Identities/MBR-003974
Gold, golden identity

Virginia V Maldonado

5 source records from 3 feeds.

MBR-003974Verified5 records

Golden record

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

First nameENR
Virginia
Middle nameENR
V
Last nameENR
Maldonado
Date of birthENR
2006-02-18
GenderENR
F
Member IDENR
UHC-28497-69
SSNENR
•••-••-9156
PhoneENR
8846301812
EmailENR
virginia.maldonado21@yahoo.com
AddressENR
4553 Main St
CityENR
Sacramento
StateENR
CA
ZIPENR
95889
GroupENR
GRP-1590
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
CLM ×3PRV ×1ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.991.000.991.001.00CLMCLM-423767CLMCLM-423769PRVPRV-27001CLMCLM-423768ENRENR-131087IDMBR-003974
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-423767CLM2026-01-13Virginia Maldonadoflagged2006-02-18UHC-28497-698846301812—Rule0.99D1 member id + dob exact
CLM-423769CLM2026-01-30Virginia Maldonadoflagged2006-02-18——4553 Main St, Sacramento, CAScored1.00—
PRV-27001PRV2026-03-25Vigrinia Maldonadoflagged——88463018124553 Main St, Sacramento, CAScored0.99—
CLM-423768CLM2026-04-24Virginia Maldonadoflagged2006-02-18UHC-28497-6988463018124553 Main St, Sacramento, CAScored1.00—
ENR-131087ENR2026-09-13Virginia Maldonadoflagged2006-02-18UHC-28497-6988463018124553 Main St, Sacramento, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-423769CLMCLM-423768CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-423769CLMENR-131087ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-27001PRVCLM-423768CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.993
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-27001PRVENR-131087ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.993
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-423767CLMCLM-423768CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-423767CLMENR-131087ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-423768CLMENR-131087ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-423767CLMCLM-423769CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-423767CLMPRV-27001PRV0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.993
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare
▶CLM-423769CLMPRV-27001PRV0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.993
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-423769 → UHC-28497-69 (Virginia Maldonado)
    ACT-008060, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically1dbc3ae336
    scoring_agent, ENR-131087, identity id MBR-003974, confidence 1, method probabilistic, matched record CLM-423769, policy version 1
  • 2026-10-22 12:43:53Record linked automatically40b7523091
    scoring_agent, CLM-423768, identity id MBR-003974, confidence 1, method probabilistic, matched record CLM-423769, policy version 1
  • 2026-10-22 12:43:53Record linked automaticallyef2280c208
    scoring_agent, PRV-27001, identity id MBR-003974, confidence 0.99, method probabilistic, matched record CLM-423768, policy version 1
  • 2026-10-22 12:43:53Record linked automatically1c29764b89
    scoring_agent, CLM-423769, identity id MBR-003974, confidence 1, method probabilistic, matched record CLM-423768, policy version 1
  • 2026-10-22 12:43:53Record linked automatically6bff57b9a7
    matching_agent, CLM-423767, identity id MBR-003974, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423768
  • 2026-10-19 19:54:38Record linked automatically94eb7da4e2
    scoring_agent, ENR-131087, identity id MBR-003974, confidence 1, method probabilistic, matched record CLM-423769, policy version 1
  • 2026-10-19 19:54:38Record linked automatically64755d0f2e
    scoring_agent, CLM-423768, identity id MBR-003974, confidence 1, method probabilistic, matched record CLM-423769, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0384a33f7b
    scoring_agent, PRV-27001, identity id MBR-003974, confidence 0.99, method probabilistic, matched record CLM-423768, policy version 1
  • 2026-10-19 19:54:38Record linked automatically92a97d12b6
    scoring_agent, CLM-423769, identity id MBR-003974, confidence 1, method probabilistic, matched record CLM-423768, policy version 1
  • 2026-10-19 19:54:38Record linked automatically70b4697790
    matching_agent, CLM-423767, identity id MBR-003974, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423768
  • 2026-10-19 19:52:08Record linked automatically52d780d0ea
    scoring_agent, ENR-131087, identity id MBR-003974, confidence 1, method probabilistic, matched record CLM-423769, policy version 1
  • 2026-10-19 19:52:08Record linked automatically90918faac4
    scoring_agent, CLM-423768, identity id MBR-003974, confidence 1, method probabilistic, matched record CLM-423769, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyd8f9f79e27
    scoring_agent, PRV-27001, identity id MBR-003974, confidence 0.99, method probabilistic, matched record CLM-423768, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallye3b96671f1
    scoring_agent, CLM-423769, identity id MBR-003974, confidence 1, method probabilistic, matched record CLM-423768, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyc91f615f8c
    matching_agent, CLM-423767, identity id MBR-003974, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423768
  • 2026-10-19 19:45:42Record linked automatically3f40b4b928
    scoring_agent, ENR-131087, identity id MBR-003974, confidence 1, method probabilistic, matched record CLM-423769, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3a43d54760
    scoring_agent, CLM-423768, identity id MBR-003974, confidence 1, method probabilistic, matched record CLM-423769, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7de9f9f90e
    scoring_agent, PRV-27001, identity id MBR-003974, confidence 0.99, method probabilistic, matched record CLM-423768, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0c5ea32bc9
    scoring_agent, CLM-423769, identity id MBR-003974, confidence 1, method probabilistic, matched record CLM-423768, policy version 1
  • 2026-10-19 19:45:42Record linked automatically080a855f63
    matching_agent, CLM-423767, identity id MBR-003974, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423768
  • 2026-10-19 19:32:31Record linked automatically5090e05279
    scoring_agent, ENR-131087, identity id MBR-003974, confidence 1, method probabilistic, matched record CLM-423769, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallydc3f3bedf6
    scoring_agent, CLM-423768, identity id MBR-003974, confidence 1, method probabilistic, matched record CLM-423769, policy version 1
  • 2026-10-19 19:32:31Record linked automatically93c59b8107
    scoring_agent, PRV-27001, identity id MBR-003974, confidence 0.99, method probabilistic, matched record CLM-423768, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9c29ceea0b
    scoring_agent, CLM-423769, identity id MBR-003974, confidence 1, method probabilistic, matched record CLM-423768, policy version 1
  • 2026-10-19 19:32:31Record linked automatically17f035273a
    matching_agent, CLM-423767, identity id MBR-003974, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423768
  • 2026-10-19 19:31:28Record linked automaticallybb29aea077
    matching_agent, CLM-423769, identity id MBR-033724, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131280
  • 2026-10-19 19:31:28Record linked automaticallydb552f533b
    scoring_agent, PRV-27001, identity id MBR-030773, confidence 1, method probabilistic, matched record ENR-131213, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2ce4ce0c66
    matching_agent, CLM-423767, identity id MBR-024933, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-131278

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0244692026-04-20Northgate Internal Medicine Associates
in network
99232$224.00$0.00ApprovedApproved
CLM-2026-0254432025-12-21Lakeside Physical Therapy
in network
97110, 97161, 97014$503.00$286.86ApprovedApproved
CLM-2026-0177542026-01-09Canyon Primary Care Associates
in network
90471, 36415$52.00$13.64ApprovedApproved