Joe Vargas

4 source records from 3 feeds.

MBR-004365Verified4 recordsOpen steward case

Golden record

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

First namePRV: Joe
Middle name—: —
Last namePRV: Vargas
Date of birthPRV: 1973-02-28
GenderPRV: F
Member IDPRV: UHC-09497-55
SSNPRV: •••-••-2860
PhonePRV: 7745175459
EmailPRV: joe.vargas45@proton.me
AddressPRV: 4634 Lake View Rd
CityPRV: Dallas
StatePRV: TX
ZIPCLM: 75214
GroupCLM: GRP-4526
PlanCLM: CHOICE-PLUS-PPO

Min confidence

0.97

Sources

PRV ×1TPA ×2CLM ×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
PRV-29099	PRV	2026-01-14	Joe Vargasflagged	1973-02-28	UHC-09497-55	7745175459	4634 Lake View Rd, Dallas, TX	Rule	0.97	D2 ssn4 + dob + last name
TPA-63751	TPA	2026-02-10	Joe Vargasflagged	—	—	—	4634 Lake View Rd, Dallas, TX	Scored	1.00	—
CLM-431115	CLM	2026-06-01	Joe Vargasflagged	1973-02-28	—	7745175459	4634 Lake View Rd, Dallas, TX	Scored	1.00	—
TPA-63750	TPA	2026-10-09	Joe Vargasflagged	1973-02-28	—	7745175459	4634 Lake View Rd, Dallas, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-63751TPACLM-431115CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431115CLMTPA-63750TPA1.00Scoredweighted 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

▶PRV-29099PRVCLM-431115CLM0.97RuleD2 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

▶PRV-29099PRVTPA-63750TPA0.94Scoredweighted 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

▶TPA-63751TPATPA-63750TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-431115 → UHC-09497-55 (Joe Vargas)
ACT-003966, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyb97ff7df4d
scoring_agent, TPA-63750, identity id MBR-004365, confidence 1, method probabilistic, matched record CLM-431115, policy version 1
2026-10-19 19:54:38Record linked automatically2375ef1282
scoring_agent, CLM-431115, identity id MBR-004365, confidence 1, method probabilistic, matched record TPA-63750, policy version 1
2026-10-19 19:54:38Record linked automaticallyabf4804f6c
scoring_agent, TPA-63751, identity id MBR-004365, confidence 1, method probabilistic, matched record CLM-431115, policy version 1
2026-10-19 19:54:38Record linked automatically11eac58b40
matching_agent, PRV-29099, identity id MBR-004365, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-431115
2026-10-19 19:52:08Record linked automaticallyabbf7a2d28
scoring_agent, TPA-63750, identity id MBR-004365, confidence 1, method probabilistic, matched record CLM-431115, policy version 1
2026-10-19 19:52:08Record linked automatically924c4197c6
scoring_agent, CLM-431115, identity id MBR-004365, confidence 1, method probabilistic, matched record TPA-63750, policy version 1
2026-10-19 19:52:08Record linked automaticallyda3d534f02
scoring_agent, TPA-63751, identity id MBR-004365, confidence 1, method probabilistic, matched record CLM-431115, policy version 1
2026-10-19 19:52:08Record linked automaticallyf90bd81a08
matching_agent, PRV-29099, identity id MBR-004365, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-431115
2026-10-19 19:45:42Record linked automaticallye6b0f7b8ea
scoring_agent, TPA-63750, identity id MBR-004365, confidence 1, method probabilistic, matched record CLM-431115, policy version 1
2026-10-19 19:45:42Record linked automatically6576ce9e05
scoring_agent, CLM-431115, identity id MBR-004365, confidence 1, method probabilistic, matched record TPA-63750, policy version 1
2026-10-19 19:45:42Record linked automaticallyc23b924daa
scoring_agent, TPA-63751, identity id MBR-004365, confidence 1, method probabilistic, matched record CLM-431115, policy version 1
2026-10-19 19:45:42Record linked automaticallycd1a4c2d78
matching_agent, PRV-29099, identity id MBR-004365, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-431115
2026-10-19 19:32:31Record linked automatically518f75b9d6
scoring_agent, TPA-63750, identity id MBR-004365, confidence 1, method probabilistic, matched record CLM-431115, policy version 1
2026-10-19 19:32:31Record linked automaticallye76a5dc78f
scoring_agent, CLM-431115, identity id MBR-004365, confidence 1, method probabilistic, matched record TPA-63750, policy version 1
2026-10-19 19:32:31Record linked automaticallyb4068ee096
scoring_agent, TPA-63751, identity id MBR-004365, confidence 1, method probabilistic, matched record CLM-431115, policy version 1
2026-10-19 19:32:31Record linked automatically0114457cfc
matching_agent, PRV-29099, identity id MBR-004365, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-431115
2026-10-19 19:31:28Record linked automatically95f9150857
scoring_agent, PRV-29099, identity id MBR-043012, confidence 0.93, method probabilistic, matched record CLM-431136, policy version 1
2026-10-19 19:31:28Record linked automatically1574ecaa59
scoring_agent, TPA-63751, identity id MBR-036834, confidence 1, method probabilistic, matched record CLM-431362, policy version 1
2026-10-19 19:31:28Record linked automaticallye5ae6ec846
scoring_agent, CLM-431115, identity id MBR-012713, confidence 1, method probabilistic, matched record CLM-431116, policy version 1
2026-10-19 19:31:28Record linked automaticallyc4bdfc68a6
scoring_agent, TPA-63750, identity id MBR-004086, confidence 1, method probabilistic, matched record CLM-431355, 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-2026-010102	2026-05-14	Meadow Imaging Center in network	70553	$3,254.00	—	Needs review	Needs review