Identities/MBR-004183

Gold, golden identity

Michael R Flores

6 source records from 3 feeds.

MBR-004183Verified6 records

Golden record

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

First nameENR: Michael
Middle nameENR: R
Last nameENR: Flores
Date of birthENR: 2000-05-13
GenderENR: M
Member IDENR: UHC-18243-61
SSNENR: •••-••-3172
PhoneCLM: 7163171886
EmailENR: michael.flores26@yahoo.com
AddressENR: 7265 Maple Ave
CityENR: Las Vegas
StateENR: NV
ZIP—: —
GroupENR: GRP-6936
PlanENR: MEDICARE-ADV-A

Min confidence

0.99

Sources

CLM ×3TPA ×2ENR ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

Identity graph

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

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

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
CLM-417329	CLM	2026-01-14	Michael Floresflagged	2000-05-13	—	7163171886	7802 Oak St Apt 33, Charlotte, NC	Scored	1.00	—
CLM-417328	CLM	2026-03-23	Michael Floresflagged	2000-05-13	—	7163171886	7802 Oak St, Charlotte, NC	Scored	1.00	—
TPA-57651	TPA	2026-04-04	Michael Floresflagged	2000-05-13	—	7163171886	7802 Oak St Apt 14, Charlotte, NC	Scored	1.00	—
CLM-417327	CLM	2026-04-11	Michael Floresflagged	2000-05-13	UHC-18243-61	7163171886	7802 Oak St, Charlotte, NC	Scored	1.00	—
TPA-57650	TPA	2026-07-31	Michael Floresflagged	2000-05-13	—	—	7802 Oak St, Charlotte, NC	Scored	1.00	—
ENR-122820	ENR	2026-09-08	Michael Floresflagged	2000-05-13	UHC-18243-61	—	7265 Maple Ave, Las Vegas, NV	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶CLM-417329CLMTPA-57650TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-417327CLMTPA-57650TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-417328CLMTPA-57651TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-417327CLMENR-122820ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-417329CLMCLM-417327CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-417328CLMCLM-417327CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-417329CLMCLM-417328CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-417329CLMENR-122820ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-417328CLMENR-122820ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-57651TPACLM-417327CLM0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-417329CLMTPA-57651TPA0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-417328CLMTPA-57650TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-57651TPATPA-57650TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-57651TPAENR-122820ENR0.79Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-57650TPAENR-122820ENR0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-417329 → UHC-18243-61 (Michael Flores)
ACT-003901, Claims processor
Orphan claim re-pointedExecuted
CLM-417328 → UHC-18243-61 (Michael Flores)
ACT-007536, Claims processor
Care coordination outreachProposed
Michael Flores: 3 claims, no attributed provider
ACT-018102, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyaa5ee00390
matching_agent, ENR-122820, identity id MBR-004183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417327
2026-10-19 19:54:38Record linked automatically0c5cf53d82
scoring_agent, TPA-57650, identity id MBR-004183, confidence 1, method probabilistic, matched record CLM-417329, policy version 1
2026-10-19 19:54:38Record linked automaticallye9b390f22d
scoring_agent, CLM-417327, identity id MBR-004183, confidence 1, method probabilistic, matched record TPA-57650, policy version 1
2026-10-19 19:54:38Record linked automatically60450fd299
scoring_agent, TPA-57651, identity id MBR-004183, confidence 1, method probabilistic, matched record CLM-417328, policy version 1
2026-10-19 19:54:38Record linked automatically0a9fb50fb1
scoring_agent, CLM-417328, identity id MBR-004183, confidence 1, method probabilistic, matched record TPA-57651, policy version 1
2026-10-19 19:54:38Record linked automatically8c2dd0c361
scoring_agent, CLM-417329, identity id MBR-004183, confidence 1, method probabilistic, matched record TPA-57650, policy version 1
2026-10-19 19:52:08Record linked automaticallye05d17cc7e
matching_agent, ENR-122820, identity id MBR-004183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417327
2026-10-19 19:52:08Record linked automatically28f0e1b836
scoring_agent, TPA-57650, identity id MBR-004183, confidence 1, method probabilistic, matched record CLM-417329, policy version 1
