Identities/MBR-003358
Gold, golden identity

Juan Welch

6 source records from 3 feeds.

MBR-003358Verified6 records

Golden record

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

First namePRV
Juan
Middle name—
—
Last namePRV
Welch
Date of birthPRV
1959-01-05
GenderPRV
F
Member IDPRV
UHC-99208-18
SSNPRV
•••-••-0492
PhonePRV
3478201851
EmailTPA
juan.welch@yahoo.com
AddressPRV
4917 Park Pl
CityPRV
San Antonio
StatePRV
TX
ZIPPRV
78227
GroupCLM
GRP-0947
PlanPRV
NAVIGATE-HMO
Min confidence
0.99
Sources
CLM ×2TPA ×2PRV ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.990.990.991.00CLMCLM-413860TPATPA-56098PRVPRV-24018PRVPRV-24017TPATPA-56099CLMCLM-413861IDMBR-003358
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-413860CLM2026-01-11Juan Welchflagged1959-01-05UHC-99208-1834782018514917 Park Pl, San Antonio, TXScored1.00—
TPA-56098TPA2026-02-11Juan Welchflagged1959-01-05—34782018514917 Park Pl, San Antonio, TXScored1.00—
PRV-24018PRV2026-04-08Juan Welhcflagged1959-01-05UHC-99208-1834782018514917 Park Pl, San Antonio, TXRule0.99D1 member id + dob exact
PRV-24017PRV2026-06-14Jun Welchflagged1959-01-05—34782018514917 Park Pl, San Antonio, TXScored0.99—
TPA-56099TPA2026-06-17Jan Welchflagged1959-01-05——4917 Park Pl, San Antonio, TXScored0.99—
CLM-413861CLM2026-07-06Juan Welchflagged1959-01-05—34782018514917 Park Pl, San Antonio, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-413860CLMCLM-413861CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413860CLMTPA-56098TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413860CLMPRV-24017PRV0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413860CLMPRV-24018PRV 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-413860CLMTPA-56099TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-56098TPACLM-413861CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶PRV-24018PRV CLM-413861CLM0.97RuleD2 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
▶PRV-24017PRVCLM-413861CLM0.97RuleD2 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
▶TPA-56099TPACLM-413861CLM0.97RuleD2 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
▶TPA-56098TPAPRV-24017PRV0.97RuleD2 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
▶PRV-24018PRV PRV-24017PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.953
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-56098TPAPRV-24018PRV 0.97RuleD2 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
▶TPA-56098TPATPA-56099TPA0.97RuleD2 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
▶PRV-24018PRV TPA-56099TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.943
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-24017PRVTPA-56099TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.923
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Juan Welch: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000166, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-413861 → UHC-99208-18 (Juan Welch)
    ACT-008052, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically6ab0e2454f
    scoring_agent, CLM-413861, identity id MBR-003358, confidence 1, method probabilistic, matched record CLM-413860, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya80f1f9370
    scoring_agent, TPA-56099, identity id MBR-003358, confidence 0.99, method probabilistic, matched record CLM-413860, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf90fa5487f
    scoring_agent, PRV-24017, identity id MBR-003358, confidence 0.99, method probabilistic, matched record CLM-413860, policy version 1
  • 2026-10-19 19:54:38Record linked automatically61740093ec
    matching_agent, PRV-24018, identity id MBR-003358, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413860
  • 2026-10-19 19:54:38Record linked automatically9c438f4624
    scoring_agent, TPA-56098, identity id MBR-003358, confidence 1, method probabilistic, matched record CLM-413860, policy version 1
  • 2026-10-19 19:54:38Record linked automatically046956787a
    scoring_agent, CLM-413860, identity id MBR-003358, confidence 1, method probabilistic, matched record TPA-56098, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyf79530a6af
    scoring_agent, CLM-413861, identity id MBR-003358, confidence 1, method probabilistic, matched record CLM-413860, policy version 1
  • 2026-10-19 19:52:08Record linked automatically718d71e76a
