Identities/MBR-003544
Gold, golden identity

William H Moreno

4 source records from 2 feeds.

MBR-003544Verified4 records

Golden record

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

First nameENR
William
Middle nameCLM
H
Last nameENR
Moreno
Date of birthENR
1992-11-26
GenderCLM
M
Member IDENR
UHC-19618-72
SSNENR
•••-••-9976
PhoneENR
9736368978
EmailENR
william.moreno@outlook.com
AddressENR
3574 Park Pl
CityENR
Plano
StateENR
TX
ZIPENR
75075
GroupENR
GRP-2905
PlanENR
NAVIGATE-HMO
Min confidence
1.00
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.00CLMCLM-410030CLMCLM-410028CLMCLM-410029ENRENR-113227IDMBR-003544
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-410030CLM2026-01-12William Morenoflagged1992-11-26——3574 Park Pl, Plano, TXScored1.00—
CLM-410028CLM2026-02-16William Morenoflagged1992-11-26—97363689783574 Park Pl, Plano, TXScored1.00—
CLM-410029CLM2026-02-22William Morenoflagged1992-11-26—97363689783574 Park Pl, Plano, TXScored1.00—
ENR-113227ENR2026-04-20William Morenoflagged1992-11-26UHC-19618-7297363689783574 Park Pl, Plano, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-410030CLMCLM-410028CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410030CLMCLM-410029CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410030CLMENR-113227ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410028CLMCLM-410029CLM0.97RuleD2 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
▶CLM-410028CLMENR-113227ENR0.97RuleD2 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
▶CLM-410029CLMENR-113227ENR0.97RuleD2 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

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    William Moreno: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000174, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-410028 → UHC-19618-72 (William Moreno)
    ACT-004523, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-410029 → UHC-19618-72 (William Moreno)
    ACT-004970, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-410030 → UHC-19618-72 (William Moreno)
    ACT-007593, Claims processor
  • Care coordination outreachProposed
    William Moreno: 3 claims, no attributed provider
    ACT-018038, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically35a0857c85
    scoring_agent, ENR-113227, identity id MBR-003544, confidence 1, method probabilistic, matched record CLM-410030, policy version 1
  • 2026-10-19 19:54:38Record linked automatically7ab5472e3b
    scoring_agent, CLM-410029, identity id MBR-003544, confidence 1, method probabilistic, matched record CLM-410030, policy version 1
  • 2026-10-19 19:54:38Record linked automatically93667c19a1
    scoring_agent, CLM-410028, identity id MBR-003544, confidence 1, method probabilistic, matched record CLM-410030, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8a4ef90335
    scoring_agent, CLM-410030, identity id MBR-003544, confidence 1, method probabilistic, matched record CLM-410028, policy version 1
  • 2026-10-19 19:52:08Record linked automatically6a6c397e8c
    scoring_agent, ENR-113227, identity id MBR-003544, confidence 1, method probabilistic, matched record CLM-410030, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallya78b77b9cf
    scoring_agent, CLM-410029, identity id MBR-003544, confidence 1, method probabilistic, matched record CLM-410030, policy version 1
  • 2026-10-19 19:52:08Record linked automatically480fb3a476
    scoring_agent, CLM-410028, identity id MBR-003544, confidence 1, method probabilistic, matched record CLM-410030, policy version 1
  • 2026-10-19 19:52:08Record linked automatically1687bd70e9
    scoring_agent, CLM-410030, identity id MBR-003544, confidence 1, method probabilistic, matched record CLM-410028, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2d2ac2b204
    scoring_agent, ENR-113227, identity id MBR-003544, confidence 1, method probabilistic, matched record CLM-410030, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0638b65cac
    scoring_agent, CLM-410029, identity id MBR-003544, confidence 1, method probabilistic, matched record CLM-410030, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1e33f0b7d5
    scoring_agent, CLM-410028, identity id MBR-003544, confidence 1, method probabilistic, matched record CLM-410030, policy version 1
  • 2026-10-19 19:45:42Record linked automatically985d130ff6
    scoring_agent, CLM-410030, identity id MBR-003544, confidence 1, method probabilistic, matched record CLM-410028, policy version 1
  • 2026-10-19 19:32:31Record linked automatically10d4be9d61
    scoring_agent, ENR-113227, identity id MBR-003544, confidence 1, method probabilistic, matched record CLM-410030, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc481bb418b
    scoring_agent, CLM-410029, identity id MBR-003544, confidence 1, method probabilistic, matched record CLM-410030, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallydb30fa2d6f
    scoring_agent, CLM-410028, identity id MBR-003544, confidence 1, method probabilistic, matched record CLM-410030, policy version 1
  • 2026-10-19 19:32:31Record linked automatically85efb93e22
    scoring_agent, CLM-410030, identity id MBR-003544, confidence 1, method probabilistic, matched record CLM-410028, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc0806159af
    matching_agent, CLM-410030, identity id MBR-037637, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113254
  • 2026-10-19 19:31:28Record linked automatically574a118ee1
    matching_agent, CLM-410028, identity id MBR-035143, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-113250
  • 2026-10-19 19:31:28Record linked automatically6d71207eec
    scoring_agent, CLM-410029, identity id MBR-005928, confidence 1, method probabilistic, matched record TPA-54483, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0137352026-02-06Canyon Diagnostic Imaging
in network
74177, 71046$1,677.00$655.22ApprovedApproved
CLM-2026-0121022026-02-02Heritage Behavioral Health
in network
90791$309.00$131.58ApprovedApproved
CLM-2026-0236792025-12-09Mesa Behavioral Health
in network
99214$276.00$111.12ApprovedApproved