2026-10-19 19:52:08Record linked automatically2ae456ebda
scoring_agent, CLM-417327, identity id MBR-004183, confidence 1, method probabilistic, matched record TPA-57650, policy version 1
2026-10-19 19:52:08Record linked automatically72325a2cf9
scoring_agent, TPA-57651, identity id MBR-004183, confidence 1, method probabilistic, matched record CLM-417328, policy version 1
2026-10-19 19:52:08Record linked automatically0cef190e7f
scoring_agent, CLM-417328, identity id MBR-004183, confidence 1, method probabilistic, matched record TPA-57651, policy version 1
2026-10-19 19:52:08Record linked automatically163d8e9b8a
scoring_agent, CLM-417329, identity id MBR-004183, confidence 1, method probabilistic, matched record TPA-57650, policy version 1
2026-10-19 19:45:42Record linked automatically732c8bdcb0
matching_agent, ENR-122820, identity id MBR-004183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417327
2026-10-19 19:45:42Record linked automaticallyc2f3467434
scoring_agent, TPA-57650, identity id MBR-004183, confidence 1, method probabilistic, matched record CLM-417329, policy version 1
2026-10-19 19:45:42Record linked automatically7cf4f5bb5c
scoring_agent, CLM-417327, identity id MBR-004183, confidence 1, method probabilistic, matched record TPA-57650, policy version 1
2026-10-19 19:45:42Record linked automatically2b91a71e3d
scoring_agent, TPA-57651, identity id MBR-004183, confidence 1, method probabilistic, matched record CLM-417328, policy version 1
2026-10-19 19:45:42Record linked automatically63a917e987
scoring_agent, CLM-417328, identity id MBR-004183, confidence 1, method probabilistic, matched record TPA-57651, policy version 1
2026-10-19 19:45:42Record linked automatically95da8f016d
scoring_agent, CLM-417329, identity id MBR-004183, confidence 1, method probabilistic, matched record TPA-57650, policy version 1
2026-10-19 19:32:31Record linked automatically2c869d0f5a
matching_agent, ENR-122820, identity id MBR-004183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417327
2026-10-19 19:32:31Record linked automaticallyfa41a21152
scoring_agent, TPA-57650, identity id MBR-004183, confidence 1, method probabilistic, matched record CLM-417329, policy version 1
2026-10-19 19:32:31Record linked automatically63dcb6ed65
scoring_agent, CLM-417327, identity id MBR-004183, confidence 1, method probabilistic, matched record TPA-57650, policy version 1
2026-10-19 19:32:31Record linked automatically9742a3d5fa
scoring_agent, TPA-57651, identity id MBR-004183, confidence 1, method probabilistic, matched record CLM-417328, policy version 1
2026-10-19 19:32:31Record linked automatically8579b689bb
scoring_agent, CLM-417328, identity id MBR-004183, confidence 1, method probabilistic, matched record TPA-57651, policy version 1
2026-10-19 19:32:31Record linked automatically29a3ef31c0
scoring_agent, CLM-417329, identity id MBR-004183, confidence 1, method probabilistic, matched record TPA-57650, policy version 1
2026-10-19 19:31:28Record linked automaticallya439aee27e
matching_agent, CLM-417329, identity id MBR-036804, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417330
2026-10-19 19:31:28Record linked automaticallyfa77648092
matching_agent, ENR-122820, identity id MBR-035787, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122819
2026-10-19 19:31:28Record linked automaticallya4f34eb44b
scoring_agent, TPA-57650, identity id MBR-029235, confidence 1, method probabilistic, matched record CLM-417489, policy version 1
2026-10-19 19:31:28Record linked automatically80b08b7ec7
scoring_agent, CLM-417328, identity id MBR-025487, confidence 1, method probabilistic, matched record TPA-57572, policy version 1
2026-10-19 19:31:28Record linked automatically8f79f0f959
scoring_agent, TPA-57651, identity id MBR-020248, confidence 1, method probabilistic, matched record ENR-122898, policy version 1
2026-10-19 19:31:28Record linked automaticallyadfe3262e2
scoring_agent, CLM-417327, identity id MBR-009414, confidence 0.97, method probabilistic, matched record TPA-57571, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-033031	2026-03-13	Meadow Primary Care Associates in network	99213	$191.00	$88.42	Approved	Approved
CLM-2026-023454	2026-02-13	Harbor Diabetes Center in network	95251, 99214	$394.00	—	Needs review	Needs review
CLM-2026-009839	2025-12-30	Desert Heart Institute in network	93458	$6,810.00	—	Needs review	Needs review