Identities/MBR-003469
Gold, golden identity

Joan U Gonzales

5 source records from 2 feeds.

MBR-003469Verified5 records

Golden record

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

First nameENR
Joan
Middle nameENR
U
Last nameENR
Gonzales
Date of birthENR
1986-10-28
GenderENR
M
Member IDENR
UHC-02734-71
SSNENR
•••-••-7972
PhoneENR
7023896270
Email—
—
AddressENR
4751 Cedar Ln
CityENR
Dallas
StateENR
TX
ZIPENR
75285
GroupENR
GRP-3596
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×3ENR ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.991.001.000.99CLMCLM-421225ENRENR-127843CLMCLM-421227CLMCLM-421226ENRENR-127844IDMBR-003469
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-421225CLM2026-01-11Joen Gonzalesflagged1986-10-28UHC-02734-71—4751 Cedar Ln, Dallas, TXRule0.99D1 member id + dob exact
ENR-127843ENR2026-01-15Joan Gonzalesflagged1986-10-28UHC-02734-717023896270—Scored0.99—
CLM-421227CLM2026-04-01Jooan Gonzalesflagged1986-10-28—7023896270—Scored1.00—
CLM-421226CLM2026-04-01Jooan Gonzalesflagged1986-10-28—7023896270—Scored1.00—
ENR-127844ENR2026-05-17Joan Gonzalesflagged1986-10-28UHC-02734-7170238962704751 Cedar Ln, Dallas, TXScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-421227CLMCLM-421226CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-127843ENRCLM-421226CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-127843ENRCLM-421227CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-421227CLMENR-127844ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-421226CLMENR-127844ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-421225CLMENR-127843ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-421225CLMENR-127844ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-127843ENRENR-127844ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-421225CLMCLM-421226CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.933
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-421225CLMCLM-421227CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.933
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Joan Gonzales: 2 plan codes across sources → canonical MEDICARE-ADV-B
    ACT-000170, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-421227 → UHC-02734-71 (Joan Gonzales)
    ACT-005355, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-421226 → UHC-02734-71 (Joan Gonzales)
    ACT-010003, Claims processor
  • Care coordination outreachProposed
    Joan Gonzales: 3 claims, no attributed provider
    ACT-018028, Next-best-action
  • Duplicate member record retiredExecuted
    Joan Gonzales: 2 enrollment records collapsed into UHC-02734-71
    ACT-022239, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically6e35a4d867
    scoring_agent, ENR-127844, identity id MBR-003469, confidence 0.99, method probabilistic, matched record CLM-421227, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyde242945a2
    scoring_agent, CLM-421226, identity id MBR-003469, confidence 1, method probabilistic, matched record CLM-421227, policy version 1
  • 2026-10-19 19:54:38Record linked automatically56711cebab
    scoring_agent, CLM-421227, identity id MBR-003469, confidence 1, method probabilistic, matched record CLM-421226, policy version 1
  • 2026-10-19 19:54:38Record linked automatically948e81f80a
    scoring_agent, ENR-127843, identity id MBR-003469, confidence 0.99, method probabilistic, matched record CLM-421227, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6f8ea12069
    matching_agent, CLM-421225, identity id MBR-003469, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127843
  • 2026-10-19 19:52:08Record linked automaticallyef18dcfdbd
    scoring_agent, ENR-127844, identity id MBR-003469, confidence 0.99, method probabilistic, matched record CLM-421227, policy version 1
  • 2026-10-19 19:52:08Record linked automatically9c631a2d86
    scoring_agent, CLM-421226, identity id MBR-003469, confidence 1, method probabilistic, matched record CLM-421227, policy version 1
  • 2026-10-19 19:52:08Record linked automatically4a5b1d099c
    scoring_agent, CLM-421227, identity id MBR-003469, confidence 1, method probabilistic, matched record CLM-421226, policy version 1
  • 2026-10-19 19:52:08Record linked automatically11c90ace30
    scoring_agent, ENR-127843, identity id MBR-003469, confidence 0.99, method probabilistic, matched record CLM-421227, policy version 1
  • 2026-10-19 19:52:08Record linked automatically9d4cff8af0
    matching_agent, CLM-421225, identity id MBR-003469, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127843
  • 2026-10-19 19:45:41Record linked automatically20f4f495a5
    scoring_agent, ENR-127844, identity id MBR-003469, confidence 0.99, method probabilistic, matched record CLM-421227, policy version 1
  • 2026-10-19 19:45:41Record linked automatically5811f45686
    scoring_agent, CLM-421226, identity id MBR-003469, confidence 1, method probabilistic, matched record CLM-421227, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallye50e4a986b
    scoring_agent, CLM-421227, identity id MBR-003469, confidence 1, method probabilistic, matched record CLM-421226, policy version 1
  • 2026-10-19 19:45:41Record linked automatically21ba60569e
    scoring_agent, ENR-127843, identity id MBR-003469, confidence 0.99, method probabilistic, matched record CLM-421227, policy version 1
  • 2026-10-19 19:45:41Record linked automatically70d4e8d088
    matching_agent, CLM-421225, identity id MBR-003469, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127843
  • 2026-10-19 19:32:31Record linked automatically90fafea1dd
    scoring_agent, ENR-127844, identity id MBR-003469, confidence 0.99, method probabilistic, matched record CLM-421227, policy version 1
  • 2026-10-19 19:32:31Record linked automatically240f3495b8
    scoring_agent, CLM-421226, identity id MBR-003469, confidence 1, method probabilistic, matched record CLM-421227, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1ca98c60b1
    scoring_agent, CLM-421227, identity id MBR-003469, confidence 1, method probabilistic, matched record CLM-421226, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallycb06e3cc45
    scoring_agent, ENR-127843, identity id MBR-003469, confidence 0.99, method probabilistic, matched record CLM-421227, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4d0f10df52
    matching_agent, CLM-421225, identity id MBR-003469, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127843
  • 2026-10-19 19:31:28Record linked automatically92f5f1e01f
    matching_agent, CLM-421227, identity id MBR-016061, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127881
  • 2026-10-19 19:31:28Record linked automaticallyec65d21bb6
    scoring_agent, ENR-127843, identity id MBR-011728, confidence 1, method probabilistic, matched record TPA-59268, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6926e821eb
    matching_agent, CLM-421226, identity id MBR-003660, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127879

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0329792026-03-12Mesa Orthopedic Specialists
out of network
99213, 20610$391.00—DeniedDenied
CLM-2026-0152422026-03-14Sunrise Cardiovascular Associates
in network
93458$9,023.00$2,794.06ApprovedApproved
CLM-2026-0024622025-12-22Pinecrest Medical Group
in network
80053$42.00$6.04ApprovedApproved