Identities/MBR-003329

Gold, golden identity

Arjun Flores

5 source records from 3 feeds.

MBR-003329Verified5 records

Golden record

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

First nameENR: Arjun
Middle name—: —
Last nameENR: Flores
Date of birthENR: 1978-12-09
GenderENR: F
Member IDENR: UHC-99969-24
SSNENR: •••-••-1880
PhoneENR: 4364089508
EmailTPA: arjun.flores1@icloud.com
AddressENR: 2271 Elm St
CityENR: Chandler
StateENR: AZ
ZIPENR: 85215
GroupENR: GRP-1758
PlanENR: CORE-HMO

Min confidence

0.93

Sources

ENR ×1TPA ×2CLM ×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
ENR-111930	ENR	2026-01-11	Arjun Floresflagged	1978-12-09	UHC-99969-24	4364089508	2271 Elm St, Chandler, AZ	Scored	1.00	—
TPA-53951	TPA	2026-01-23	Arjun Floresflagged	1978-12-09	—	—	2271 Elm St, Chandler, AZ	Scored	0.93	—
TPA-53952	TPA	2026-03-01	Arjun Floresflagged	1978-12-09	—	4364089508	2271 Elm St, Chandler, AZ	Scored	1.00	—
CLM-409018	CLM	2026-05-08	Arjun Floresflagged	1978-12-09	—	—	2271 Elm St, Chandler, AZ	Scored	1.00	—
CLM-409019	CLM	2026-07-28	Arjun Floresflagged	1978-12-09	UHC-99969-24	—	2271 Elm St, Chandler, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-53952TPACLM-409018CLM1.00Scoredweighted 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

▶TPA-53952TPACLM-409019CLM1.00Scoredweighted 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-409018CLMCLM-409019CLM1.00Scoredweighted 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

▶ENR-111930ENRTPA-53952TPA1.00Scoredweighted 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

▶ENR-111930ENRCLM-409019CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-111930ENRCLM-409018CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-53951TPACLM-409018CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-53951TPACLM-409019CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-111930ENRTPA-53951TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-53951TPATPA-53952TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-409018 → UHC-99969-24 (Arjun Flores)
ACT-001411, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyf6852012ef
scoring_agent, CLM-409019, identity id MBR-003329, confidence 1, method probabilistic, matched record TPA-53952, policy version 1
2026-10-19 19:54:38Record linked automatically7e3fcf242d
scoring_agent, CLM-409018, identity id MBR-003329, confidence 1, method probabilistic, matched record TPA-53952, policy version 1
2026-10-19 19:54:38Record linked automatically267cff9c94
scoring_agent, TPA-53952, identity id MBR-003329, confidence 1, method probabilistic, matched record ENR-111930, policy version 1
2026-10-19 19:54:38Record linked automatically2e3b9ef7ab
scoring_agent, TPA-53951, identity id MBR-003329, confidence 0.93, method probabilistic, matched record ENR-111930, policy version 1
2026-10-19 19:54:38Record linked automatically07130b4a76
scoring_agent, ENR-111930, identity id MBR-003329, confidence 1, method probabilistic, matched record TPA-53952, policy version 1
2026-10-19 19:52:08Record linked automatically38188dec10
scoring_agent, CLM-409019, identity id MBR-003329, confidence 1, method probabilistic, matched record TPA-53952, policy version 1
2026-10-19 19:52:08Record linked automatically209c3a706f
scoring_agent, CLM-409018, identity id MBR-003329, confidence 1, method probabilistic, matched record TPA-53952, policy version 1
2026-10-19 19:52:08Record linked automatically68f23e4d13
scoring_agent, TPA-53952, identity id MBR-003329, confidence 1, method probabilistic, matched record ENR-111930, policy version 1
2026-10-19 19:52:08Record linked automatically8e8b53ae9d
scoring_agent, TPA-53951, identity id MBR-003329, confidence 0.93, method probabilistic, matched record ENR-111930, policy version 1
2026-10-19 19:52:08Record linked automatically672837ae97
scoring_agent, ENR-111930, identity id MBR-003329, confidence 1, method probabilistic, matched record TPA-53952, policy version 1
2026-10-19 19:45:41Record linked automatically40e286362a
scoring_agent, CLM-409019, identity id MBR-003329, confidence 1, method probabilistic, matched record TPA-53952, policy version 1
2026-10-19 19:45:41Record linked automatically8b7769360a
scoring_agent, CLM-409018, identity id MBR-003329, confidence 1, method probabilistic, matched record TPA-53952, policy version 1
2026-10-19 19:45:41Record linked automatically9c8121f7eb
scoring_agent, TPA-53952, identity id MBR-003329, confidence 1, method probabilistic, matched record ENR-111930, policy version 1
2026-10-19 19:45:41Record linked automatically8746c5aca6
scoring_agent, TPA-53951, identity id MBR-003329, confidence 0.93, method probabilistic, matched record ENR-111930, policy version 1
2026-10-19 19:45:41Record linked automatically9b2036005a
scoring_agent, ENR-111930, identity id MBR-003329, confidence 1, method probabilistic, matched record TPA-53952, policy version 1
2026-10-19 19:32:31Record linked automaticallyf0ed04b166
scoring_agent, CLM-409019, identity id MBR-003329, confidence 1, method probabilistic, matched record TPA-53952, policy version 1
2026-10-19 19:32:31Record linked automaticallyb65d4d4263
scoring_agent, CLM-409018, identity id MBR-003329, confidence 1, method probabilistic, matched record TPA-53952, policy version 1
2026-10-19 19:32:31Record linked automatically641b4c4bcc
scoring_agent, TPA-53952, identity id MBR-003329, confidence 1, method probabilistic, matched record ENR-111930, policy version 1
2026-10-19 19:32:31Record linked automaticallyd6a31b9306
scoring_agent, TPA-53951, identity id MBR-003329, confidence 0.93, method probabilistic, matched record ENR-111930, policy version 1
2026-10-19 19:32:31Record linked automaticallyb5e9ea7873
scoring_agent, ENR-111930, identity id MBR-003329, confidence 1, method probabilistic, matched record TPA-53952, policy version 1
2026-10-19 19:31:28Record linked automaticallya7c27d36e5
scoring_agent, TPA-53952, identity id MBR-031591, confidence 1, method probabilistic, matched record CLM-408896, policy version 1
2026-10-19 19:31:28Record linked automatically332dcbc1af
scoring_agent, ENR-111930, identity id MBR-015469, confidence 1, method probabilistic, matched record TPA-54027, policy version 1
2026-10-19 19:31:28Record linked automaticallyb6af515cd5
matching_agent, CLM-409019, identity id MBR-009422, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409020
2026-10-19 19:31:28Record linked automatically4ec6a17dc7
scoring_agent, TPA-53951, identity id MBR-003381, confidence 1, method probabilistic, matched record ENR-111706, policy version 1
2026-10-19 19:31:28Record linked automatically7158cec6ae
scoring_agent, CLM-409018, identity id MBR-002852, confidence 0.99, method probabilistic, matched record ENR-111869, policy version 1

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-2026-022970	2026-06-14	Heritage Primary Care Associates in network	99214, 90471, 99203	$575.00	$336.50	Approved	Approved
CLM-2026-000298	2026-04-07	Sunrise Dermatology Clinic in network	11403, 17110	$841.00	—	Denied	Denied
CLM-2026-000297	2026-04-07	Sunrise Dermatology Clinic in network	11403, 17110	$841.00	$461.42	Approved	Approved