Identities/MBR-002788
Gold, golden identity

Theresa P Torres

6 source records from 2 feeds.

MBR-002788Verified6 records

Golden record

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

First nameENR
Theresa
Middle nameENR
P
Last nameENR
Torres
Date of birthENR
1990-03-18
GenderENR
M
Member IDENR
UHC-55258-87
SSNENR
•••-••-5340
PhoneENR
3989496320
EmailENR
theresa.torres91@yahoo.com
AddressCLM
4431 Highland Ave # 930
CityENR
San Antonio
StateENR
TX
ZIPENR
78202
GroupENR
GRP-8404
PlanENR
CORE-HMO
Min confidence
0.97
Sources
CLM ×4ENR ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.971.000.991.001.001.00CLMCLM-408200ENRENR-110809ENRENR-110810CLMCLM-408202CLMCLM-408201CLMCLM-408199IDMBR-002788
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-408200CLM2026-01-09Theresa Troresflagged1990-03-18—39894963204431 Highland Ave, San Antonio, TXRule0.97D2 ssn4 + dob + last name
ENR-110809ENR2026-01-19Theresa Torresflagged1990-03-18UHC-55258-8739894963204431 Highland Ave, San Antonio, TXScored1.00—
ENR-110810ENR2026-01-25Theresa Torresflagged1990-03-18UHC-55258-8739894963204431 Highland Ave, San Antonio, TXRule0.99D1 member id + dob exact
CLM-408202CLM2026-05-05Theressa Torresflagged1990-03-18UHC-55258-8739894963204431 Highland Ave, San Antonio, TXScored1.00—
CLM-408201CLM2026-09-12Theresa Torresflagged1990-03-18——4431 Highland Ave, San Antonio, TXScored1.00—
CLM-408199CLM2026-10-09Theresa Torresflagged1990-03-18UHC-55258-87—4431 Highland Ave # 930, San Antonio, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-408201CLMCLM-408199CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-110809ENRCLM-408201CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-408202CLMCLM-408201CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-110809ENRCLM-408199CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-408202CLMCLM-408199CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-110810ENRCLM-408199CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-110809ENRCLM-408202CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-110810ENRCLM-408202CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-110809ENRENR-110810ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-408200CLMCLM-408199CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-408200CLMCLM-408202CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-408200CLMENR-110809ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-408200CLMENR-110810ENR0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-110810ENRCLM-408201CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
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-408200 → UHC-55258-87 (Theresa Torres)
    ACT-008359, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-408201 → UHC-55258-87 (Theresa Torres)
    ACT-009525, Claims processor
  • Outreach address correctedProposed
    Theresa Torres: 4431 Highland Ave, San Antonio → 4431 Highland Ave # 930, San Antonio
    ACT-010716, Outreach
  • Care coordination outreachProposed
    Theresa Torres: 4 claims, no attributed provider
    ACT-017985, Next-best-action
  • Duplicate member record retiredExecuted
    Theresa Torres: 2 enrollment records collapsed into UHC-55258-87
    ACT-022124, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallybefd617598
    scoring_agent, CLM-408199, identity id MBR-002788, confidence 1, method probabilistic, matched record CLM-408201, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyab51e64e5e
    scoring_agent, CLM-408201, identity id MBR-002788, confidence 1, method probabilistic, matched record ENR-110809, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6d524a15e7
    scoring_agent, CLM-408202, identity id MBR-002788, confidence 1.00, method probabilistic, matched record CLM-408201, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallydf709f0ba9
    matching_agent, ENR-110810, identity id MBR-002788, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110809
  • 2026-10-19 19:54:38Record linked automatically25e2370f32
    scoring_agent, ENR-110809, identity id MBR-002788, confidence 1, method probabilistic, matched record CLM-408201, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallybe717d52f0
    matching_agent, CLM-408200, identity id MBR-002788, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110809
  • 2026-10-19 19:52:08Record linked automaticallybc912ff869
    scoring_agent, CLM-408199, identity id MBR-002788, confidence 1, method probabilistic, matched record CLM-408201, policy version 1
