Identities/MBR-004321
Gold, golden identity

Mary H Maldonado

4 source records from 2 feeds.

MBR-004321Verified4 records

Golden record

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

First nameENR
Mary
Middle nameENR
H
Last nameENR
Maldonado
Date of birthENR
1962-05-10
GenderENR
M
Member IDENR
UHC-19356-27
SSNENR
•••-••-6366
PhoneENR
7815479834
Email—
—
AddressENR
2125 Willow Ct
CityENR
Nashville
StateENR
TN
ZIPENR
37207
GroupENR
GRP-0184
PlanENR
SELECT-EPO
Min confidence
0.99
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

0.990.990.990.99CLMCLM-429131CLMCLM-429130CLMCLM-429132ENRENR-138198IDMBR-004321
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-429131CLM2026-01-14Mary Maldonadoflagged1962-05-10UHC-19356-27—2125 Willow Ct, Nashville, TNRule0.99D1 member id + dob exact
CLM-429130CLM2026-07-01Mary Maldonadoflagged1962-05-10UHC-19356-2778154798342125 Willow Ct, Nashville, TNRule0.99D1 member id + dob exact
CLM-429132CLM2026-08-27May Maldonadoflagged1962-05-10——2125 Willow Ct, Nashville, TNScored0.99—
ENR-138198ENR2026-10-06Mary Maldonadoflagged1962-05-10UHC-19356-2778154798342125 Willow Ct, Nashville, TNRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-429131CLMCLM-429130CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-429131CLMCLM-429132CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-429130CLMCLM-429132CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-429131CLMENR-138198ENR 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-429130CLMENR-138198ENR 0.99RuleD1 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-429132CLMENR-138198ENR 0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-429132 → UHC-19356-27 (Mary Maldonado)
    ACT-004222, Claims processor
  • Care coordination outreachProposed
    Mary Maldonado: 3 claims, no attributed provider
    ACT-018114, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically889dc6e20b
    matching_agent, ENR-138198, identity id MBR-004321, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429131
  • 2026-10-19 19:54:38Record linked automaticallyf52a252c19
    scoring_agent, CLM-429132, identity id MBR-004321, confidence 0.99, method probabilistic, matched record CLM-429131, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallybb93096de1
    matching_agent, CLM-429130, identity id MBR-004321, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429131
  • 2026-10-19 19:54:38Record linked automatically673b872785
    matching_agent, CLM-429131, identity id MBR-004321, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429130
  • 2026-10-19 19:52:08Record linked automatically65e6edba7e
    matching_agent, ENR-138198, identity id MBR-004321, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429131
  • 2026-10-19 19:52:08Record linked automatically56a91d6439
    scoring_agent, CLM-429132, identity id MBR-004321, confidence 0.99, method probabilistic, matched record CLM-429131, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyfe4d664b40
    matching_agent, CLM-429130, identity id MBR-004321, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429131
  • 2026-10-19 19:52:08Record linked automaticallyecbda464a8
    matching_agent, CLM-429131, identity id MBR-004321, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429130
  • 2026-10-19 19:45:42Record linked automatically626fe1311b
    matching_agent, ENR-138198, identity id MBR-004321, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429131
  • 2026-10-19 19:45:42Record linked automaticallyfa0e4ff609
    scoring_agent, CLM-429132, identity id MBR-004321, confidence 0.99, method probabilistic, matched record CLM-429131, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3e794f2ab6
    matching_agent, CLM-429130, identity id MBR-004321, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429131
  • 2026-10-19 19:45:42Record linked automatically029c47ef6e
    matching_agent, CLM-429131, identity id MBR-004321, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429130
  • 2026-10-19 19:32:31Record linked automatically407642fee9
    matching_agent, ENR-138198, identity id MBR-004321, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429131
  • 2026-10-19 19:32:31Record linked automatically1d174836e6
    scoring_agent, CLM-429132, identity id MBR-004321, confidence 0.99, method probabilistic, matched record CLM-429131, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3ddaa8f47a
    matching_agent, CLM-429130, identity id MBR-004321, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429131
  • 2026-10-19 19:32:31Record linked automatically371d34fce1
    matching_agent, CLM-429131, identity id MBR-004321, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429130
  • 2026-10-19 19:31:28Record linked automaticallyc5ee17070a
    scoring_agent, ENR-138198, identity id MBR-028230, confidence 0.90, method probabilistic, matched record CLM-428927, policy version 1
  • 2026-10-19 19:31:28Record linked automatically10ebd02204
    matching_agent, CLM-429132, identity id MBR-023883, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138486
  • 2026-10-19 19:31:28Record linked automatically37c0f27b4b
    matching_agent, CLM-429131, identity id MBR-023883, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138486
  • 2026-10-19 19:31:28Record linked automatically1f8d96fcdb
    scoring_agent, CLM-429130, identity id MBR-015679, confidence 1, method probabilistic, matched record TPA-62787, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0110222026-08-02Unity Cardiovascular Associates
in network
93224$312.00$143.44ApprovedApproved
CLM-2026-0074442026-06-28Unity Medical Group
in network
99215$280.00$153.60ApprovedApproved
CLM-2026-0249512025-12-21Meadow Family Practice
in network
99395, 99203, 36415$555.00—Needs reviewNeeds review