-19	Priya Garciaflagged	1967-07-19	UHC-44713-38	7749041908	2276 Broadway, Dallas, TX	Scored	1.00	—
TPA-61844	TPA	2026-07-05	Piya Garciaflagged	1967-07-19	—	—	2276 Broadway, Dallas, TX	Scored	0.99	—
CLM-426825	CLM	2026-08-10	Priya Garciaflagged	1967-07-19	—	7749041908	—	Scored	1.00	—
ENR-135180	ENR	2026-08-25	Priya Garciaflagged	1967-07-19	UHC-44713-38	—	2276 Broadway, Dallas, TX	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶ENR-135181ENRCLM-426825CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-135181ENRTPA-61844TPA 0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-135181ENRENR-135180ENR0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-61845TPAENR-135180ENR0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-61845TPACLM-426825CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61845TPATPA-61844TPA 0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.92	3	swapped
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-61844TPA CLM-426825CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61844TPA ENR-135180ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	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-426825CLMENR-135180ENR0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-426825 → UHC-44713-38 (Priya Garcia)
ACT-007542, Claims processor
Duplicate member record retiredExecuted
Priya Garcia: 2 enrollment records collapsed into UHC-44713-38
ACT-021953, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically830bb65088
matching_agent, ENR-135180, identity id MBR-001698, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135181
2026-10-19 19:54:38Record linked automaticallyad8ccca4ed
scoring_agent, CLM-426825, identity id MBR-001698, confidence 1, method probabilistic, matched record ENR-135181, policy version 1
2026-10-19 19:54:38Record linked automatically8e358fba95
scoring_agent, TPA-61844, identity id MBR-001698, confidence 0.99, method probabilistic, matched record ENR-135181, policy version 1
2026-10-19 19:54:38Record linked automaticallyaf2907f80a
scoring_agent, ENR-135181, identity id MBR-001698, confidence 1, method probabilistic, matched record CLM-426825, policy version 1
2026-10-19 19:54:38Record linked automatically660884cc86
scoring_agent, TPA-61845, identity id MBR-001698, confidence 0.99, method probabilistic, matched record ENR-135180, policy version 1
2026-10-19 19:52:08Record linked automatically20641c05fd
matching_agent, ENR-135180, identity id MBR-001698, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135181
2026-10-19 19:52:08Record linked automatically80df180a9b
scoring_agent, CLM-426825, identity id MBR-001698, confidence 1, method probabilistic, matched record ENR-135181, policy version 1
2026-10-19 19:52:08Record linked automatically95727f6879
scoring_agent, TPA-61844, identity id MBR-001698, confidence 0.99, method probabilistic, matched record ENR-135181, policy version 1
2026-10-19 19:52:08Record linked automatically236394e96d
scoring_agent, ENR-135181, identity id MBR-001698, confidence 1, method probabilistic, matched record CLM-426825, policy version 1
2026-10-19 19:52:08Record linked automatically31b42d8b03
scoring_agent, TPA-61845, identity id MBR-001698, confidence 0.99, method probabilistic, matched record ENR-135180, policy version 1
2026-10-19 19:45:41Record linked automatically4396f31a7e
matching_agent, ENR-135180, identity id MBR-001698, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135181
2026-10-19 19:45:41Record linked automatically605b738ab0
scoring_agent, CLM-426825, identity id MBR-001698, confidence 1, method probabilistic, matched record ENR-135181, policy version 1
2026-10-19 19:45:41Record linked automatically5bb381ec53
scoring_agent, TPA-61844, identity id MBR-001698, confidence 0.99, method probabilistic, matched record ENR-135181, policy version 1
2026-10-19 19:45:41Record linked automaticallye4635f04d9
scoring_agent, ENR-135181, identity id MBR-001698, confidence 1, method probabilistic, matched record CLM-426825, policy version 1
2026-10-19 19:45:41Record linked automaticallyf66ce3ba72
scoring_agent, TPA-61845, identity id MBR-001698, confidence 0.99, method probabilistic, matched record ENR-135180, policy version 1
2026-10-19 19:32:31Record linked automaticallye04986ce7a
matching_agent, ENR-135180, identity id MBR-001698, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135181
2026-10-19 19:32:31Record linked automaticallyb93df3e50c
scoring_agent, CLM-426825, identity id MBR-001698, confidence 1, method probabilistic, matched record ENR-135181, policy version 1
2026-10-19 19:32:31Record linked automaticallyc6690d0080
scoring_agent, TPA-61844, identity id MBR-001698, confidence 0.99, method probabilistic, matched record ENR-135181, policy version 1
2026-10-19 19:32:31Record linked automatically0cc6769dc8
scoring_agent, ENR-135181, identity id MBR-001698, confidence 1, method probabilistic, matched record CLM-426825, policy version 1
2026-10-19 19:32:31Record linked automatically6ae6e7f581
scoring_agent, TPA-61845, identity id MBR-001698, confidence 0.99, method probabilistic, matched record ENR-135180, policy version 1
2026-10-19 19:31:28Record linked automatically682669a77b
scoring_agent, TPA-61844, identity id MBR-034810, confidence 1, method probabilistic, matched record ENR-135590, policy version 1
2026-10-19 19:31:28Record linked automatically7fd921fc43
scoring_agent, TPA-61845, identity id MBR-028872, confidence 1, method probabilistic, matched record ENR-135595, policy version 1
2026-10-19 19:31:28Record linked automaticallycae9bc4439
matching_agent, CLM-426825, identity id MBR-028781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61810
2026-10-19 19:31:28Record linked automatically38ff12e4b2
matching_agent, ENR-135180, identity id MBR-011562, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426590

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-2026-023481	2026-06-28	Mesa Family Practice in network	99395, 36415	$351.00	—	Denied	Denied
CLM-2026-023480	2026-06-28	Mesa Family Practice in network	99395, 36415	$351.00	$192.62	Approved	Approved