  • 2026-10-19 19:52:08Record linked automatically4fabbc5abb
    scoring_agent, CLM-408201, identity id MBR-002788, confidence 1, method probabilistic, matched record ENR-110809, policy version 1
  • 2026-10-19 19:52:08Record linked automatically3765845144
    scoring_agent, CLM-408202, identity id MBR-002788, confidence 1.00, method probabilistic, matched record CLM-408201, policy version 1
  • 2026-10-19 19:52:08Record linked automatically3cd6f40614
    matching_agent, ENR-110810, identity id MBR-002788, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110809
  • 2026-10-19 19:52:08Record linked automatically8ff4230a4e
    scoring_agent, ENR-110809, identity id MBR-002788, confidence 1, method probabilistic, matched record CLM-408201, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyf5dbe70e8c
    matching_agent, CLM-408200, identity id MBR-002788, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110809
  • 2026-10-19 19:45:41Record linked automaticallyeb6ebc429b
    scoring_agent, CLM-408199, identity id MBR-002788, confidence 1, method probabilistic, matched record CLM-408201, policy version 1
  • 2026-10-19 19:45:41Record linked automatically9954ac78bd
    scoring_agent, CLM-408201, identity id MBR-002788, confidence 1, method probabilistic, matched record ENR-110809, policy version 1
  • 2026-10-19 19:45:41Record linked automatically22c16a3816
    scoring_agent, CLM-408202, identity id MBR-002788, confidence 1.00, method probabilistic, matched record CLM-408201, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyc1109ba262
    matching_agent, ENR-110810, identity id MBR-002788, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110809
  • 2026-10-19 19:45:41Record linked automatically8b31090b3c
    scoring_agent, ENR-110809, identity id MBR-002788, confidence 1, method probabilistic, matched record CLM-408201, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyf915a48c64
    matching_agent, CLM-408200, identity id MBR-002788, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110809
  • 2026-10-19 19:32:31Record linked automatically10327f64e2
    scoring_agent, CLM-408199, identity id MBR-002788, confidence 1, method probabilistic, matched record CLM-408201, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2f0b3c2321
    scoring_agent, CLM-408201, identity id MBR-002788, confidence 1, method probabilistic, matched record ENR-110809, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyda11adfb88
    scoring_agent, CLM-408202, identity id MBR-002788, confidence 1.00, method probabilistic, matched record CLM-408201, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3761f5194f
    matching_agent, ENR-110810, identity id MBR-002788, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110809
  • 2026-10-19 19:32:31Record linked automatically8249a09dff
    scoring_agent, ENR-110809, identity id MBR-002788, confidence 1, method probabilistic, matched record CLM-408201, policy version 1
  • 2026-10-19 19:32:31Record linked automatically846a9e861f
    matching_agent, CLM-408200, identity id MBR-002788, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110809
  • 2026-10-19 19:31:28Record linked automatically663314a56c
    scoring_agent, CLM-408199, identity id MBR-040666, confidence 1, method probabilistic, matched record CLM-408200, policy version 1
  • 2026-10-19 19:31:28Record linked automatically44c4dcf3bd
    scoring_agent, CLM-408200, identity id MBR-040666, confidence 1, method probabilistic, matched record CLM-408199, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc16451fe4a
    matching_agent, ENR-110810, identity id MBR-005536, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-408224
  • 2026-10-19 19:31:28Record linked automaticallybae61fd843
    scoring_agent, CLM-408201, identity id MBR-001850, confidence 0.99, method probabilistic, matched record TPA-53618, policy version 1
  • 2026-10-19 19:31:28Record linked automatically4042deb2d7
    scoring_agent, CLM-408202, identity id MBR-001850, confidence 0.99, method probabilistic, matched record TPA-53617, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0068522026-09-22Northgate Internal Medicine Associates
in network
93000, 99214$405.00—Needs reviewNeeds review
CLM-2026-0312222026-08-08Heritage Rehabilitation Center
in network
97110, 97161, 97140$439.00$247.18ApprovedApproved
CLM-2026-0300302026-04-20Riverside Orthopedic Specialists
in network
20610, 99213$432.00$217.84ApprovedApproved
CLM-2026-0265992025-12-26Unity Family Practice
in network
90471$25.00$0.00ApprovedApproved