    scoring_agent, TPA-56099, identity id MBR-003358, confidence 0.99, method probabilistic, matched record CLM-413860, policy version 1
  • 2026-10-19 19:52:08Record linked automatically43cc09fae1
    scoring_agent, PRV-24017, identity id MBR-003358, confidence 0.99, method probabilistic, matched record CLM-413860, policy version 1
  • 2026-10-19 19:52:08Record linked automatically1fd35d9f3f
    matching_agent, PRV-24018, identity id MBR-003358, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413860
  • 2026-10-19 19:52:08Record linked automaticallye9b65cf4ed
    scoring_agent, TPA-56098, identity id MBR-003358, confidence 1, method probabilistic, matched record CLM-413860, policy version 1
  • 2026-10-19 19:52:08Record linked automatically552c29ac00
    scoring_agent, CLM-413860, identity id MBR-003358, confidence 1, method probabilistic, matched record TPA-56098, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyc4a235f5d2
    scoring_agent, CLM-413861, identity id MBR-003358, confidence 1, method probabilistic, matched record CLM-413860, policy version 1
  • 2026-10-19 19:45:41Record linked automatically8379f0ed42
    scoring_agent, TPA-56099, identity id MBR-003358, confidence 0.99, method probabilistic, matched record CLM-413860, policy version 1
  • 2026-10-19 19:45:41Record linked automatically9baead1b8c
    scoring_agent, PRV-24017, identity id MBR-003358, confidence 0.99, method probabilistic, matched record CLM-413860, policy version 1
  • 2026-10-19 19:45:41Record linked automatically2e03ea1232
    matching_agent, PRV-24018, identity id MBR-003358, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413860
  • 2026-10-19 19:45:41Record linked automatically9f0b38de70
    scoring_agent, TPA-56098, identity id MBR-003358, confidence 1, method probabilistic, matched record CLM-413860, policy version 1
  • 2026-10-19 19:45:41Record linked automatically78087d2ab7
    scoring_agent, CLM-413860, identity id MBR-003358, confidence 1, method probabilistic, matched record TPA-56098, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf2c13f5139
    scoring_agent, CLM-413861, identity id MBR-003358, confidence 1, method probabilistic, matched record CLM-413860, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfaa61717ba
    scoring_agent, TPA-56099, identity id MBR-003358, confidence 0.99, method probabilistic, matched record CLM-413860, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9a7e2d1649
    scoring_agent, PRV-24017, identity id MBR-003358, confidence 0.99, method probabilistic, matched record CLM-413860, policy version 1
  • 2026-10-19 19:32:31Record linked automatically34376c99ef
    matching_agent, PRV-24018, identity id MBR-003358, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413860
  • 2026-10-19 19:32:31Record linked automatically8872285a46
    scoring_agent, TPA-56098, identity id MBR-003358, confidence 1, method probabilistic, matched record CLM-413860, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc54eb1eba4
    scoring_agent, CLM-413860, identity id MBR-003358, confidence 1, method probabilistic, matched record TPA-56098, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8791ab5da7
    scoring_agent, CLM-413860, identity id MBR-042383, confidence 1, method probabilistic, matched record ENR-118221, policy version 1
  • 2026-10-19 19:31:28Record linked automatically19ebdf685d
    scoring_agent, PRV-24017, identity id MBR-015549, confidence 0.92, method probabilistic, matched record CLM-413636, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallydbd54948c5
    matching_agent, PRV-24018, identity id MBR-014113, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413639
  • 2026-10-19 19:31:28Record linked automatically6835d92843
    matching_agent, CLM-413861, identity id MBR-014059, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118222
  • 2026-10-19 19:31:28Record linked automaticallyf458a94a34
    scoring_agent, TPA-56099, identity id MBR-007972, confidence 1, method probabilistic, matched record PRV-24128, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye566b642dd
    scoring_agent, TPA-56098, identity id MBR-005756, confidence 1, method probabilistic, matched record ENR-118421, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0254192026-06-11Riverside Primary Care Associates
in network
90471$40.00$0.00ApprovedApproved
CLM-2026-0063832025-11-28Sunrise Imaging Center
in network
71046$128.00$0.00ApprovedApproved