Identities/MBR-002425

Gold, golden identity

Douglas F Garza

6 source records from 3 feeds.

MBR-002425Verified6 records

Golden record

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

First nameENR: Douglas
Middle nameENR: F
Last nameENR: Garza
Date of birthPRV: 1946-09-15
GenderENR: F
Member IDENR: UHC-82645-48
SSNENR: •••-••-2432
PhoneENR: 2734276134
EmailENR: douglas.garza@yahoo.com
AddressENR: 1168 Cedar Ln
CityENR: Phoenix
StateENR: AZ
ZIPENR: 85069
GroupENR: GRP-4585
PlanENR: MEDICARE-ADV-B

Min confidence

1.00

Sources

CLM ×3ENR ×1PRV ×2

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-406600	CLM	2026-01-08	Douglas Garzaflagged	1946-09-15	—	2734276134	1168 Cedar Ln, Phoenix, AZ	Scored	1.00	—
CLM-406601	CLM	2026-04-03	Douglas Garzaflagged	1946-09-15	UHC-82645-48	2734276134	—	Scored	1.00	—
ENR-108649	ENR	2026-06-13	Douglas Garzaflagged	—	UHC-82645-48	2734276134	1168 Cedar Ln, Phoenix, AZ	Scored	1.00	—
PRV-21936	PRV	2026-06-13	Douglas Garzaflagged	1946-09-15	UHC-82645-48	2734276134	1168 Cedar Ln, Phoenix, AZ	Scored	1.00	—
CLM-406602	CLM	2026-08-31	Douglas Garzaflagged	1946-09-15	—	—	1168 Cedar Ln, Phoenix, AZ	Scored	1.00	—
PRV-21935	PRV	2026-09-22	Douglas Garzaflagged	1946-09-15	UHC-82645-48	2734276134	1168 Cedar Ln, Phoenix, AZ	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-406600CLMCLM-406601CLM 1.00Scoredweighted 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

▶CLM-406600CLMCLM-406602CLM1.00Scoredweighted 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

▶PRV-21936PRVCLM-406602CLM1.00Scoredweighted 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-406600CLMENR-108649ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-406600CLMPRV-21935PRV1.00Scoredweighted 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

▶CLM-406602CLMPRV-21935PRV1.00Scoredweighted 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-406600CLMPRV-21936PRV1.00Scoredweighted 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

▶CLM-406601CLM PRV-21935PRV0.99RuleD1 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
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-21936PRVPRV-21935PRV0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-406601CLM PRV-21936PRV0.99RuleD1 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
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-406601CLM ENR-108649ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-108649ENRPRV-21935PRV0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-108649ENRPRV-21936PRV0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-406601CLM CLM-406602CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶ENR-108649ENRCLM-406602CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-406600 → UHC-82645-48 (Douglas Garza)
ACT-006110, Claims processor
Orphan claim re-pointedExecuted
CLM-406602 → UHC-82645-48 (Douglas Garza)
ACT-008357, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically8fe6575fba
scoring_agent, PRV-21935, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:54:38Record linked automatically7490a02536
scoring_agent, CLM-406602, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:54:38Record linked automatically4ebde0a17c
scoring_agent, PRV-21936, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:54:38Record linked automatically1f6bd3d8d3
scoring_agent, ENR-108649, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:54:38Record linked automatically0e6d22baf6
scoring_agent, CLM-406601, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:54:38Record linked automatically1af3c1dc19
scoring_agent, CLM-406600, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406601, policy version 1
2026-10-19 19:52:08Record linked automaticallyf9a2701897
scoring_agent, PRV-21935, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:52:08Record linked automatically4ee0b6bdc3
scoring_agent, CLM-406602, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:52:08Record linked automaticallyc9749b9ad3
scoring_agent, PRV-21936, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:52:08Record linked automatically4241175315
scoring_agent, ENR-108649, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:52:08Record linked automatically561f4c4d95
scoring_agent, CLM-406601, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:52:08Record linked automatically93cb4aa331
scoring_agent, CLM-406600, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406601, policy version 1
2026-10-19 19:45:41Record linked automaticallyc55d738e18
scoring_agent, PRV-21935, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:45:41Record linked automatically8bf2338583
scoring_agent, CLM-406602, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:45:41Record linked automatically9119bfa9e3
scoring_agent, PRV-21936, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:45:41Record linked automaticallyabbac2f61a
scoring_agent, ENR-108649, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:45:41Record linked automatically91774d4db0
scoring_agent, CLM-406601, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:45:41Record linked automatically62afa9c7e7
scoring_agent, CLM-406600, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406601, policy version 1
2026-10-19 19:32:31Record linked automaticallydab32cb645
scoring_agent, PRV-21935, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:32:31Record linked automatically80c50fa2ba
scoring_agent, CLM-406602, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:32:31Record linked automaticallybb69d82392
scoring_agent, PRV-21936, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:32:31Record linked automatically22f0184500
scoring_agent, ENR-108649, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:32:31Record linked automatically32028fdd32
scoring_agent, CLM-406601, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406600, policy version 1
2026-10-19 19:32:31Record linked automatically5af00e258f
scoring_agent, CLM-406600, identity id MBR-002425, confidence 1, method probabilistic, matched record CLM-406601, policy version 1
2026-10-19 19:31:28Record linked automatically3d402dbdfa
scoring_agent, ENR-108649, identity id MBR-041977, confidence 1, method probabilistic, matched record TPA-52923, policy version 1
2026-10-19 19:31:28Record linked automatically011bd43f73
scoring_agent, CLM-406602, identity id MBR-034251, confidence 1, method probabilistic, matched record CLM-406604, policy version 1
2026-10-19 19:31:28Record linked automatically8f6f9df994
matching_agent, CLM-406600, identity id MBR-016994, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406599
2026-10-19 19:31:28Record linked automaticallyfd328edb27
scoring_agent, PRV-21935, identity id MBR-007110, confidence 1, method probabilistic, matched record PRV-21934, policy version 1
2026-10-19 19:31:28Record linked automaticallyb2b48218c9
scoring_agent, PRV-21936, identity id MBR-003331, confidence 1, method probabilistic, matched record TPA-52860, policy version 1

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-2026-026596	2026-01-30	Mesa Internal Medicine Associates in network	80053	$84.00	—	Denied	Denied
CLM-2026-027853	2026-03-08	Northgate Primary Care Associates out of network	90471, 99203	$250.00	—	Denied	Denied
CLM-2026-027852	2026-03-08	Northgate Primary Care Associates out of network	90471, 99203	$250.00	$99.90	Approved	Approved
CLM-2026-017949	2025-12-13	Mesa Family Practice in network	99395, 90471, 99214	$565.00	$320.30	Approved	Approved