Identities/MBR-004046
Gold, golden identity

Edward Delgado

6 source records from 2 feeds.

MBR-004046Verified6 records

Golden record

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

First nameCLM
Edward
Middle name—
—
Last nameENR
Delgado
Date of birthENR
1986-01-16
GenderENR
F
Member IDENR
UHC-98565-10
SSNENR
•••-••-2381
PhoneENR
4453176477
EmailENR
edward.delgado@hotmail.com
AddressENR
8051 Market St
CityENR
Atlanta
StateENR
GA
ZIPENR
30380
GroupENR
GRP-4393
PlanENR
CORE-HMO
Min confidence
0.99
Sources
ENR ×2CLM ×4
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.990.990.990.99ENRENR-108861ENRENR-108860CLMCLM-406787CLMCLM-406786CLMCLM-406785CLMCLM-406788IDMBR-004046
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
ENR-108861ENR2026-01-13Eddward Delgadoflagged1986-01-16UHC-98565-1044531764778051 Market St, Atlanta, GARule0.99D1 member id + dob exact
ENR-108860ENR2026-01-13Eddward Delgadoflagged1986-01-16UHC-98565-1044531764778051 Market St, Atlanta, GARule0.99D1 member id + dob exact
CLM-406787CLM2026-02-22Edward Delgadoflagged1986-01-16UHC-98565-10——Rule0.99D1 member id + dob exact
CLM-406786CLM2026-03-06Edward Delgadoflagged1986-01-16UHC-98565-104453176477—Rule0.99D1 member id + dob exact
CLM-406785CLM2026-08-23Edward Delgadoflagged1986-01-16UHC-98565-10—8051 Market St, Atlanta, GAScored0.99—
CLM-406788CLM2026-10-16Edward Delggadoflagged1986-01-16——8051 Market St, Atlanta, GAScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-406785CLMCLM-406788CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-108861ENRCLM-406785CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-108860ENRCLM-406785CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-406787CLMCLM-406785CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-406786CLMCLM-406785CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-108861ENRCLM-406786CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-108860ENRCLM-406786CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-406787CLMCLM-406786CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-108861ENRCLM-406787CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-108860ENRCLM-406787CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-108861ENRENR-108860ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶ENR-108861ENRCLM-406788CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-108860ENRCLM-406788CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-406787CLMCLM-406788CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-406786CLMCLM-406788CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-406788 → UHC-98565-10 (Edward Delgado)
    ACT-010020, Claims processor
  • Care coordination outreachProposed
    Edward Delgado: 4 claims, no attributed provider
    ACT-018086, Next-best-action
  • Duplicate member record retiredExecuted
    Edward Delgado: 2 enrollment records collapsed into UHC-98565-10
    ACT-022333, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically30d630cf90
    scoring_agent, CLM-406788, identity id MBR-004046, confidence 0.99, method probabilistic, matched record CLM-406785, policy version 1
  • 2026-10-19 19:54:38Record linked automatically9660318436
    scoring_agent, CLM-406785, identity id MBR-004046, confidence 0.99, method probabilistic, matched record CLM-406788, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf8ad35e05e
    matching_agent, CLM-406786, identity id MBR-004046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108861
  • 2026-10-19 19:54:38Record linked automaticallyca021eb268
    matching_agent, CLM-406787, identity id MBR-004046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108861
  • 2026-10-19 19:54:38Record linked automatically4815e22648
    matching_agent, ENR-108860, identity id MBR-004046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108861
  • 2026-10-19 19:54:38Record linked automaticallyb086064fb6
    matching_agent, ENR-108861, identity id MBR-004046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108860
  • 2026-10-19 19:52:08Record linked automaticallye010b62113
    scoring_agent, CLM-406788, identity id MBR-004046, confidence 0.99, method probabilistic, matched record CLM-406785, policy version 1
  • 2026-10-19 19:52:08Record linked automatically3cfeabaa8a
    scoring_agent, CLM-406785, identity id MBR-004046, confidence 0.99, method probabilistic, matched record CLM-406788, policy version 1
  • 2026-10-19 19:52:08Record linked automatically7ac36ba5a0
    matching_agent, CLM-406786, identity id MBR-004046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108861
  • 2026-10-19 19:52:08Record linked automaticallyb5f840f2c7
    matching_agent, CLM-406787, identity id MBR-004046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108861
  • 2026-10-19 19:52:08Record linked automatically465f83958a
    matching_agent, ENR-108860, identity id MBR-004046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108861
  • 2026-10-19 19:52:08Record linked automatically56fb946c90
    matching_agent, ENR-108861, identity id MBR-004046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108860
  • 2026-10-19 19:45:42Record linked automatically2bc2a59f87
    scoring_agent, CLM-406788, identity id MBR-004046, confidence 0.99, method probabilistic, matched record CLM-406785, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf62e43346e
    scoring_agent, CLM-406785, identity id MBR-004046, confidence 0.99, method probabilistic, matched record CLM-406788, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb3e4d7c5e7
    matching_agent, CLM-406786, identity id MBR-004046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108861
  • 2026-10-19 19:45:42Record linked automaticallyf764cffa98
    matching_agent, CLM-406787, identity id MBR-004046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108861
  • 2026-10-19 19:45:42Record linked automaticallya30fa3b94d
    matching_agent, ENR-108860, identity id MBR-004046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108861
  • 2026-10-19 19:45:42Record linked automatically8dbef74cb3
    matching_agent, ENR-108861, identity id MBR-004046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108860
  • 2026-10-19 19:32:31Record linked automaticallyea5f250314
    scoring_agent, CLM-406788, identity id MBR-004046, confidence 0.99, method probabilistic, matched record CLM-406785, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya477cf4228
    scoring_agent, CLM-406785, identity id MBR-004046, confidence 0.99, method probabilistic, matched record CLM-406788, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3a2fe754b1
    matching_agent, CLM-406786, identity id MBR-004046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108861
  • 2026-10-19 19:32:31Record linked automatically9e16ae70fd
    matching_agent, CLM-406787, identity id MBR-004046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108861
  • 2026-10-19 19:32:31Record linked automaticallyb6caa6d54f
    matching_agent, ENR-108860, identity id MBR-004046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108861
  • 2026-10-19 19:32:31Record linked automatically0a56ac10e1
    matching_agent, ENR-108861, identity id MBR-004046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108860
  • 2026-10-19 19:31:28Record linked automatically5b4852d90a
    scoring_agent, CLM-406787, identity id MBR-028726, confidence 1, method probabilistic, matched record ENR-108900, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyca63ac1e41
    matching_agent, CLM-406788, identity id MBR-017600, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108902
  • 2026-10-19 19:31:28Record linked automatically3f112d64a2
    scoring_agent, ENR-108860, identity id MBR-007625, confidence 1.00, method probabilistic, matched record TPA-53006, policy version 1
  • 2026-10-19 19:31:28Record linked automatically932539bf87
    matching_agent, CLM-406786, identity id MBR-000125, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108899

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0330402026-10-04Canyon Medical Group
in network
99215, 80053, 99214$736.00—DeniedDenied
CLM-2026-0183072026-08-06Unity Digestive Health Center
in network
99214$321.00$124.02ApprovedApproved
CLM-2026-0223092026-02-15Summit Endocrine Associates
in network
99215, 95251$659.00$333.58ApprovedApproved
CLM-2026-0191882026-02-16Pinecrest Physical Therapy
in network
97110, 97014, 97140$287.00$152.94ApprovedApproved